A nurse is assessing a child who is 4 years of age. Which of the following developmental milestone findings should be a concern to the nurse?
The child avoids taking turns when playing with other children.
The child shares one event that happened during their day with others.
The child speaks with 2 words in a sentence.
The child engages in imaginative play.
The Correct Answer is C
A. Occasional difficulty with turn-taking is common in 4-year-olds but should be monitored for improvement with social interaction.
B. Sharing an event is appropriate for a 4-year-old and indicates developing communication skills.
C. By age 4, a child should be speaking in complete sentences of at least 4 to 5 words. Speaking only two words in a sentence suggests delayed language development.
D. Engaging in imaginative play is expected and demonstrates cognitive and social development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. If pain persists for more than 5 days, it may indicate an underlying condition that requires medical attention.
B. Acetaminophen dosing guidelines for children are well established and do not require verification for occasional use unless there is a specific concern.
C. Long QT syndrome is not a contraindication for acetaminophen use.
D. Acetaminophen can be used for both pain and fever relief.
Correct Answer is D
Explanation
A. Infants typically achieve head control around 4 months of age, not 3 months.
B. The posterior fontanelle usually closes by 2 to 3 months of age, not 1 month.
C. Lymph nodes in infants are usually small and non-tender, and enlarged nodes may indicate infection.
D. The anterior fontanelle generally closes between 12 and 24 months of age.
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