A nurse in a provider’s office is assessing the motor skill development of a 15-month-old toddler during a well-child visit. Which of the following gross motor skills should the nurse expect?
Takes several steps on tiptoes.
Walks without assistance using a wide stance.
Has an accentuated cervical curvature when standing.
Stands with the feet turned slightly inward.
The Correct Answer is B
Choice A rationale
At 15 months, toddlers typically lack the motor coordination required for precise balance needed to walk on tiptoes. This skill usually develops closer to 2-3 years of age.
Choice B rationale
Walking without assistance using a wide stance reflects a 15-month-old's gross motor development, as toddlers at this age begin independent walking with a broad base to enhance stability.
Choice C rationale
An accentuated cervical curvature when standing is not a normal feature of gross motor development at 15 months. Such a curvature is more associated with postural abnormalities or older age.
Choice D rationale
Standing with feet turned slightly inward is not typical at 15 months. Foot alignment is usually neutral; inward alignment could indicate conditions like intoeing, which requires evaluation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A sucking chest wound compromises breathing, causes tension pneumothorax, and decreases cardiac output. Hypotension (88/58 mm Hg) and tachycardia (115/min) indicate shock, warranting immediate intervention. Red tag signifies life-threatening but potentially survivable injuries.
Choice B rationale
Penetrating head wounds with irregular breathing suggest brainstem injury, poor prognosis, and impending death. Black tag indicates un-survivable injuries, prioritizing resource allocation to others with a better survival potential.
Choice C rationale
Superficial lacerations involve minor soft tissue damage that does not compromise vital functions. These injuries are non-life-threatening and can wait for delayed medical care without significant risk to life or function.
Choice D rationale
Closed lower leg injuries cause localized pain but do not compromise airway, breathing, or circulation. Pain severity does not indicate life-threatening harm, allowing delayed care. Yellow tag signifies urgent but not immediate need for treatment.
Correct Answer is C
Explanation
Choice A rationale
While activating the fire alarm alerts others, evacuation directly prioritizes client safety by removing them from immediate danger.
Choice B rationale
Closing fire doors helps contain the fire, but client safety requires first removing them from immediate harm before containment actions.
Choice C rationale
Evacuating the room prioritizes removing clients from the source of danger, ensuring their safety from smoke or flames.
Choice D rationale
Extinguishing the fire is critical but secondary to ensuring the client’s safety through evacuation from immediate danger.
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