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
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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Related Questions
Correct Answer is D
Explanation
A. Psychomotor learning refers to physical skills and actions.
B. Kinesthetic learning is related to physical movement, which does not apply to learning facts like this.
C. Affective learning involves changes in feelings, values, or attitudes.
D. Cognitive learning involves acquiring knowledge and facts. In this case, the patient learned a factual detail about normal heart rate.
Correct Answer is ["D","E"]
Explanation
A. While a nurse performing their duties is part of the context of care, it doesn't inherently establish negligence. Negligence occurs when that duty is not carried out appropriately or is breached. Simply performing a duty, even if an injury occurs, doesn't automatically equate to negligence. The focus is on how the duty was carried out.
B. This criterion relates to informed consent, which is a separate legal and ethical concept. While failure to obtain informed consent can lead to legal action (like battery), it is not a direct element required to prove negligence. Negligence focuses on the breach of a duty of care that leads to harm, regardless of whether consent was obtained.
C. For negligence to be established, there must be actual harm or injury to the patient. If no injury occurred, there is no basis for a negligence claim, even if a duty was breached. Damage is a crucial element of negligence.
D. A breach of duty means the nurse failed to act as a reasonably prudent nurse would have acted in the same or similar circumstances. This could involve an act of commission (doing something incorrectly) or an act of omission (failing to do something that should have been done).
E. The first element of negligence is establishing that a duty of care existed between the nurse and the patient. This means there was a professional relationship where the nurse had a responsibility to provide care to the patient. This duty arises from the nurse-patient relationship.
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