The nurse is performing a physical assessment of a 3-year-old ...

[dakota nelson]

The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?
 
  A) The toddler gained 4 pounds in weight since last year.
  B) The toddler gained 3 inches in height since last year.
  C) The toddler's anterior fontanel is not fully closed.
  D) The circumference of the child's head increased 1 inch since last year.

Question 2

A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.
 
  A) The mother carefully washes her breasts prior to feeding the infant.
  B) The mother feeds the infant every hour.
  C) The mother supplements feedings with water.
  D) The mother holds her breast in the C position.
  E) The mother strokes the nipple against the infant's face.

[cat123]

Answer to Question 1

Ans: C
The anterior fontanel should be closed by the time the child is 18-months old. The average toddler weight gain is 3 to 5 pounds per year. Length/height increases by an average of 3 inches per year. Head circumference increases about 1 inch from when the child is between 1 and 2 years of age, then increases an average of a half-inch per year until age 5.

Answer to Question 2

Ans: A, B, C
The mother should wash her hands prior to breastfeeding the infant. There is no need to wash the breasts in most circumstances. The best time to feed the infant is on demand rather than hourly, and there is no need to supplement breastfeeding with water. The C position and stroking the nipple against the infant's face promote effective breastfeeding.