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An infant's birth weight is 7 pounds, 8 ounces. What can the nurse project the weight to be at 6 months?
- A. 12 pounds
- B. 15 pounds
- C. 18 pounds
- D. 22 pounds
Correct Answer: B
Rationale: An infant usually doubles his or her birth weight by 5 to 6 months.
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What does the nurse calculate the basal metabolic index (BMI) of an 8-year-old child who is 48 inches tall (1.2 meters) and weighs 100 pounds (45.4 kg) to be?
- A. 28.9
- B. 32.4
- C. 34.8
- D. 37.6
Correct Answer: B
Rationale: The formula for BMI calculation is weight in kg divided by height in meters (squared): 45.4 (weight in kg) divided by 1.44 (1.2 squared) = 31.53, which rounds to 32.4.
When the nurse asks a 10-year-old Native American if he is ready to go to therapy, he does not answer immediately. How does the nurse interpret this response?
- A. Indecision
- B. Considering the answer in silence
- C. Shyness with strangers
- D. Fear of medical personnel
Correct Answer: B
Rationale: Native Americans value silence. They need to sit and consider matters before replying to questions.
What would the nurse further investigate when assessing patterns of growth in a child?
- A. Previous weight was in the 75th percentile, and present weight is in the 25th percentile.
- B. Height is in the 90th percentile, and weight is in the 75th percentile.
- C. Last weight was in the 5th percentile, and present weight is in the 10th percentile.
- D. Weight is in the 50th percentile, and sibling's weight at the same age was in the 75th percentile.
Correct Answer: A
Rationale: The child showing a difference of two or more percentile levels from an established growth pattern should undergo further evaluation.
At a well-baby visit, parents of a 6-month-old infant ask when to take the infant for the first dental visit. What is the nurse's best response?
- A. If the teeth are brushed regularly, the child should see a dentist by 3 years of age.'
- B. The first dental visit should be arranged after the first tooth erupts.'
- C. The child should have a dental examination when all deciduous teeth have erupted.'
- D. A dental visit by 1 year of age is recommended by the American Academy of Pediatric Dentistry.'
Correct Answer: D
Rationale: The Academy of Pediatric Dentistry recommends that the first dental visit occur by 1 year of age.
What approaches should the nurse suggest for introducing a toddler to new foods? (Select all that apply.)
- A. Serve one food at a time.
- B. Avoid showing personal likes or dislikes.
- C. Offer foods in small amounts, less than a teaspoon.
- D. Entice the toddler to eat with sweets.
- E. Serve food warm.
Correct Answer: A,B,C,E
Rationale: Foods should be introduced in small, warm servings, one food at a time. Sweets and milk should not be offered until after solid food.