A nurse collects data from a child descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?
6 years
3 years
4 years
5 years
The Correct Answer is B
A. 6 years: By age 6, most children can walk down stairs alternating feet without needing to hold a railing. Using both feet on each step at this age may indicate a developmental delay in gross motor skills.
B. 3 years: At 3 years old, it is typical for a child to descend stairs using both feet on each step while holding the railing for balance. This reflects age-appropriate coordination and muscle strength.
C. 4 years: Most 4-year-olds begin to alternate feet when descending stairs, showing improvement in balance and leg strength. Using both feet on each step would be more typical for a younger child.
D. 5 years: By age 5, children typically master alternating feet going up and down stairs without assistance. Using both feet on each step would not align with expected motor development at this stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Obesity: Excessive milk intake can contribute to excessive calorie consumption, but drinking a quart of milk alone without other dietary factors is less directly linked to obesity in toddlers.
B. Diabetes mellitus: There is no direct evidence that high milk intake in toddlers causes diabetes mellitus. This condition is influenced by genetic and environmental factors unrelated to milk consumption alone.
C. Iron deficiency anemia: Drinking excessive milk can lead to iron deficiency anemia because milk is low in iron and can interfere with iron absorption. When toddlers consume too much milk, they may have a poor appetite for iron-rich solid foods, increasing their risk of developing anemia.
D. Rickets: Rickets results from vitamin D deficiency and calcium imbalance. Since milk is typically fortified with vitamin D and calcium, excessive milk intake usually reduces rather than increases the risk of rickets, making this less likely in this scenario.
Correct Answer is D
Explanation
A. The toddler cannot turn a doorknob: Turning a doorknob requires fine motor coordination typically seen closer to 2 years of age. It is developmentally appropriate for a 15-month-old to not yet have this skill, so this finding is not concerning.
B. The toddler cannot jump with both feet: Jumping with both feet generally develops between ages 2 to 3. It is not expected for a 15-month-old to perform this gross motor skill, so its absence at this age is normal and not a cause for concern.
C. The toddler cannot build a tower of six to seven cubes: At 15 months, toddlers may only be able to stack two to three blocks. Building a tower of six to seven cubes is a skill typically achieved around 24 months. The inability to do this at 15 months is developmentally appropriate.
D. The toddler cannot stand upright without support: Most toddlers achieve independent standing by 12 to 15 months. A 15-month-old who cannot stand upright without support may have a gross motor delay or neuromuscular issue, making this a significant finding that warrants provider evaluation.
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