The mother of a 3-month-old baby is concerned because the child is not able to sit independently. How should the nurse respond to this mother's concern?
Most babies sit steadily at 4 months.
Sitting ability and the age of first tooth eruption are correlated.
Most babies sit steadily at 3 months.
Most babies do not sit well without support until 9 months.
The Correct Answer is D
Choice A reason: While some babies may begin to show improved head control and trunk strength around 4 months, sitting steadily without support is not typically achieved until later. This statement may set unrealistic expectations.
Choice B reason: There is no established correlation between sitting ability and tooth eruption. These developmental processes are governed by different physiological systems and timelines. This statement is inaccurate.
Choice C reason: Sitting steadily at 3 months is not developmentally appropriate. At this age, infants are still developing head control and core strength. Most require support to sit and cannot maintain balance independently.
Choice D reason: This is the most accurate response. Independent sitting usually develops between 6 and 9 months. At 3 months, it is normal for infants to require support. This response reassures the parent and reflects developmental norms.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Fluid restriction is contraindicated in cystic fibrosis. These children are prone to dehydration due to excessive salt loss in sweat. Adequate hydration is essential, especially during infections.
Choice B reason: Physical activity is encouraged in children with cystic fibrosis as it helps improve lung function, mobilize secretions, and enhance overall well-being. Restriction is not recommended unless medically indicated.
Choice C reason: Pancreatic enzyme replacement is critical in cystic fibrosis due to pancreatic insufficiency. Enzymes must be taken with all meals and snacks to aid digestion and nutrient absorption. This is a cornerstone of nutritional management.
Choice D reason: Children with cystic fibrosis require high-calorie, high-protein diets to meet increased metabolic demands and support growth. A low-calorie, low-protein diet would be inappropriate and harmful.
Correct Answer is A
Explanation
Choice A reason: Recognizing and naming objects is a developmental milestone for a 12-month-old. Saying single words like "ball" appropriately demonstrates receptive and expressive language skills. This response validates the parents’ observation and encourages continued language development.
Choice B reason: While combining words into short sentences is a milestone typically reached around 18–24 months, expecting this at 12 months is premature. This response may discourage parents and does not acknowledge the child’s current achievement.
Choice C reason: This statement is dismissive and undermines parental engagement. It does not provide education or support and may damage rapport between the nurse and family.
Choice D reason: This response is unnecessarily critical and fails to recognize the child’s developmental progress. It may discourage parental involvement and does not reflect therapeutic communication.
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