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 A
Explanation
A. "The fever is causing an increase in your baby's heart rate." Fever increases metabolic demand, which commonly leads to tachycardia in infants as the body attempts to regulate temperature and support circulation. This explanation directly addresses the physiological cause and is appropriate.
B. "This is within the expected range for your baby." A heart rate of 190/min in a 2-month-old is elevated, especially in the presence of a fever. While infants have higher baseline heart rates (120-160 b/min), this value is elevated and requires clinical interpretation, not reassurance.
C. "Your baby's heart is beating fast in an attempt to cool down his body.": While increased cardiac output may help distribute heat, the primary cause of tachycardia is metabolic demand from fever—not a direct mechanism to cool the body.
D. "As your baby begins to fall asleep, his heart rate will decrease." Although heart rate may decrease with sleep, this does not address the father's concern about the elevated rate now, and it downplays the need to monitor the infant in the context of high fever
Correct Answer is B
Explanation
A. Turn off the room light: Turning off all lights can sometimes increase anxiety in toddlers unfamiliar with their surroundings. A dim nightlight is often better to comfort them and reduce fear of the dark.
B. Provide bedtime rituals: Bedtime routines like reading a book or singing help toddlers feel secure, especially in unfamiliar environments like hospitals. Consistency supports sleep readiness and reduces stress.
C. Encourage play exercises in the evening: Stimulating activity before bed can delay sleep onset and make it harder for toddlers to settle down. Active play is best reserved for earlier in the day.
D. Explain the source of the toddler's fears: Toddlers have limited cognitive understanding and may not be reassured by explanations. Comfort and routine are more effective for easing nighttime fears.
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