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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Quality of food, including nutrient-rich options, is more important than the quantity, as toddlers often have variable appetites but still need proper nutrition.

B. The caloric requirement for toddlers is around 1,000 to 1,400 calories per day, not 3,000.

C. Toddlers often have a decreased appetite compared to their infant stage due to slower growth rates.

D. Adult vitamins are not appropriate for toddlers, and their needs should be met primarily through food, with pediatric supplements used only if recommended by a healthcare provider.

A. Educate the parents about developmental milestones and ways to support their child's growth. B. Limit interaction with other children to avoid overstimulation. C. Implement strict routines to discourage any negative behaviors D. Collaborate with the child's parents and healthcare professionals to develop and individualize plan of care E. Focus on age-appropriate activities that will stimulate the toddler's cognitive and motor skills. F. Encourage the toddler to play independently in order to promote self-sufficiency.

Correct Answer is ["A","D","E"]

Explanation

A. Educating parents about developmental milestones is essential in helping them understand their child’s needs and ways to support development effectively.

B. Limiting interaction with other children may hinder the toddler’s social development. While overstimulation should be managed, social interaction is important.

C. Strict routines may not necessarily discourage negative behaviors. Flexible and adaptive routines are more beneficial for toddlers with developmental delays.

D. Collaboration with parents and other healthcare professionals is crucial in creating a care plan that addresses the child’s specific developmental needs.

E. Engaging the toddler in age-appropriate activities helps stimulate cognitive and motor development.

F. Encouraging independent play is beneficial, but toddlers with developmental delays often benefit from guided play to support their development.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about nutritional considerations with the parents of a toddler. Which of the following statements by the parents Indicates an understanding of the teaching?

Correct Answer is A

Explanation

A nurse is caring for a 2-year-old toddler who has been diagnosed with developmental delays. Which of the following actions should the nurse prioritize to ensure appropriate care? (Select All that Apply.)

Correct Answer is ["A","D","E"]

Explanation

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