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.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. A deep wound causing external bleeding does not describe a concussion, which involves a brain injury due to trauma, not a superficial wound.
B. A concussion is a mild traumatic brain injury caused by a blow to the head or trauma that causes the brain to twist or bounce inside the skull. This movement can lead to temporary neurological impairment.
C. Bleeding between the skull and brain (epidural hematoma or subdural hematoma) is associated with more severe traumatic brain injuries, not a concussion.
D. A ruptured artery leading to pooling of blood in the brain is more characteristic of an intracerebral hemorrhage or a severe head injury, not a concussion.
Correct Answer is B
Explanation
A. "My baby's formula can be thickened with oatmeal." While some infants with reflux may benefit from thickening their formula, oatmeal is not typically recommended as a thickening agent. Parents should follow specific medical guidance on safe thickening agents for formula.
B. "I will keep my baby in an upright position after feedings." This statement demonstrates an understanding of appropriate management of gastroesophageal reflux (GER). Keeping the baby upright after feeding helps prevent the backflow of stomach contents into the esophagus, reducing reflux symptoms.
C. "I will have to feed my baby formula rather than breast milk." This statement is incorrect. Breast milk is not contraindicated for infants with GER, and in fact, breast milk may be easier to digest and may help reduce reflux symptoms compared to formula.
D. "I should position my baby side-lying during sleep." This statement is not recommended. Babies should be placed on their back for sleep, as side-lying positions can increase the risk of sudden infant death syndrome (SIDS). The back sleep position is safest for all infants, including those with reflux.
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