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 B
Explanation
Choice A rationale
Older adults experience a decrease in subcutaneous tissue, particularly in extremities, due to age-related fat redistribution, making the skin thinner and more susceptible to injury.
Choice B rationale
Decrease in pigmentation is common in older adults as melanin production declines. This leads to lighter skin tone and the development of hypopigmented areas, often referred to as age spots.
Choice C rationale
Skin moisture levels typically decrease in older adults due to diminished sebaceous gland activity, leading to dryness rather than increased hydration or moisture retention.
Choice D rationale
Decreased elasticity is a hallmark of aging skin, caused by the breakdown of collagen and elastin fibers, resulting in sagging and an increased tendency for wrinkles.
Correct Answer is B
Explanation
Choice A rationale
Dryness is not indicative of IV infiltration as this condition involves fluid leakage into surrounding tissue, typically leading to swelling, tenderness, or other abnormal signs at the site.
Choice B rationale
Edema is a common manifestation of IV infiltration caused by fluid leaking into interstitial spaces, leading to visible and palpable swelling, which may impair IV medication delivery and compromise tissue integrity.
Choice C rationale
Erythema often indicates inflammation or phlebitis, not infiltration, as infiltration usually causes pale, cool skin due to fluid collection in surrounding tissues rather than vascular irritation.
Choice D rationale
A distended vein is associated with venous congestion or occlusion rather than infiltration. Infiltration involves fluid leakage, leading to swelling and pallor, not vein distension or increased visibility.
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