A nurse in an outpatient pediatric clinic is caring for a 4-year-old child.
Click to highlight the findings that indicate anticipated growth and development based on the child's chronological age. To deselect a finding, click on the finding again.
Today
4-year-old child brought to the clinic for routine physical examination. Developmental tasks reviewed. Parent states the child can throw a ball overhand, draw a picture of a person with three body parts, and balance on one foot. Parent reports the child engages in pretend play independently and in parallel play with peers. The child has gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago. No concerns today.
can throw a ball overhand
draw a picture of a person with three body parts
balance on one foot
engages in pretend play independently and in parallel play with peers
gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago
Developmental tasks reviewed
The Correct Answer is ["A","B","C","D","E"]
"Can throw a ball overhand"
Expected gross motor skill for a 4-year-old.
"Draw a picture of a person with three body parts"
Reflects typical fine motor and cognitive development for this age.
"Balance on one foot"
Demonstrates appropriate gross motor development for a 4-year-old, who is expected to balance on one foot for a few seconds.
"Engages in pretend play independently and in parallel play with peers"
Normal social and imaginative play for this age, indicating appropriate social-emotional development.
"Gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago"
Reflects typical physical growth for a 4-year-old child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. A permissive style lacks structure and discipline, often leading to poor self-regulation, but frequent discipline is not a typical characteristic.
B. An authoritative style does involve input from children, but the focus is more on communication and reasoning.
C. An authoritative parenting style promotes open communication, sets clear expectations, and uses reasoning, leading to better child outcomes.
D. An uninvolved parenting style is characterized by neglecting the child’s needs and providing minimal structure or support.
Correct Answer is C
Explanation
A. A sputum culture can identify infections associated with cystic fibrosis but does not confirm the diagnosis.
B. A stool fat content analysis can indicate malabsorption, a symptom of cystic fibrosis, but it is not diagnostic.
C. The sweat chloride test measures the concentration of chloride in sweat and is the gold standard for diagnosing cystic fibrosis. Elevated chloride levels confirm the diagnosis.
D. Pulmonary function tests assess lung function and can help manage the disease but are not diagnostic of cystic fibrosis.
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