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

Answer and Explanation

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 B

Explanation

A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.

B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.

C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.

D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.

A. "It is best to just ignore this and to not respond to his questions." B. "He will eventually figure this out on his own." C. "You have to keep repeating that his grandfather is never coming back." D. "This is normal; children his age do not understand the permanence of death."

Correct Answer is D

Explanation

A. "It is best to just ignore this and to not respond to his questions.": Ignoring the child's questions about the death of his grandfather may lead to feelings of confusion or abandonment. It is important to address the child's concerns and provide appropriate support and guidance.

B. "He will eventually figure this out on his own.": While children may gradually come to understand the permanence of death as they mature, it is essential to provide support and explanations to help them cope with grief and loss.

C. "You have to keep repeating that his grandfather is never coming back.": Continually

repeating that the grandfather is never coming back may be distressing for the child and does not provide constructive support or help the child understand the concept of death.

D. "This is normal; children his age do not understand the permanence of death.": This response acknowledges the child's age-appropriate understanding of death and provides reassurance to the mother that her son's reaction is typical. It opens the door for the nurse to offer guidance on how to support the child through the grieving process and gradually help him comprehend the permanence of death.

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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?

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A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

Correct Answer is B

Explanation

The mother of a 5-year-old boy calls the nurse and seeks advice on how to assist the child with the recent death of his paternal grandfather. The boy keeps asking when his grandpa is coming back. How should the nurse respond?

Correct Answer is D

Explanation

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