NORCET 1 - 2020
Child Health Nursing (Pediatrics)
Easy

According to standard growth charts, by what age is a healthy, full-term infant expected to triple their birth weight?

Appeared in: NORCET 1 - 2020

Explanation

  • A healthy, full-term infant is expected to triple their birth weight by the end of the first year (12 months).
  • This is a standard developmental milestone used to assess adequate growth, nutrition, and overall health.
  • For example, an infant born weighing 3 kg is expected to weigh approximately 9 kg on their first birthday.
  • This rapid weight gain is a key indicator that a nurse monitors during well-child check-ups.

Why Other Options Were Wrong

  • Option A: At 4-5 months, an infant is expected to have doubled their birth weight, not tripled it.
  • Option B: By 6 months, the infant has typically doubled their birth weight but has not yet had enough time to triple it.
  • Option D: By 2 years of age, a child's birth weight is expected to have quadrupled (increased fourfold), which is a later milestone.

Related Visual

A timeline chart showing an infants expected weight gain milestones: doubling of birth weight by 5-6 months, tripling by 1 year, and quadrupling by 2 years, with corresponding...
Clinical Relevance
  • Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Infant growth milestones (weight) as background academic context rather than a clinical decision trigger.
  • Monitoring weight is a fundamental nursing responsibility during well-child visits to screen for conditions like failure to thrive or childhood obesity.
  • Deviations from expected growth patterns (e.g., crossing two or more percentile lines on the growth chart) warrant a thorough nutritional assessment and investigation into potential underlying health issues.
  • What if? If an infant was born preterm, their growth is plotted on a separate growth chart corrected for gestational age. They may take longer to reach these weight milestones compared to a full-term infant.
How to Approach the Question
  • Identify the core question: It asks for the specific age when an infant's birth weight triples.
  • Recognize this as a factual recall question based on standard pediatric growth milestones.
  • Recall the key weight milestones for the first two years of life: Double by 5-6 months, Triple by 1 year, Quadruple by 2 years.
  • Compare these recalled milestones to the given options.
  • Select the option that matches the 'triple birth weight' milestone, which is '1 year'.
Concept Tested & Keywords
  • Concept Tested: Infant growth milestones (weight)
  • Stem keywords: infant, birth weight, triple, growth charts, full-term
  • Lead-in keywords: by what age
  • Clinical cues: healthy, full-term infant
  • Negative lead-in flag: false

Question ID

Q-Bhc48UkCJfclV4HKfmRO

Reference Book

E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 10-12

E6 Anatomy Grays 43e Vol 1 Part 3 p. 15-17

E6 Physiology Ganong 27e Vol 2 Part 2 p. 25-27

Practise the full NORCET 1 - 2020

Attempt every question from this paper in a timed mock, then review the full solution for each one.