A nurse is assessing a female child in an area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "All done" and "Go bye-bye” now during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old?
24
12
18
30
The Correct Answer is D
Walking Well: The ability to walk well typically develops around 12 to 15 months. Since the child walks well, we can consider her closer to this age range.
Stating first name: By 24-30 months, most children can identify themselves by name.
Repeating Phrases (“All done” and “Go bye-bye”): Repeating phrases is common around 15 to 18 months. The child’s language development aligns with this stage.
24 Deciduous Teeth: By the age of 2 to 3 years, children typically have all 20 deciduous (baby) teeth. Since this child has 24 deciduous teeth, she is likely closer to the 2-year-old mark.
Closed Anterior Fontanel: The anterior fontanel (soft spot on the baby’s head) usually closes by 18 months. The fact that it is closed indicates that the child is beyond this age.
Child is most likely 30 months old.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
According to Erikson's theory, the psychosocial task for this age group is industry versus inferiority, where children develop a sense of competence and accomplishment through mastering tasks. By supporting the child's educational activities and encouraging them to complete school work, the nurse helps promote a sense of industry and competence.
Correct Answer is D
Explanation
Scoliosis is a condition characterized by an abnormal sideways curvature of the spine, resulting in an S or C shape when viewed from the back. It commonly develops during adolescence and can vary in severity. The lateral curvature of the spine observed during the physical examination is a key sign of scoliosis.
Lordosis refers to an excessive inward curvature of the spine in the lower back, while kyphosis refers to an excessive outward curvature of the spine in the upper back, often referred to as a "hunchback."
Torticollis, on the other hand, is a condition characterized by an abnormal position or tilt of the head due to muscle tightness or weakness.
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