A nurse is assessing children experiencing regression. Which of the following children should the nurse be concerned about?
A 3-year-old child who has experienced gross motor regression for six months.
A2-year-old child who has been hospitalized for cellulitis and is having incontinence resulting in diaper use.
A 1-year-old child who has been waking frequently during the night crying after moving to a new house one week ago.
A 2-year-old child who has been experiencing regression for two weeks after beginning to attend day care.
The Correct Answer is A
Rationale:
A. Regression in development for six months, especially in gross motor skills, is abnormal and concerning. It may indicate a neurological or developmental issue and requires further evaluation.
B. Temporary regression such as incontinence during illness or hospitalization is common and expected.
C. Sleep disturbances due to environmental changes like moving are normal for infants.
D. Regression when starting daycare is a normal stress response and usually resolves.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Providing parenting advice without first assessing the parent-child interaction may be inappropriate and ineffective.
B. Communication with parents is essential in pediatric care and should not be avoided under the guise of respecting privacy.
C. Observing and assessing parent-child interactions helps the nurse identify any concerns about bonding, attachment, or potential abuse/neglect, and is a key part of holistic pediatric assessment.
D. While a family medical history may be relevant, the focus during pediatric admission is primarily on the child’s health and caregiving environment.
Correct Answer is C
Explanation
Rationale:
A. Not explaining the purpose of a medication increases anxiety and is not consistent with atraumatic care principles.
B. While using a smaller gauge needle may reduce physical pain, atraumatic care also involves emotional support and empowerment.
C. Allowing the child to choose a favorite toy promotes a sense of control and comfort, reducing anxiety and trauma during procedures—this aligns with the core principles of atraumatic care.
D. Restricting parental visitation can increase stress and separation anxiety, which is the opposite of atraumatic care.
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