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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Palliative care serves to hasten death and make the process easier for the family is an incorrect statement. Palliative care is focused on providing relief from symptoms and improving the quality of life, not hastening death.

B. Palliative care provides pain and symptom management and best quality of life for the child is the correct understanding of palliative care. It focuses on managing symptoms and providing support to improve quality of life, regardless of the child’s age or stage of illness.

C. The goal of palliative care is to place the child in a hospice setting at the end of life is not entirely correct. Palliative care can be provided at any stage of a serious illness, not just at the end of life, and it does not automatically mean placement in hospice.

D. The goal of palliative care is to act as the liaison between the family, child, and other health care professionals is a supportive role, but it does not fully define the scope of palliative care, which is focused on symptom management and improving quality of life.

A. "Processed foods are acceptable, as long as they don't contain flour." B. "I need to check food labels for hidden sources of gluten, like barley and rye." C. "I need to avoid foods like bread, pasta, and cereal." D. "My family should use separate serving utensils for gluten-free foods."

Correct Answer is A

Explanation

A. This statement is incorrect because processed foods can contain gluten even if they don't have visible flour. Gluten can be found in many processed foods as an additive or stabilizer, such as in sauces, soups, and processed meats. It's important to always check food labels for gluten ingredients.

B. This is correct. Barley and rye are sources of gluten and must be avoided in a gluten-free diet for those with celiac disease.

C. This is correct. Foods like bread, pasta, and cereal commonly contain gluten and need to be avoided by individuals with celiac disease.

D. This is correct. Using separate serving utensils for gluten-free foods helps prevent cross-contamination, which is critical for managing celiac disease.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse and a new nurse (graduate nurse) are caring for a child who will require palliative care. Which statement made by the new nurse would indicate a correct understanding of palliative care?

Correct Answer is B

Explanation

A nurse is providing education to a 12-year-old child who has been newly diagnosed with celiac disease. Which of the following statements by the client indicates a need for further teaching?

Correct Answer is A

Explanation

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