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 D

Explanation

A. Following one-step directions is more characteristic of toddlers, while preschoolers can follow multi-step directions.

B. Recognizing oneself in a mirror typically occurs in infants or toddlers.

C. Collecting items is usually a hobby or behavior observed in older children, not preschoolers.

D. Associative play, where children play together but may not have organized rules or structure, is a developmental milestone expected in preschoolers.

A. Human papillomavirus (HPV4) B. Varicella (VAR) C. Rotavirus (RV) D. Measles, mumps, rubella (MMR) E. Diphtheria, tetanus, and acellular pertussis (DTaP)

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

Explanation

A. The HPV vaccine is typically given starting at age 11-12 years, not at 1 year.

B. The Varicella vaccine is recommended for children at age 1, making it appropriate for this age group.

C. The Rotavirus vaccine is usually administered earlier, with the final dose given by 8 months of age.

D. The MMR vaccine is given between 12-15 months, making it appropriate for the 1-year-old child.

E. The DTaP vaccine is part of the routine immunizations given at 2, 4, 6, and 15-18 months, making it suitable for a 1-year-old.

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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.)

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Naxlex Comprehensive Predictor Exams

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Correct Answer is D

Explanation

Choose the correct immunization given to a child 12-18 months A nurse is preparing to administer vaccines to a 1-year-old child. Which of the following vaccines should the nurse give? (Select all that apply).

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

Explanation

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