The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? Select all that apply.
At 12 months, the infant walks independently.
At 7 months, the infant sits alone with some use of hands for support.
At 9 months, the infant crawls with the abdomen off the floor.
At 1 month, the infant lifts and turns the head to the side in the prone position.
At 2 months, the infant rolls from supine to prone to back again.
Correct Answer : B,D
A. At 12 months, the infant walks independently: Most infants begin walking independently between 12 and 15 months of age, but it's not typically achieved by 12 months.
B. At 7 months, the infant sits alone with some use of hands for support: This is an accurate statement. By around 6 to 8 months, infants develop the ability to sit unsupported, although they may still use their hands for balance.
C. At 9 months, the infant crawls with the abdomen off the floor: Crawling typically begins between 7 and 10 months, but the abdomen may still be close to the floor initially.
D. At 1 month, the infant lifts and turns the head to the side in the prone position: This is an accurate statement. Newborns typically exhibit head control and turning movements when placed on their stomachs (prone position) by around 1 month of age.
E. At 2 months, the infant rolls from supine to prone to back again: Rolling from supine to prone and back may begin around 4 to 6 months, but it's less likely to occur at 2 months.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Height in girls increases rapidly after menarche and usually ceases immediately after
menarchE. Height increases during adolescence are not directly related to menarche. Growth in girls typically continues for several years after menarche, although at a slower rate compared to the pre-pubertal growth spurt.
B. Boys' growth spurts usually begin between the ages of 8 and 14 years and end between the ages of 13½ and 17½ years: While boys do experience a growth spurt during adolescence, the timing and duration of growth spurts can vary widely among individuals. Growth typically
continues beyond the age of 14, with some boys reaching their full adult height in their late teens or early twenties.
C. Peak height velocity (PHV) occurs at approximately 12 years of age in girls or about 6 to 12 months after menarchE. Peak height velocity refers to the period of most rapid growth during adolescence. In girls, PHV typically occurs around the age of 12, with growth continuing for some time after menarche.
D. Boys reach PHV and peak weight velocity (PWV) at about 16 years of agE. Boys generally experience PHV and PWV later than girls, typically occurring around the age of 14 to 16. These milestones mark the period of most rapid growth in boys, with height and weight increasing significantly during this time.
Correct Answer is B
Explanation
A. Pulse rate is increased.
While there may be variations in pulse rate due to factors such as activity level and emotional state, a significant increase in pulse rate would not be a typical finding during an annual check- up for an 8-year-old child.
B. Breathing is diaphragmatic.
As children grow older, their respiratory patterns mature, and they develop diaphragmatic breathing, which is deeper and more efficient than the shallow breathing observed in infants. This change would be expected as the child gets older.
C. Secondary sex characteristics are present.
The development of secondary sex characteristics typically occurs during puberty, which begins around the ages of 9 to 13 in girls and 10 to 14 in boys. At 8 years old, it would be unlikely for significant secondary sex characteristics to be present.
D. Blood pressure has reached adult level.
Blood pressure in children gradually increases with age, but it does not reach adult levels until adolescence. At 8 years old, the child's blood pressure would still be within the pediatric range and would not resemble adult levels.
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