A 2-year-old child is unable to kick a ball. The nurse practitioner would consider this finding:
normal.
suggestive of a developmental delay.
a sign of autism.
a potential indicator of vision problems.
The Correct Answer is B
Rationale:
A. By age 2, most children are typically able to perform gross motor skills such as kicking a ball.
B. Inability to kick a ball at this age may suggest a gross motor developmental delay. This finding warrants further assessment of overall motor development and may indicate the need for early intervention services.
C. While motor delays can be associated with autism, inability to kick a ball alone is not a specific sign of autism spectrum disorder.
D. Vision problems may affect coordination, but gross motor delays like difficulty kicking are more directly linked to neuromuscular or developmental issues.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Gentian violet can be used for fungal infections but is less preferred due to staining and potential irritation, especially in infants.
B. Oral fluconazole is generally reserved for severe or widespread Candida infections, or when topical therapy fails; it is not first-line for uncomplicated diaper-area candidiasis.
C. Topical clotrimazole, applied three times daily for 7 days, is the treatment of choice for localized Candida albicans infections in the diaper area. It is effective, safe, and well-tolerated in infants.
D. Topical hydrocortisone may reduce inflammation but does not treat the underlying fungal infection and may worsen Candida overgrowth if used alone.
Correct Answer is B
Explanation
Rationale:
A. Hypocalcemia in infants typically presents with tremors, jitteriness, positive Chvostek or Trousseau signs, and seizures, rather than a shrill cry.
B. A shrill or high-pitched cry is a classic neurologic sign that may indicate increased intracranial pressure (ICP) or central nervous system irritation. Additional signs may include lethargy, irritability, vomiting, and bulging fontanel.
C. Upper airway obstruction usually produces stridor, noisy breathing, or retractions, but not a shrill cry.
D. Vocal cord paralysis may cause a weak, hoarse, or breathy cry, not the high-pitched, shrill cry associated with neurologic issues.
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