The mother of a 2-month-old baby tells the nurse, "I'm worried because my baby isn't able to sit independently." Which response by the nurse would be appropriate?

"It's a bit too soon. Most babies sit steadily at 4 months"

"Once the first tooth comes in, sitting independently will soon follow"

"That's not unusual because most babies do not sit by themselves until about 8 months"

"That's interesting because most babies sit steadily at 3 months"

Answer and Explanation

The Correct Answer is C

A. "It's a bit too soon. Most babies sit steadily at 4 months": While 2 months is certainly too early for independent sitting, at 4 months, babies often sit with support but true independent, steady sitting typically develops by 6 to 8 months.

B. "Once the first tooth comes in, sitting independently will soon follow": There is no correlation between the eruption of the first tooth and sitting independently. Sitting independently is more related to motor development, not teething.

C. "That's not unusual because most babies do not sit by themselves until about 8 months": While infants can begin to sit with support around 4-6 months, true independent, steady sitting (without support and for extended periods) is typically achieved around 6 to 8 months of age.

D. "That's interesting because most babies sit steadily at 3 months": It is too early for most babies to sit independently at 3 months. Most babies develop the ability to sit independently between 6 to 8 months.

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Correct Answer is C

Explanation

A. Pressure from the growing uterus displaces the stomach: While the growing uterus does exert pressure on the stomach later in pregnancy, heartburn (acid reflux) at 10 weeks is more likely due to hormonal changes rather than uterine displacement, which typically becomes more noticeable in the second trimester.

B. Increased estrogen production causes increased secretion of hydrochloric acid: Increased estrogen levels during pregnancy are not linked to increased hydrochloric acid secretion as the primary cause of heartburn. While hormones do play a role, it's not typically through enhanced acid production.

C. Increased progesterone production during pregnancy slows gastrointestinal motility: Progesterone is the main hormone responsible for slowing gastrointestinal motility, leading to delayed gastric emptying and relaxation of the lower esophageal sphincter, which can cause heartburn or acid reflux.

D. Retained bile in the liver results in delayed digestion: This is not a primary cause of heartburn during pregnancy. Delayed digestion due to hormonal effects, particularly from progesterone, is the more likely cause of heartburn in the early stages of pregnancy.

A. "Your baby is making urine so this is adding to what's in your bladder." B. "Your kidneys now have less cells to filter the fluid that goes through" C. "Your growing uterus is putting pressure on your bladder causing you to go" D. "Your urine is more concentrated now, so you have to go more often"

Correct Answer is C

Explanation

A. "Your baby is making urine so this is adding to what's in your bladder.": While the baby does produce urine, it is not stored in the mother's bladder. The baby’s urine is filtered through the placenta and into the amniotic fluid, not contributing directly to the mother's urinary frequency.

B. "Your kidneys now have less cells to filter the fluid that goes through": Pregnancy increases kidney function. The kidneys filter more blood and produce more urine to accommodate the increased blood volume in the body, but frequent urination is not due to fewer cells.

C. "Your growing uterus is putting pressure on your bladder causing you to go": During early pregnancy, the growing uterus starts to exert pressure on the bladder, which leads to increased frequency of urination. This is a common and normal symptom during pregnancy.

D. "Your urine is more concentrated now, so you have to go more often": Pregnancy does not cause urine to be more concentrated, but rather it increases the volume of urine due to the increased blood volume and kidney function. The frequency is due to pressure on the bladder, not changes in urine concentration.

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The mother of a 2-month-old baby tells the nurse, "I'm worried because my baby isn't able to sit independently." Which response by the nurse would be appropriate?

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Naxlex Comprehensive Predictor Exams

A nurse in the prenatal clinic is caring for a client who is at 10 weeks gestation. During the visit the client asks about the cause of their heartburn. The nurse would provide which of the following responses?

Correct Answer is C

Explanation

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Correct Answer is C

Explanation

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