The parent brings a child to the clinic for a 12-month well visit. The child weighed 6 lb 2 ounces and was 21 inches long at birth. Which finding will cause the nurse to intervene?

Height of 30 inches

Weight of 16 lb

Is not yet potty-trained

Is not yet walking up stairs

Answer and Explanation

The Correct Answer is B

A. Growth in length (30 inches) is appropriate—average height gain is about 50% from birth (21 in → ~31.5 in at 12 months).
B. By 12 months, an infant's weight should triple their birth weight. This child should weigh about 18–19 lb, but only weighs 16 lb, indicating failure to thrive or nutritional concern.
C. Potty training is not developmentally expected at 12 months; it typically begins around 18–24 months.
D. Walking up stairs is expected around 18–24 months. The lack of this ability is age-appropriate at 12 months.

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Correct Answer is D

Explanation

A. Staying with the patient would not have provided immediate assistance and could have resulted in death.
B. The Good Samaritan Law protects individuals from liability in emergency situations, but the nurse’s actions still exceed the standard scope of practice.
C. Acting appropriately would involve simpler, more appropriate emergency measures until professionals arrived.
D. The nurse took actions beyond those that are standard and appropriate. While the nurse had good intentions to provide emergency care, making a cut in the trachea and inserting a straw is not standard practice and could be considered going beyond what the nurse is authorized to do in an emergency situation.

A. It is hard to define and deeply personal. B. It is deeply social. C. It is consistent and stable over the course of one's lifetime. D. It is an observed measurement for most people.

Correct Answer is A

Explanation

A. Quality of life is a subjective concept that is difficult to define universally and is deeply personal to each individual.
B. While social factors can influence quality of life, the concept itself is not solely defined by social interactions.
C. Quality of life is dynamic and can change over time based on health, experiences, and other factors.
D. Quality of life is not a standard measurement, as it varies widely from person to person based on individual values and circumstances.

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The parent brings a child to the clinic for a 12-month well visit. The child weighed 6 lb 2 ounces and was 21 inches long at birth. Which finding will cause the nurse to intervene?

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Naxlex Comprehensive Predictor Exams

Correct Answer is D

Explanation

A nurse is teaching a patient and family about quality of life. Which information should the nurse include in the teaching session about quality of life?

Correct Answer is A

Explanation

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