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    NURS 227 Pediatric Nursing Proctored Exam

    The nurse is assessing developmental milestones of the patient. The patient was born prematurely at 28 weeks and the child is now 10 months. What is this child's corrected age for which to base milestones such as gross motor skills?

    Explanation & Rationale

    A. Around 2 months: This age does not accurately reflect the corrected age for a child born at 28 weeks gestation. Corrected age accounts for the degree of prematurity, not chronological age alone, so using 2 months would significantly underestimate developmental expectations. B. Around 3 months: Using 3 months also underestimates the child’s developmental progression. Developmental assessments should consider both the chronological age and the number of weeks premature to avoid mislabeling normal delays as deficits. C. Around 8 months: This overestimates the corrected age. While the chronological age is 10 months, failing to adjust for prematurity would lead to unrealistic expectations and may misclassify age-appropriate milestones as delayed. D. Around 7 months: Corrected age is calculated by subtracting the number of weeks premature from the chronological age. Born at 28 weeks (approximately 12 weeks early), a 10-month-old would have a corrected age of roughly 7 months. Using this age ensures accurate assessment of milestones such as gross motor skills, language, and social development.

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