A client expresses concern about their 2-year-old child's speech development. What action should the nurse take to assess the child's articulation?
Ask the child to recite the alphabet.
Observe the child's response to questions.
Have the child repeat a series of sounds.
Use a tongue depressor to examine the mouth.
The Correct Answer is C
A. Incorrect. Asking the child to recite the alphabet may assess their knowledge of letters, but it does not specifically evaluate articulation.
B. Incorrect. Observing the child's response to questions is important for assessing language comprehension, but it does not specifically target articulation.
C. Correct. Assessing articulation involves having the child repeat sounds, words, or sentences to evaluate their ability to form sounds and words correctly.
D. Incorrect. Using a tongue depressor to examine the mouth is not relevant to assessing articulation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Correct. The Ortolani maneuver is used to assess for developmental dysplasia of the hip (DDH) in infants. It involves gently abducting the hips while applying gentle pressure to feel for any instability.
B. Incorrect. The Barlow maneuver is also used to assess for DDH, but it involves adducting the hips.
C. Incorrect. The Phalen maneuver is used to assess for carpal tunnel syndrome, which is not relevant to hip stability.
D. Incorrect. Tinel's sign is used to assess for nerve compression, typically in the wrist, and is not relevant to hip stability.
Correct Answer is B
Explanation
A. Incorrect. The Babinski reflex, where the big toe extends and the other toes fan out, is normal in infants but typically disappears by the age of 2.
B. Correct. The Moro reflex is a normal startle response in newborns. It involves symmetrically spreading the arms and then bringing them back to the body when the infant experiences a sudden change in position or stimulation.
C. Incorrect. The tonic neck reflex, also known as the "fencing" reflex, is a normal infantile reflex but typically disappears by 6 months.
D. Incorrect. The plantar grasp reflex, where the toes curl in when the sole of the foot is touched, is normal in infants but typically disappears by 9 months.
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