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 D
Explanation
A. Cardiac enzymes are not typically monitored in relation to nutritional status.
B. Blood coagulation tests are not directly related to general nutrition.
C. Arterial blood gases assess respiratory and metabolic function, not nutrition.
D. A complete blood count (CBC) can help identify nutritional deficiencies, such as anemia due to iron or vitamin deficiencies.
Correct Answer is ["B","D","E"]
Explanation
A. While age is considered in growth charts, it is not an anthropometric measurement.
B. BMI is an important indicator of nutritional status and helps assess underweight, healthy weight, or overweight status.
C. Vital signs are not part of anthropometric measurements.
D. Height is a key anthropometric measure used to assess growth and development.
E. Weight is a fundamental anthropometric measure for assessing nutritional status.
F. Routine laboratory tests are not part of anthropometric measurements but may complement the assessment.
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