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    Ati nur 114 paediatrics proctored exam

    The mother of a 4-month-old infant, born prematurely, asks the nurse if her daughter will always be small for her age. What is the most appropriate nursing response?

    Explanation & Rationale

    A. Prematurity is associated with short stature but does not affect weight gain: Prematurity can affect both weight and length initially. Suggesting that only stature is affected is inaccurate, as growth involves multiple parameters and catch-up occurs over time. B. It takes about two years for the preterm infant to catch up to a full-term infant: Preterm infants often require 18–24 months to reach growth parameters similar to those of full-term peers. Corrected age is used to assess developmental and growth milestones, and most preterm infants achieve catch-up growth within this timeframe. C. Your daughter will be the same size as other children by the time she is 1 year old: While some preterm infants grow rapidly, many require more than one year to reach the size of full-term peers. Providing a one-year timeline may create unrealistic expectations. D. Preterm infants usually remain smaller than term infants throughout childhood: Most preterm infants experience catch-up growth by age two, so they do not typically remain smaller throughout childhood.

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