An infant weighs 9 pounds, 3 ounces at birth. When the infant is ...

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An infant weighs 9 pounds, 3 ounces at birth. When the infant is seven days old, the mother calls the pediatrician's office worried about her child's weight loss. What is the lowest acceptable weight the infant should be at this age?
 
  1. 9 pounds
  2. 8 pounds, 12 ounces
  3. 8 pounds, 2 ounces
  4. 7 pounds, 12 ounces

Question 2

During rounds, the interdisciplinary team is discussing the care of a child with a newly diagnosed Wilms' tumor. The nurse describes the mother as being angry and upset that they are not caring properly for her child.
 
  What behavior probably is the cause of the mother's anger? 1. The mother is beginning the stages of grief over loss of her previously well child.
  2. The mother is feeling guilty for not recognizing that the child was ill.
  3. The nurses are negligent in providing safe care for the child.
  4. The mother does not have adequate support from Social Services.

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Answer to Question 1

3
Rationale 1: An infant would not be expected to lose only 3 ounces during the first week of life.
Rationale 2: 8 pounds, 12 ounces is less than the expected one-tenth weight loss after birth.
Rationale 3: In the first week of life, most infants lose about one-tenth of their birth weight; therefore, this infant's weight should be 8 pounds, 2 ounces at seven days of age.
Rationale 4: 7 pounds, 12 ounces would be too much weight loss for this infant.
Global Rationale:

Answer to Question 2

1
Rationale 1: Anger is the first stage of the grief process and can be applied in this instance to the mother's loss of a normal child and potential death.
Rationale 2: This is not evident in the question
Rationale 3: The mother is in the anger stage of grief, and it is not reflective of the nursing care.
Rationale 4: This is not evident in the question.
Global

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