NCLEX-PN

Category - Health Promotion

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The nurse in a well-baby clinic is assessing a 24-month-old girl with a birth weight of 3.2 kg. Which of the following physical findings noted during assessment needs further evaluation?

A wide-based gait
Chest circumference is less than that of the head
A prominent abdomen
A forward curve at the sacral area

Explanation

Answer: B - At 1 year, the chest circumference is almost equal to the head circumference and at 2 years, the head circumference is equal to or lesser than that of the chest. Toddlers usually have a wide-based gait, a prominent abdomen due to immature abdominal muscles, and a lordotic or forward curve at the sacral area. Lordosis spontaneously corrects itself as toddlers walk longer.

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