The nurse is performing a physical assessment of a 10-year-old boy. The nurse notes that during last year's check-up, the child weighed 80 lb. According to average growth for this age group, what would be his expected current weight?
87 lb
81 lb
89 lb
85 lb
The Correct Answer is A
A. 87 lb is a reasonable weight for a 10-year-old boy who was 80 lb the previous year, considering the average weight gain is about 10 pounds a year at this age.
B. 81 lb would be a below-average weight gain for a year for a child of this age. C. 89 lb would be an above-average weight gain for a year for a child of this age.
D. 85 lb is within the range but slightly below the average expected weight gain for a year for a child of this age.
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Correct Answer is C
Explanation
A. The child exhibits plantar grasp reflex: The presence of the plantar grasp reflex at 10 months
is appropriate and not cause for concern. This reflex typically diminishes by around 9 months but can persist slightly longer in premature infants.
B. The child has doubled his birth weight: Doubling birth weight by around 6 months is a normal developmental milestone, and achieving this by 10 months is appropriate, indicating healthy growth.
C. No primary teeth have erupted yet: The absence of primary teeth by 10 months, especially in a preterm infant, may indicate a delay in dental development and should prompt further evaluation by a healthcare provider.
D. The child's head circumference is 49.53 cm: The head circumference of 49.53 cm falls within the typical range for a 10-month-old infant and is not inherently concerning.
Correct Answer is B,E,C,A,D
Explanation
B. Trust vs. mistrust: This is the first stage, occurring from birth to approximately 18 months of age, where infants learn to trust or mistrust their caregivers and the world based on
whether or not their basic needs—such as food, affection, and safety—are met.
E. Autonomy vs. shame and doubt: The second stage, from roughly 18 months to 3 years, is when toddlers begin to assert their independence. If caregivers encourage self-sufficient behavior, toddlers learn to be autonomous; if not, they may develop feelings of shame and doubt about their abilities.
C. Initiative vs. guilt: During the preschool years, from about 3 to 6 years, children begin to assert power and control over their world through directing play and other social interactions.
Successful completion of this stage leads to a sense of initiative, while failure results in feelings of guilt.
A. Industry vs. inferiority: Occurring from age 6 to puberty, this stage is characterized by the child's navigation of social demands and learning to develop a sense of pride in their accomplishments and abilities. If this stage is managed well, the child will feel industrious; if not, they may feel inferior.
D. Identity vs. role confusion: The final stage in Erikson's model for adolescence, from puberty to young adulthood, involves developing a sense of self and personal identity. Success leads to an ability to stay true to oneself, while failure leads to role confusion and a weak sense of self.
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