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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["21"]
Explanation
Total volume to infuse: 3000 mL
Total time for infusion: 24 hours
Drop factor of the tubing: 10 gtt/mL
We need to convert the total infusion time from hours to minutes: 24 hours × 60 minutes/hour = 1440 minutes
Now we can use the formula to calculate the drops per minute:
Drops/minute=Totaltime(minutes)Totalvolume(mL)×Dropfactor(gtt/mL)
Plugging in the values:
Drops/minute=1440minutes3000mL×10gtt/mL
Drops/minute=1440minutes30000gtt
Drops/minute=20.833...gtt/minute
Rounding to the nearest whole number, the nurse should set the manual IV infusion to deliver 21 gtt/min.
Correct Answer is B
Explanation
A. Speaking loudly may distort speech for those using hearing aids and may not help with clarity.
B. Reducing background noise, such as turning off the television, makes it easier for a patient with a hearing aid to focus on the nurse’s speech, improving communication effectiveness.
C. Using large print may be beneficial for vision impairments but does not address hearing difficulties.
D. Chewing gum can interfere with speaking clearly and may distract from communication.
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