A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply.)

The preschooler speaks in three-word sentences.

The preschooler talks to himself when reading.

The preschooler speaks in a nasally tone.

The preschooler stutters when speaking.

The preschooler mispronounces words.

Answer and Explanation

Correct Answer : C,D,E

Answer: C, D, E

A. The preschooler speaks in three-word sentences.
Speaking in three-word sentences is generally considered developmentally appropriate for a preschooler. By age 3 to 4, children typically use sentences that are more complex, but this is still within a normal range for early language development.

B. The preschooler talks to himself when reading.
Talking to oneself, especially during activities like reading, can be a normal behavior for preschoolers. This self-talk can actually be a part of cognitive development, helping them to process information and reinforce learning, and does not necessarily indicate a need for speech therapy.

C. The preschooler speaks in a nasally tone.
A nasally tone may suggest a speech issue such as a cleft palate or other resonance problems. If the child consistently exhibits this speech pattern, it could indicate a need for further evaluation by a speech therapist to determine the underlying cause and appropriate interventions.

D. The preschooler stutters when speaking.
Stuttering can be a significant speech concern that may require intervention. While some children experience normal disfluencies as they learn to speak, persistent stuttering that interferes with communication is a valid reason to refer the child for speech therapy.

E. The preschooler mispronounces words.
While mispronunciation can occur during language development, consistent or unusual mispronunciations beyond what is typical for the child’s age may indicate a speech sound disorder. If the mispronunciations affect the child's ability to communicate effectively, a referral to a speech therapist would be warranted for assessment and intervention.

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Correct Answer is C

Explanation

A. 6 years:

By the age of 6, children typically have developed more advanced motor skills and coordination. Descending stairs by placing both feet on each step and holding onto the railing may be considered overly cautious for a 6-year-old.

B. 5 years:

At the age of 5, children may still be refining their motor skills, but they are usually capable of descending stairs using a more fluid motion, such as placing one foot on each step. Holding onto the railing for support is common but may not be as necessary as in younger children.

C. 4 years:

This is the correct answer. At the age of 4, children often descend stairs by placing both feet on each step and holding onto the railing for support. This method allows for increased stability and safety as they continue to develop balance and coordination.

D. 3 years:

While some children may start to learn how to descend stairs independently by the age of 3, they are more likely to use a one-foot-per-step method or require close supervision. Placing both feet on each step and holding onto the railing for support is less common at this age.

Therefore, option C is the most appropriate age for the described behavior, as it aligns with typical developmental milestones for stair-descending skills in children.

Correct Answer is ["90"]

Explanation

Answer:

below 90 beats per minute (bpm)

Rationale:

For infants, especially those receiving digoxin, the heart rate is a critical parameter to monitor due to the medication's potential to affect cardiac function.

The general guideline for withholding digoxin in infants is if the apical heart rate is below 90 beats per minute (bpm) in infants. Therefore, the nurse should withhold the dose if the infant's apical heart rate is less than 90 bpm.

It's important to note that specific institutional protocols may vary, so nurses should always adhere to the guidelines established by their facility. Additionally, if the infant's heart rate is below the threshold, the nurse should promptly notify the healthcare provider for further evaluation and guidance.

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A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?

Correct Answer is C

Explanation

A nurse is preparing to administer digoxin to a 6-month-old infant. Prior to administering the dose, the nurse measures the apical heart rate. The nurse should withhold the dose if the infant's apical heart rate is less than what rate? below ___________ beats/min

Correct Answer is ["90"]

Explanation

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