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?
Speech and language acquisition
Gross motor skill development
Fine motor skill development
Cognitive development
The Correct Answer is A
A. Speech and language acquisition – Correct. A cleft palate can impact speech development due to difficulties in articulation and phonation.
B. Gross motor skill development – Incorrect. Gross motor delays are not commonly associated with cleft palate.
C. Fine motor skill development – Incorrect. Fine motor skills are generally unaffected.
D. Cognitive development – Incorrect. Cognitive abilities are not typically impaired by cleft palate.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"D"}
Explanation
Hypoxia (Low Oxygen Levels): The child's oxygen saturation has decreased from 95% to 93% on room air, which indicates a decline in oxygenation. Although this level is still within an acceptable range, a further drop could indicate respiratory compromise, especially with signs of labored breathing and a nonproductive cough.
Rationale for incorrect options:
Hypotension: The child's blood pressure remains stable (110/64 mm Hg), ruling out a significant risk of hypotension.
Constipation: While the child has hypoactive bowel sounds and hasn't had a bowel movement in two days, this does not pose the most immediate risk.
Dehydration: The child voided 200 mL of clear, yellow urine, suggesting adequate hydration status.
Correct Answer is C
Explanation
A. Allow my child to resume normal activities, including physical education, the day after the surgery. – Incorrect. Strenuous activity should be avoided for at least 1–2 weeks post-op.
B. Make sure my child takes aspirin for pain relief after the surgery. – Incorrect. Aspirin is contraindicated in children due to the risk of Reye’s syndrome.
C. Monitor my child for signs of bleeding such as frequent swallowing or vomiting blood. – Correct. Frequent swallowing can indicate bleeding from the surgical site.
D. Give my child hard, crunchy foods to eat after the surgery. – Incorrect. Soft foods are recommended to prevent irritation and bleeding.
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