A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?

Engages in parallel play

Builds a tower of 3 blocks

Walks with assistance

Speaks at least 10 words

Answer and Explanation

The Correct Answer is C

A.   This is typical behavior for an 18-month-old toddler. They often play alongside others without interacting directly.
B.   This is a normal developmental milestone for an 18-month-old child.
C.   An 18-month-old child should be able to walk independently. Difficulty walking with assistance could indicate a potential developmental delay.
D.   While vocabulary varies, most 18-month-olds can say a few words. This is within the normal range.

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Correct Answer is B

Explanation

A. Lotions, powders, or ointments should be avoided under the harness as they can irritate the skin.
B. This helps protect the skin and keeps the harness clean.
C. Only a healthcare provider should adjust the harness straps. Parents should not attempt to do this.
D. Massage can irritate the skin and should be avoided.

A. Switch to soy milk. B. Offer commercially prepared formula. C. Warm the goat's milk before feeding D. Reinitiate breast feeding.

Correct Answer is B

Explanation

A. Soy milk is not recommended for infants under one year of age. It does not provide the necessary nutrients for their growth and development.

B. Commercially prepared infant formula is specifically designed to meet the nutritional needs of infants. It is the best alternative to breast milk for infants having difficulty eating.
C. While warming milk might be comforting, it does not address the underlying issue of goat milk being an inappropriate nutritional source for a 10-month-old infant.
D. Breast milk is the best source of nutrition for infants. However, if breastfeeding is not possible, formula is the next best option.

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A nurse is assessing an 18-month-old toddler during a well-child visit. Which of the following findings should the nurse identify as a potential developmental delay?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for an infant who has a prescription for a Pavlik harness. Which of the following actions should the nurse take?

Correct Answer is B

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Correct Answer is B

Explanation

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