A nurse is collecting data from a 6-month-old infant in the well child clinic.
Which of the following findings should the nurse expect?
Infant's birth weight is tripled.
Lateral incisors are present.
Posterior fontanel is closed.
Infant sits well without support.
The Correct Answer is C
Choice A rationale
The infant's birth weight typically doubles by 4-6 months and triples by 1 year of age. If an infant's weight has tripled at 6 months, it may indicate overnutrition or an underlying health condition.
Choice B rationale
Lateral incisors usually appear between 9 to 13 months. At 6 months, the central incisors are more likely to be emerging.
Choice C rationale
The posterior fontanel typically closes by 2 to 3 months of age. Therefore, by 6 months, it is expected to be closed.
Choice D rationale
Infants usually sit without support around 8 months. At 6 months, they may sit with support or briefly without support but not consistently.
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Correct Answer is A
Explanation
Choice A rationale
Asking whether the imaginary person had a name can help determine if the child's imaginative play is typical for their age group. Preschool-aged children often engage in imaginative play, including conversations with imaginary friends, which is a normal part of cognitive and social development.
Choice B rationale
Temper tantrums are more related to behavioral issues rather than imaginative play. While relevant to the child's overall behavior, this question diverts attention from the specific concern about imaginary play.
Choice C rationale
This question could help identify if there are broader behavioral concerns, but it doesn't directly address the mother's specific worry about the imaginary friend. It is less targeted.
Choice D rationale
Understanding how well the child plays with others can provide insights into their social development, but it doesn't directly address the issue of imaginary play. It could be more pertinent as a follow-up question.
Correct Answer is D
Explanation
Choice A rationale
Threatening a shot can cause fear and anxiety, potentially making the child more resistant to taking medication in the future.
Choice B rationale
Hiding medication in food can lead to mistrust if the child discovers it, and it's not a sustainable long-term solution.
Choice C rationale
Telling the child the medicine tastes like candy is misleading and can lead to distrust. It's important to be honest while finding practical solutions.
Choice D rationale
Offering an ice pop prior can numb the taste buds, making the medication more palatable without deceit, and can build positive associations with taking medication.