A nurse is caring for a preschooler who is in an acute care facility.
Which of the following should the nurse identify as an expected behavior of a preschool-aged child?
Understanding cause of illness.
Describing manifestations of illness.
Awareness of body functioning.
Relating fears to magical thinking.
The Correct Answer is D
Choice A rationale
Understanding the cause of illness is a complex cognitive task that typically develops later in childhood. Preschool-aged children are still developing their understanding of cause and effect, and their thinking is often more concrete than abstract.
Choice B rationale
Describing manifestations of illness is also a complex task that requires a certain level of cognitive and language development. While preschool-aged children are developing their language skills rapidly, their ability to describe complex phenomena such as the manifestations of illness is still developing.
Choice C rationale
Awareness of body functioning is a concept that typically develops later in childhood. Preschool-aged children are still learning about their bodies and how they work. Their understanding of body functioning is often concrete and based on what they can see and feel.
Choice D rationale
Relating fears to magical thinking is a characteristic of preschool-aged children’s cognitive development. At this age, children’s thinking is often dominated by fantasy and magic. They may attribute events or experiences to magical causes, and their fears may be related to these magical beliefs.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A bulging fontanel is a common sign of increased intracranial pressure (ICP) in infants. The fontanels, or soft spots on an infant’s head, allow for brain growth. When there is increased pressure, as in conditions that cause increased ICP, it can cause the fontanels to bulge outwards.
Choice B rationale
Insomnia is not typically associated with increased ICP in infants. Changes in consciousness, such as irritability or lethargy, may be seen, but these are not the same as insomnia.
Choice C rationale
A low-pitched cry is not typically associated with increased ICP in infants. Changes in cry might occur, but they are not specific to increased ICP4.
Choice D rationale
A positive Babinski reflex is normal in infants up to about 12 months of age. It is not specifically associated with increased ICP4.
Correct Answer is B
Explanation
Choice A rationale
While sleep apnea has been associated with SIDS, it is not considered the main cause. SIDS is a complex syndrome that is likely caused by a combination of genetic, environmental, and physiological factors.
Choice B rationale
Placing a baby on their back to sleep is one of the most effective ways to reduce the risk of SIDS. This position allows for optimal oxygenation and minimizes the risk of suffocation.
Choice C rationale
SIDS rates have actually been decreasing over the last 10 years due to increased awareness and education about safe sleep practices.
Choice D rationale
There is no evidence to suggest that the diphtheria, tetanus, and pertussis vaccines are directly correlated with SIDS. In fact, immunizations are an important part of maintaining a baby’s health and reducing the risk of serious illness. Down syndromeDown syndrome Explore
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