A nurse is assessing a 4-year old preschooler. Which of the following findings should indicate to the nurse a need to refer the child for a possible developmental delay? (Select all that apply.)
The child occasionally reverses letters when writing.
The child is unable to follow simple two-step instructions.
The child occasionally stutters when excited or nervous.
The child has a vocabulary of fewer than 50 words
The child has difficulty sharing toys with peers
Correct Answer : B,D
A. Occasional letter reversal is common at this age and not a concern for developmental delay.
B. At 4 years old, a child should be able to follow simple two-step instructions. Difficulty doing so may indicate a developmental delay.
C. Occasional stuttering when excited or nervous is common and does not indicate a developmental delay.
D. A vocabulary of fewer than 50 words is concerning, as children at this age typically have a much larger vocabulary.
E. Difficulty sharing toys is developmentally normal for a 4-year-old and does not necessarily indicate a delay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Dental care is important at this stage as toddlers begin to have more teeth and can develop cavities.
B. Establishing trust is a developmental task more relevant in infancy rather than toddlerhood.
C. Toddlers need adequate nutrition, but their caloric intake does not need to be significantly increased compared to infants.
D. Cooperative play is more common in preschoolers, as toddlers typically engage in parallel play.
E. Tantrums are common in toddlers as they develop independence and may struggle with emotional regulation, so teaching management strategies is key.
Correct Answer is C
Explanation
A. Recognizing a familiar face is part of social recognition but does not specifically indicate object permanence.
B. Securing objects by pulling on a string shows fine motor skills but is not directly related to object permanence.
C. Actively searching for a hidden object indicates that the infant understands that the object still exists even when out of sight, demonstrating the development of object permanence.
D. Recognizing a familiar object does not necessarily indicate that the infant understands the concept of object permanence.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.