A nurse is assessing an 18-month-old toddler’s gross motor development during a well-child visit.
Which of the following actions by the toddler indicates normal development?
Walks up and down stairs with assistance
Runs with a wide stance
Kicks a ball forward without falling
Jumps in place with both feet
The Correct Answer is B
Runs with a wide stance. This indicates normal gross motor development for an 18-month-old toddler. Gross motor skills are the abilities to use large muscles for movements such as walking, running, jumping, and climbing.
Choice A is wrong because walking up and down stairs with assistance is a skill that most toddlers can do by 24 months.
Choice C is wrong because kicking a ball forward without falling is a skill that most toddlers can do by 24 months.
Choice D is wrong because jumping in place with both feet is a skill that most toddlers can do by 30 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Meat is a good source of zinc for infants who are six months old and exclusively breastfed.Zinc is a mineral that is important for immune function, wound healing, and the senses of smell and taste.Children 7 to 24 months need 3 mg of zinc each day.
Choice B is wrong because yogurt is not a good source of zinc for infants.Yogurt is a dairy product that contains some zinc, but not as much as meat.
Choice C is wrong because broccoli is not a good source of zinc for infants.Broccoli is a vegetable that contains very little zinc.
Choice D is wrong because mango is not a good source of zinc for infants.Mango is a fruit that contains almost no zinc.
Correct Answer is C
Explanation
Hold the newborn in a semi-upright position during feeding.This prevents the formula from flowing back into the baby’s ears and causing infections.It also helps the baby swallow less air and reduces the risk of choking.
Choice A is wrong because warming the formula in a microwave oven can create hot spots that can burn the baby’s mouth.The formula should be warmed by running it under warm tap water or placing it in a bowl of warm water.
Choice B is wrong because discarding any unused formula after 2 hours at room temperature is too long.Bacteria can grow rapidly in warm milk that is left sitting out and unused.The formula should be discarded after one hour at room temperature or within 24 hours if refrigerated.
Choice D is wrong because burping the newborn after finishing each ounce of formula is not necessary.Burping can interrupt the feeding and make the baby lose interest in finishing the bottle.The baby should be burped only when they show signs of discomfort or after finishing the feeding.
Normal ranges for formula intake vary depending on the baby’s age, weight and appetite.In general, newborn babies need around 150 to 200 ml per kilo of their weight a day until they’re 6 months old.The baby should be fed when they show signs of hunger, such as rooting, sucking or crying, and not forced to finish the bottle if they are full.
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