A nurse in an outpatient pediatric clinic is caring for a 4-year-old child.
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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 {"A":{"answers":"B"},"B":{"answers":"B"},"C":{"answers":"A"},"D":{"answers":"A"},"E":{"answers":"B"},"F":{"answers":"A"}}
Explanation
Heart rate: Not changed
No specific mention of heart rate changes, so it remains unchanged.
Respiratory rate: Not changed
Respirations are described as clear and shallow, with no significant change noted over time. The child's respiratory rate appears stable.
Urine output: Improved
Initially, the output was 8 mL of concentrated urine over 2 hours, and by 1600, the output increased to 30 mL of yellow urine over 2 hours. The improvement in both the volume and color indicates that hydration status is improving.
Mucous membranes: Improved
At 1000, the mucous membranes were described as pale and dry. By 1200, they were pale and sticky, which is still a sign of dehydration, but by 1600, they are likely improving as the child is receiving intravenous fluids and hydration.
Abdominal examination: Not changed
The abdominal examination remains consistent, with mild tenderness on palpation and hyperactive bowel sounds observed throughout the shift. These findings indicate that the child is still experiencing gastrointestinal upset but without significant worsening.
Vomiting frequency: Improved
Vomiting frequency decreased from 8 times in the previous 24 hours to just 1 episode in the past 2 hours, indicating a significant improvement in vomiting control.
Correct Answer is B
Explanation
A. Family-centered care focuses on both the client and family, not just the caregiver.
B. Family-centered care enhances the quality of care, improves safety, and results in better outcomes by involving families in the decision-making process.
C. Family-centered care increases collaboration and communication, leading to more effective care.
D. Family-centered care can help reduce healthcare costs by improving outcomes and reducing hospital stays.
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