The nurse is assessing a 12-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately:
21pounds
14 pounds
25 pounds
10 pounds
The Correct Answer is A
A. 21 pounds: This is the correct answer. The general guideline is that infants tend to triple their birth weight by the age of 12 months. If the infant weighed 7 pounds at birth, tripling that weight would be 21 pounds.
B. 14 pounds: This weight would not be consistent with the expected weight gain of a healthy infant by 12 months. It's too low based on the tripling guideline.
C. 25 pounds: This weight would be higher than expected based on the tripling guideline. It's not a typical weight for a healthy 12-month-old who had a birth weight of 7 pounds.
D. 10 pounds: This weight would be lower than the expected weight gain. A 12-month-old who started at 7 pounds should have gained more weight by this age.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Ridiculing their fears so they understand that there is no need to be afraid.
This option is not recommended. Ridiculing a child's fears can be emotionally harmful and may lead to increased anxiety. It's important to approach fears with empathy and support.
B. Using logical persuasion to explain away their fears and help them recognize how unrealistic the fears are.
While providing information and reassurance is important, simply dismissing or explaining away a child's fears may not be sufficient. Preschoolers may need more concrete strategies and involvement in managing their fears.
C. Actively involving them in finding practical methods to deal with the frightening experience.
This is the recommended choice. Actively involving preschoolers in finding practical methods allows them to participate in the process, promoting a sense of control and autonomy. It encourages them to develop coping skills.
D. Forcing them to confront the frightening object or experience in the presence of their parents.
Forcing a child to confront their fears may intensify anxiety and is generally not a recommended approach. It's essential to respect a child's pace and provide support as they work through their fears.
Correct Answer is D
Explanation
A. Parents don't remember details when they are under stress
While stress can impact memory, inconsistencies in the provided explanations may raise concerns beyond the impact of stress. It's important to consider the possibility of child maltreatment and further investigate.
B. The focus should be on the injury, not how it occurred
In cases of pediatric injuries, understanding how the injury occurred is crucial for making appropriate clinical decisions. The circumstances surrounding the injury can provide important information about its cause, including the possibility of non-accidental trauma.
C. Infant bones are prone to fractures
While it is true that infants can sustain fractures more easily than older children, the nurse still needs to consider the consistency of the provided information about how the injury occurred. Inconsistent explanations may raise concerns about the accuracy of the reported events.
D. Inconsistencies in how the injury occurred may indicate child maltreatment
In cases where there are inconsistencies in the explanation of how an injury occurred, healthcare providers need to consider the possibility of child maltreatment. This is particularly important in pediatric cases where non-accidental trauma, such as child abuse, may be a concern. The nurse should be alert to the possibility of abuse, especially when the given explanations for the injury are inconsistent or change.
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