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At what age is it safe to give infants whole milk instead of commercial infant formula?
- A. 6 months
- B. 9 months
- C. 12 months
- D. 18 months
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
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The nurse is administering the first hepatitis A vaccine to an 18-month-old child. When should the child return to the clinic for the second dose of hepatitis A vaccination?
- A. After 2 months
- B. After 3 months
- C. After 4 months
- D. After 6 months
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The nurse is caring for an infant who was born 24 hr ago to a mother who received no prenatal care. The infant is a poor feeder but sucks avidly on his hands. Clinical manifestations also include hyperactive reflexes, tremors, sneezing, and a high-pitched shrill cry. What does the nurse consider as a possible diagnosis for this infant?
- A. Seizure disorder
- B. Narcotic withdrawal
- C. Placental insufficiency
- D. Meconium aspiration syndrome
Correct Answer: B
Rationale: In this case, the infant's symptoms are consistent with narcotic withdrawal. Infants exposed to drugs in utero may display withdrawal symptoms starting around 12 to 24 hours post-birth. The presentation often includes hyperactive reflexes, tremors, sneezing, high-pitched shrill cry, poor feeding, and sucking avidly on hands. Signs such as loose stools, tachycardia, fever, projectile vomiting, sneezing, and generalized sweating are common. These symptoms are not indicative of a seizure disorder. Placental insufficiency typically leads to a small-for-gestational-age child, which is not mentioned in the scenario. Meconium aspiration syndrome primarily presents with respiratory distress, not the symptoms described in this case.
Which characteristic best describes the fine motor skills of an infant at age 5 months?
- A. Neat pincer grasp
- B. Strong grasp reflex
- C. Builds a tower of two cubes
- D. Able to grasp object voluntarily
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A preschooler pretending to do the dishes like her mother is an example of:
- A. Domestic mimicry
- B. Artificialism
- C. Magical thinking
- D. Centering
Correct Answer: A
Rationale: Domestic mimicry is the correct answer. It refers to children imitating household activities they observe, aiding in their cognitive and social development. By engaging in such play, children understand and interact with the world around them. Choice B, 'Artificialism,' is incorrect as it pertains to the belief that environmental characteristics are created by human beings. Choice C, 'Magical thinking,' involves children believing in unrealistic events or powers. Choice D, 'Centering,' refers to a child focusing on only one aspect of a situation and not considering other viewpoints.
An infant weighed 8 lb at birth and was 18 inches in length. What weight and length should the infant be at 5 months of age?
- A. 12 lb, 20 inches
- B. 14 lb, 21.5 inches
- C. 16 lb, 23 inches
- D. 18 lb, 24.5 inches
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.