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 C
Explanation
A. Avoiding sensory stimulation or experiences entirely is not recommended. While it's important to be mindful of overstimulation, sensory experiences can be beneficial for the development of children with sensory impairments, and they should not be completely avoided unless they are overwhelming.
B. Encouraging the child to participate without accommodations is not appropriate. Children with sensory impairments often need tailored support and accommodations to ensure they can participate in activities safely and effectively.
C. Providing consistent routines and structured environments is crucial for children with sensory impairments. Children with sensory impairments may struggle to process sensory information, and a predictable environment helps them feel safe and secure. Consistency in daily routines can reduce anxiety and help the child engage more effectively in their surroundings.
D. Minimizing communication and interaction with the child can lead to isolation and hinder the development of social skills. Instead, communication should be adapted to meet the child's needs, ensuring they can engage appropriately without feeling overstimulated.
Correct Answer is ["E","F","G"]
Explanation
A. Rotavirus is not spread through respiratory droplets; it is transmitted via the fecal-oral route.
B. Rotavirus is a viral infection and does not respond to antibiotics.
C. Rotavirus does not typically cause a skin rash.
D. Rotavirus primarily affects infants and young children, though adults can be affected in certain cases.
E. Rotavirus is transmitted through contaminated food, water, or contact with contaminated surfaces.
F. There is a vaccine available to prevent rotavirus infection in children.
G. Common symptoms of rotavirus include fever, vomiting, and severe diarrhea, which can lead to dehydration.
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