A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?

Weight above the 10th percentile

Makes eye contact with others

Poor muscle tone

Stranger anxiety

Answer and Explanation

The Correct Answer is C

A. Weight above the 10th percentile would not be expected in an infant with failure to thrive. Infants with failure to thrive typically exhibit weight below the 5th percentile due to insufficient caloric intake or absorption.

B. Making eye contact with others is a normal developmental milestone at 11 months and would not be expected to be impaired in a child with failure to thrive.

C. Poor muscle tone is a common finding in infants with failure to thrive, as malnutrition and inadequate nourishment can affect the development of muscle strength and coordination.

D. Stranger anxiety is a typical developmental stage at 11 months, but it is not associated with failure to thrive. Infants with failure to thrive may exhibit developmental delays, but stranger anxiety is not a primary concern.

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Correct Answer is A

Explanation

A. A 9-month-old infant is expected to demonstrate a crude pincer grasp, which involves picking up small objects between the thumb and forefinger. This is a developmental milestone for this age.

B. While infants may shake their heads by this age, it is typically not used in the context of saying "no." This action is usually a sign of exploration or reaction to stimulation.

C. A 9-month-old typically does not use two-word phrases. By this age, infants are usually babbling and may say single words like "mama" or "dada."

D. A 9-month-old is not expected to build a tower of four blocks. By 12-15 months, infants may begin to stack blocks.

A. Tachycardia B. Increased blood pressure C. Increased urinary output D. Bounding peripheral pulses

Correct Answer is A

Explanation

A. Tachycardia is a common finding in infants with heart failure. The body compensates for decreased cardiac output by increasing heart rate to maintain adequate perfusion to vital organs.

B. Blood pressure may not necessarily increase in heart failure. In fact, in severe cases, it can be low due to poor cardiac output.

C. Increased urinary output is not a typical manifestation of heart failure. In fact, heart failure often results in decreased renal perfusion, leading to decreased urine output.

D. Bounding peripheral pulses are usually seen in conditions like fever or hyperdynamic circulatory states, not in heart failure. In heart failure, peripheral pulses may be weak due to reduced cardiac output.

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A nurse is planning to collect data from an 11-month-old infant who has failure to thrive. Which of the following findings should the nurse expect?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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