A nurse is assisting with the plan of care for a 6-month-old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?
Gross motor skill development
Fine motor skill development
Speech and language acquisition
Cognitive development
The Correct Answer is C
A. Gross motor skill development is important for an infant’s overall development, but it is not the primary focus when caring for an infant with a cleft palate. Gross motor skills typically develop at a normal rate unless there are additional concerns.
B. Fine motor skill development is also important, but for an infant with a cleft palate, the primary concern is related to communication and feeding difficulties. Fine motor development generally follows the same trajectory unless there are complicating factors.
C. Speech and language acquisition is the most important area to focus on when planning care for an infant with a cleft palate. A cleft palate can significantly impact the infant’s ability to produce sounds and develop normal speech patterns. Early intervention and support from speech therapists are essential to address these issues.
D. Cognitive development is vital for all infants, but cleft palate primarily affects speech and feeding, making speech and language acquisition the most immediate concern for overall development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. The absolute neutrophil count (ANC) is the best indicator of a child's ability to fight infection. Neutrophils are a type of white blood cell crucial for fighting bacterial infections, and chemotherapy can suppress bone marrow production of neutrophils. The ANC helps assess the risk for infection and the need for additional precautions, such as infection control.
B. Eosinophils are a type of white blood cell that primarily respond to allergies and parasitic infections, and their count is not used to assess infection risk in chemotherapy patients.
C. The red blood cell count (RBC) is important for assessing oxygen-carrying capacity but does not directly relate to infection-fighting ability.
D. Hemoglobin (Hgb) reflects the oxygen-carrying capacity of the blood, not the body's ability to fight infection.
Correct Answer is ["B","D","E"]
Explanation
A. Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels is incorrect. Sickled red blood cells are rigid and inflexible, which makes it difficult for them to pass through small blood vessels, contributing to blockages and reduced oxygen delivery.
B. Sickled red blood cells are c-shaped and tend to stick together more easily is correct. Sickled red blood cells have an abnormal, crescent or "C" shape, and they stick together, which can cause clumping and block blood flow in small vessels, leading to pain and organ damage.
C. Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells is incorrect. Sickled red blood cells have a shortened life span (about 10-20 days) compared to normal red blood cells, which typically last 120 days, leading to a higher rate of cell destruction and anemia.
D. Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels is correct. The rigidity of sickled cells prevents them from easily moving through small blood vessels, causing occlusions, pain, and organ damage.
E. Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood is correct. Due to their short life span, sickled cells are destroyed more quickly, leading to anemia and reduced oxygen-carrying capacity in the blood.
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