The nurse is conducting a well-child examination of a 5-year-old girl, who was 40 inches tall at her last examination at age 4. Which height measurement would be within the normal range of growth expected for a preschooler?
45 inches
47 inches
41 inches
43 inches
The Correct Answer is D
A) 45 inches - This would be an unusually high growth of 5 inches in one year, which is above the average growth rate for a child of this age.
B) 47 inches - This represents a growth of 7 inches in one year, which is significantly higher than the expected average and is highly unlikely.
C) 41 inches - This indicates a growth of only 1 inch in a year, which is below the average growth rate for a 5-year-old child.
D) 43 inches - This is a growth of 3 inches from the last examination and falls within the normal range of growth for a preschooler, which is approximately 2 to 3 inches per year.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Encouraging the parents to rock the infant provides comfort and soothing without risking trauma to the surgical site. It also promotes bonding and emotional reassurance.
B. Positioning the infant on the abdomen is contraindicated because it can put pressure on the surgical site, increasing the risk of complications. The infant should be positioned on their back or side to protect the repair.
C. Administering ibuprofen is not appropriate for a 2-month-old infant due to the risk of gastrointestinal and renal complications. Acetaminophen is typically used for pain management at this age.
D. Offering a pacifier is not recommended because sucking motions could disrupt the surgical repair and delay healing. Alternative soothing methods should be used instead.
Correct Answer is B
Explanation
A. The ability to focus on near objects is a normal sensory development in newborns.
B. Lack of response to loud noise might indicate a hearing deficit or impairment in the newborn's sensory skills.
C. Occasional eye wandering and crossing are common in newborns as their eye muscles are still developing and might not indicate a sensory deficit.
D. Becoming more alert with stroking when drowsy is a normal response and does not necessarily indicate a sensory deficit.
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