Nokea
At what age does an infant's birth weight triple?
- A. 9 months
- B. 1 year
- C. 18 months
- D. 2 years
Correct Answer: B
Rationale: The infant typically triples their birth weight by about 12 months of age, reflecting normal growth patterns.
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What is the best action the nurse can advise this mother to implement?
- A. Keep the infant's room well lit.
- B. Rub the infant's soles vigorously.
- C. Offer the infant a pacifier.
- D. Handle the infant slowly and gently.
Correct Answer: D
Rationale: Handling the infant slowly and gently helps prevent overstimulation, which can cause lethargy in some infants.
What is the most helpful measure the nurse can suggest to the mother?
- A. Sing songs to the infant in a soft voice.
- B. Place the infant in a well-lit room.
- C. Walk around and massage the infant's back.
- D. Rock the fussy infant slowly and gently.
Correct Answer: D
Rationale: Rocking the infant gently and slowly, while avoiding sudden movements, is an effective technique to soothe a colicky infant.
What teeth will the nurse explain are the first deciduous teeth to erupt?
- A. Lower central incisors
- B. Upper central incisors
- C. Lower lateral incisors
- D. Upper lateral incisors
Correct Answer: A
Rationale: The lower central incisors are the first deciduous teeth to erupt, typically around 7 months of age.
What would the nurse expect a 4-month-old infant to be able to accomplish?
- A. Hold a cup.
- B. Stand with assistance.
- C. Lift head and shoulders.
- D. Sit with back straight.
Correct Answer: C
Rationale: Due to cephalocaudal development, a 4-month-old infant can lift their head and shoulders, mastering this skill before others listed.
What finding should the nurse report to the physician immediately?
- A. Respiratory rate of 60 breaths/minute
- B. Pulse rate of 100 beats/minute
- C. Minimal verbalization
- D. Fussy behavior
Correct Answer: A
Rationale: A respiratory rate of 60 breaths/minute is above the normal range of 20 to 40 for a 1-year-old and indicates potential distress.