A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?

Grasps objects

Follows objects with eyes

Laughs and squeals

Rolls from back to side

Answer and Explanation

The Correct Answer is B

A. At 2 months old, infants typically do not have the fine motor skills necessary to grasp objects intentionally. This skill usually develops around 4 to 6 months of age.
B. By 2 months of age, infants are expected to follow objects with their eyes as their visual tracking improves. This is a normal developmental milestone for this age.
C. Laughing and squealing are typically seen later, around 4 to 6 months of age. At 2 months, infants may coo and make other vocalizations but not laugh or squeal.
D. Rolling from back to side usually begins around 4 to 6 months of age. At 2 months, infants are generally not yet capable of this movement.

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Correct Answer is C

Explanation

A. While urinary frequency can vary, it is generally known that it occurs both in the first trimester due to hormonal changes and later in pregnancy due to fetal pressure on the bladder.
B. Urinary frequency is more commonly experienced throughout the pregnancy, not just until the 12th week, and poor bladder tone does not necessarily affect the duration of urinary frequency.
C. Urinary frequency is common during the first trimester due to hormonal changes increasing blood flow to the kidneys and also later in pregnancy due to the growing uterus pressing on the bladder.
D. While urinary frequency can be inconvenient, it is not merely a minor issue and should be addressed appropriately. Ignoring it could lead to discomfort and complications.

A. "A gain of about 25 to 35 pounds is recommended for you." B. "The recommendation for you is about 15 to 25 pounds." C. "A gain of about 1 pound per week is the best pattern for you." D. "It would be best if you gained about 11 to 20 pounds."

Correct Answer is B

Explanation

A. A weight gain of 25 to 35 pounds is recommended for women with a normal BMI (18.5–24.9). The client in this scenario has a BMI of 26.5, which places her in the overweight category.
B. The recommended weight gain for a client with a BMI of 25–29.9 (overweight) is 15 to 25 pounds. This amount of weight gain helps reduce the risk of complications such as gestational diabetes and hypertension.
C. While gaining 1 pound per week might be appropriate in the second and third trimesters, it doesn't specify the total recommended weight gain, which is more critical for a client with a BMI of 26.5.
D. A weight gain of 11 to 20 pounds is recommended for women with a BMI of 30 or higher (obese), not for those in the overweight category.

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A nurse is completing an assessment of a 2-month-old. Which of the following developmental skills is an expected finding?

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Naxlex Comprehensive Predictor Exams

A nurse in a prenatal clinic is caring for a client who is at 7 weeks of gestation. The client reports urinary frequency and asks if this will continue until delivery. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is caring for a client at the first prenatal visit who has a BMI of 26.5. The client asks how much weight she should gain during pregnancy. Which of the following responses should the nurse make?

Correct Answer is B

Explanation

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