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
Tilting the head may increase aspiration risk by altering the normal swallowing mechanism. Proper positioning supports safe swallowing and minimizes the risk of aspiration-related complications in dysphagia.
Choice B rationale
Upright sitting posture enhances gravity-assisted swallowing, reduces aspiration risk, and supports proper esophageal clearance, essential in safe feeding practices for clients with dysphagia.
Choice C rationale
Using a syringe for liquid administration increases aspiration risk, as it bypasses normal swallowing reflexes and may cause choking. Dysphagia management prioritizes controlled, natural swallowing methods.
Choice D rationale
Resting before meals may reduce fatigue but doesn't directly address safe swallowing practices. Positioning and feeding techniques are more critical in minimizing aspiration risks in clients with dysphagia.
Correct Answer is A
Explanation
Choice A rationale
Placing the client on their side with their head forward ensures airway patency by promoting drainage of secretions and reducing the risk of aspiration during a seizure episode. This position prioritizes the client’s safety and ventilation.
Choice B rationale
Administering anticonvulsants is essential for seizure management but is not the initial priority during an active seizure. This action occurs after ensuring the client’s immediate safety and stability to control recurrent seizures.
Choice C rationale
Timing the seizure provides important diagnostic data but does not address the immediate safety needs of the client. Prioritizing airway management and reducing aspiration risk is more critical during an active seizure.
Choice D rationale
Loosening the client’s gown and allowing movement does not adequately protect the airway or mitigate aspiration risks. While ensuring comfort is important, this measure is secondary to positioning the client properly.
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