Practice Quiz

NCLEX-PN

Category - Health Promotion

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In a well-baby clinic, the nurse is assessing a 12-month-old child who is scheduled for immunization. The records show that the child had a birth weight of 3.5 kg and a birth length of 53 cm. Which of the following findings requires further evaluation?
  1. Length = 70 cm
  2. Weight = 10.5
  3. Heart rate = 110 beats per minute
  4. Respiratory rate = 25 breaths per minute
Explanation
Answer: A - The infant should increase in height during the first year by approximately 50% or grow to an average length of 20 to 30 inches. The child is expected to have a length around 80 cm. The other options are normal and expected findings.
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