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 A
Explanation
A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.
Understanding the context can help identify possible underlying causes and guide appropriate interventions.
B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.
C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.
D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.
Correct Answer is A
Explanation
A. "This is a primitive reflex known as the palmar grasp.": The palmar grasp reflex is a primitive reflex observed in newborns where they automatically grasp onto objects (or fingers) that touch
their palms. This reflex typically disappears by around 6 months of age.
B. "This is a protective reflex known as rooting.": Rooting is a reflex where newborns turn their head and open their mouth in response to cheek or mouth stimulation, facilitating breastfeeding. It is not related to grasping objects with the hands.
C. "This is a primitive reflex known as the plantar grasp.": The plantar grasp reflex is similar to the palmar grasp but occurs when pressure is applied to the sole of the foot. It is unrelated to grasping objects with the hands.
D. "This is a protective reflex known as the Moro reflex.": The Moro reflex, also known as the startle reflex, involves the newborn's arms and legs extending and then flexing in response to a sudden movement or loud noise. It is not related to grasping objects with the hands.
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