A nurse is assessing a 12-month-old infant who is brought to the clinic by the parents for a well-child visit. The nurse reviews the infant's health history and notes that the infant weighed 8 lb at birth. When assessing the infant's weight at this visit, the nurse would anticipate that the infant would weigh approximately how much at this time?

Answer and Explanation

The Correct Answer is C

A. 20 lbs: This is a plausible estimate. By 12 months, an infant's birth weight typically triples. Therefore, an 8 lb birth weight would approximately translate to 24 lbs at 12 months.

B. 32 lbs: This estimate is too high. If an infant's birth weight triples by 12 months, an 8 lb birth weight would not be expected to reach 32 lbs.

C. 24 lbs: An infant's weight usually triples by their first birthday. Therefore, an infant born weighing 8 lbs would be expected to weigh about 24 lbs at 12 months.

D. 16 lbs: This is an underestimate. An 8 lb infant would double their birth weight by about 4 to 6 months, and by 12 months, they would typically have tripled their birth weight to around 24 lbs.

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Correct Answer is A,B,C,D,E

Explanation

Trust vs. Mistrust (Birth to 1 year): In this stage, infants learn to trust or mistrust their caregivers and the world based on the consistency of care they receive.

Autonomy vs. Shame and Doubt (1 to 3 years): During this stage, toddlers learn to exercise will and to do things independently; failure to do so causes shame and doubt.

Initiative vs. Guilt (3 to 6 years): In this stage, children begin to assert control and power over their environment through directing play and other social interactions.

Industry vs. Inferiority (6 to 12 years): Here, children learn to read, write, and do things on their own. Peers and teachers become significant figures, and children strive to be competent and successful.

Identity vs. Role Confusion (12 to 18 years): Adolescents search for a sense of self and personal identity, through an intense exploration of personal values, beliefs, and goals.

A. The client will teach back information about safe crutch walking. B. The client will demonstrate safe crutch walking. C. The client will not lean on the crutches to support their body weight. D. The client will ambulate 5 feet in one day. E. The client will walk 10 feet by day 2. F. The client will walk 20 feet by day 3. G. The client will explain 4 principles of crutch safety. H. The client will explain how to keep crutches in safe condition.

Correct Answer is ["D","E","F"]

Explanation

A. The client will teach back information about safe crutch walking.This is an essential component of client education and ensures that the client understands how to use crutches safely. However, this statement does not include a specific time frame, making it not a timed SMART goal.

B. The client will demonstrate safe crutch walking.Demonstration of skills ensures the client can safely perform crutch walking techniques. However, without a specific deadline, it does not qualify as a timed component.

C. The client will not lean on the crutches to support their body weight.This statement reinforces proper crutch technique to prevent nerve damage (e.g., axillary nerve compression). However, it lacks a specific timeframe, so it is not a timed SMART goal.

D. The client will ambulate 5 feet in one day. This goal is specific, measurable, and time-bound as it defines both the distance (5 feet) and the timeframe (one day), making it a timed SMART goal.

E. The client will walk 10 feet by day 2. This goal provides clear progression, stating that the client should ambulate 10 feet within two days, making it specific, measurable, and time-limited.

F. The client will walk 20 feet by day 3. This builds on the previous goals, ensuring incremental progress in crutch walking and clear expectations within a set timeframe.

G. The client will explain 4 principles of crutch safety.This is a knowledge-based goal that ensures the client understands the fundamentals of crutch safety. However, no specific timeframe is provided, so it is not a timed component.

H. The client will explain how to keep crutches in safe condition.This supports long-term safety and maintenance of crutches but does not specify when the client should demonstrate this knowledge, making it not a timed SMART goal.

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Naxlex Comprehensive Predictor Exams

A nurse has accepted a position in a pediatric unit and is learning about psychosocial development. Place Erikson's stages of psychosocial development in order from birth to adolescence. (place them in the selected order of performance.)

Correct Answer is A,B,C,D,E

Explanation

Correct Answer is ["D","E","F"]

Explanation

At the end of the shift, the nurse documents that the client has voided 475 ml during the shift via an indwelling urinary catheter. What type of data has the nurse documented?

A nurse is conducting an interview with a client. Which example best demonstrates use of open-ended questions in an interview?

To what is a person referring when during an interview the person says, "I am a member of the sandwich generation?

A nurse is receiving a change-of-shift report for a group of assigned clients. The nurse anticipates which of the following activities first in delivering client care using the nursing process?

Which type of play is most typical of the toddler stage?

A nurse is caring for a client who has returned to the unit following a surgical procedure. The client's oxygen saturation is 85%. Which of the following actions should the nurse take first?

You're assessing a 4-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?

A nurse is creating a discharge plan. Which of the following nursing statements indicates the nurse understands when discharge planning should be implemented?