The nurse is teaching a new mother about the drastic growth and developmental changes her infant will experience in the first year of life. Which statement describes a developmentalmilestone occurring in infancy?
The heart triples in size over the first year of lifE. the average pulse rate decreases from 120 to 140 in the newborn to about 100 in the 1-year-old.
Most infants triple their birth weight by 4 to 6 months of age and quadruple their birth weight by the time they are 1 year old.
By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth.
The head circumference increases rapidly during the first 6 months: the average increase is about 1 in per month.
The Correct Answer is B
A. The heart triples in size over the first year of lifE. While cardiac growth occurs during infancy, the described change is not specific to a developmental milestone.
B. Most infants triple their birth weight by 4 to 6 months of age and quadruple their birth weight by the time they are 1 year olD. This statement accurately describes a significant developmental milestone related to physical growth during infancy.
C. By 6 months of age, the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth: This statement describes brain growth rather than a
milestone related to physical growth or development.
D. The head circumference increases rapidly during the first 6 months: the average increase is about 1 in per month: While head circumference growth is important, it does not specifically relate to the described developmental milestone of weight gain during infancy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C,A,D,B
Explanation
Correct Answer:C, A, D, B.
C. Inspection:The initial step in an abdominal assessment is to inspect the abdomen visually. This allows the nurse to observe for any abnormalities in skin color, shape, and
movement without causing discomfort or altering findings that could be affected by palpation or auscultation.
A. Auscultation:Following inspection, auscultation is performed before any palpation. This is because palpation can stimulate bowel sounds, which may alter the nurse's ability to accurately assess the bowel activity and vascular sounds.
D. Superficial palpation:After auscultation, superficial palpation is done to detect tenderness, distension, or superficial masses. It is gentle and less likely to cause discomfort or alter deeper structures.
B. Deep palpation: The final step is deep palpation, which is used to examine the organs and structures that are deeper within the abdominal cavity. It is performed last to prevent any potential discomfort or alteration in the patient's condition that could interfere with the earlier steps of the assessment.
Correct Answer is A
Explanation
A. The newborn does not respond to a loud noise.
A newborn should exhibit a startle response to a loud noise, indicating intact auditory sensory skills. Failure to respond to a loud noise may suggest a deficit in auditory perception.
B. The newborn's eyes focus on near objects.
Focusing on near objects is a normal visual response in newborns as they adjust to their visual environment. This behavior does not necessarily indicate a sensory deficit.
C. The newborn becomes more alert with stroking when drowsy.
Being more alert with stimulation when drowsy is a normal response and does not necessarily indicate a sensory deficit.
D. The newborn's eyes wander and occasionally are crossed.
In newborns, wandering eyes and occasional crossing are common as their visual system continues to develop. This behavior is not necessarily indicative of a sensory deficit at this stage.
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