NORCET 8 Prelims-2025
Child Health Nursing (Pediatrics)
Medium

Kangaroo Mother Care (KMC) is provided to a low-birth-weight infant until the baby reaches which approximate body weight?

Appeared in: NORCET 8 Prelims-2025

Explanation

  • Kangaroo Mother Care (KMC) is a special method of care for low-birth-weight (LBW) infants.
  • The World Health Organization (WHO) defines LBW as a birth weight of less than 2500 grams.
  • KMC is typically continued until the infant 'graduates' from the LBW category, which occurs when they reach a weight of approximately 2500 grams.
  • At this weight, infants are generally better able to maintain their own body temperature and are less vulnerable to the complications of being LBW.

Why Other Options Were Wrong

  • Option A: 2000 gm is still considered low birth weight. While a baby might be stable at this weight, KMC is beneficial until the standard target is reached.
  • Option C: 1500 gm is the threshold for Very Low Birth Weight (VLBW). These infants are at very high risk, and stopping KMC at this stage would be unsafe and premature.
  • Option D: 3000 gm is a healthy weight for a term infant. Continuing KMC this long is unnecessary as the benefits are most critical for smaller, more vulnerable infants.

Related Visual

Visual explanation — Related Visual
  • Visual 1: Infographic - A chart showing newborn weight classifications: Low Birth Weight (<2500g), Very Low Birth Weight (<1500g), and Extremely Low Birth Weight (<1000g).
  • Visual 2: Diagram - An illustration demonstrating the correct 'kangaroo position' for KMC, showing the baby upright, skin-to-skin on the mother's chest, with the head turned to the side.
Clinical Relevance
  • Nursing practice connection: Use the key finding related to Discontinuation criteria for Kangaroo Mother Care (KMC) based on infant weight to guide bedside assessment, documentation, and the next nursing action.
  • A key nursing role is educating parents on the benefits and technique of KMC, and empowering them to continue care at home after discharge.
  • Nurses must monitor the infant's temperature, breathing, and feeding during KMC and teach the mother to recognize signs of stability or distress.
  • What if? If an infant reaches 2500 gm but still cannot maintain a stable temperature without KMC, the care should be continued. The decision to stop is based on the infant's overall stability, not just weight alone.
How to Approach the Question
  • First, identify the core concept of the question: the endpoint for Kangaroo Mother Care (KMC).
  • Recall the definition of a 'low-birth-weight' (LBW) infant. The term itself provides a clue.
  • Recognize that KMC is a therapy specifically for LBW infants.
  • Logically deduce that the therapy would be discontinued when the infant is no longer classified as LBW.
  • Connect the standard definition of LBW (weight less than 2500 gm) to the options provided to find the correct answer.
Concept Tested & Keywords
  • Concept Tested: Discontinuation criteria for Kangaroo Mother Care (KMC) based on infant weight.
  • Stem keywords: Kangaroo Mother Care, KMC, low-birth-weight infant, body weight
  • Lead-in keywords: until which approximate
  • Clinical cues: Age/sex group narrows the expected diagnosis, intervention, or normal reference range.
  • Negative lead-in flag: false

Question ID

Q7u6rVprWbW1mC4rQhGg_t

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