A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the cornerof the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?

An anxiety reaction

Regression

Resentment toward the mother

Developing autonomy

Answer and Explanation

The Correct Answer is A

A. An anxiety reaction: The toddler's behavior of sitting quietly, sucking her thumb, and turning away from the nurse when approached after her mother leaves the room suggests anxiety. These

behaviors are common signs of distress or discomfort in young children, especially when separated from their primary attachment figure (in this case, the mother).

B. Regression: Regression involves reverting to earlier, more immature behaviors in response to stress or discomfort. While thumb sucking can be considered a form of regression, the behavior observed in this scenario is more indicative of anxiety rather than a broader regression in

developmental milestones.

C. Resentment toward the mother: There is no evidence in the scenario to suggest that the toddler is expressing resentment toward the mother. The behaviors observed are more likely related to

the child's emotional response to separation and hospitalization.

D. Developing autonomy: Developing autonomy typically involves asserting independence and exploring one's environment. The behaviors observed in the scenario are more indicative of anxiety and distress rather than autonomous behavior.

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Correct Answer is B

Explanation

A. Has a fear of strangers: Fear of strangers typically emerges around 6 to 9 months of age as part of normal social development. While it indicates cognitive and emotional growth, it does not necessarily warrant further evaluation unless it is excessive or accompanied by other concerning behaviors.

B. Uses a unidextrous grasp: By 7 months, infants typically develop a more refined pincer grasp, where they can pick up small objects using the thumb and forefinger (bidextrous grasp). A unidextrous grasp (using only one hand) may suggest a delay in fine motor development and could warrant further evaluation by a healthcare provider.

C. Babbles one-syllable sounds: Babbling is a typical milestone in language development for

infants around 6 to 9 months of age. One-syllable babbling is expected at this stage and does not necessarily indicate a need for further evaluation.

D. Shows preferences towards foods: Developing food preferences is part of normal feeding behavior for infants. While it is important to ensure a balanced diet, showing preferences towards certain foods is not typically a cause for concern at this age.

A. Acts out roles of other people. B. Plans activities and makes up games. C. Initiates activities with others. D. Engages in parallel play with peers.

Correct Answer is ["A","B","C"]

Explanation

A. Acts out roles of other peoplE. Preschoolers often engage in imaginative play and enjoy pretending to be other people or characters. This type of play allows them to explore different roles and scenarios, fostering creativity and social development.

B. Plans activities and makes up games: Preschoolers are becoming more independent and enjoy planning and organizing their activities. They may invent their own games, stories, or

imaginative scenarios, demonstrating their growing cognitive abilities and creativity.

C. Initiates activities with others: Preschoolers are becoming more social and enjoy interacting with peers and adults. They may take the initiative to start games, activities, or conversations with others, demonstrating their growing confidence and social skills.

D. Engages in parallel play with peers: Parallel play, where children play alongside but not directly with each other, is more typical of toddlers than preschoolers. Preschoolers are more

likely to engage in cooperative play, where they interact and play together with peers toward a common goal.

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?

Correct Answer is B

Explanation

The nurse is assessing the psychosocial development of a preschooler. What are normal activities characteristic of the preschooler? Select all that apply.

Correct Answer is ["A","B","C"]

Explanation

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend in orderto meet the developmental needs of the client?

The parents of a 4-year-old ask the nurse when their child will be able to differentiate right from wrong and develop morals. What would be the best response of the nurse?

The nurse is inspecting the genitals of a prepubescent girl. Which is a normal sign of the onset of puberty?

The nurse is conducting a health history for a 9-year-old child with stomach pains. What is a recommended guideline when approaching the child for information?

A nurse is monitoring an infant who is 3 months old and has sneezing, coughing, nasal congestion, intermittent fever, and apneic spells. These nurse should recognize these findings are associated with which of the following diagnoses?

A nurse is caring for a child who is on a clear liquid diet. At lunch, the child consumed 1⁄2 cup of juice, 3 oz gelatin, 1 oz of an ice pop, and 20 mL ginger ale. How many mL should the nurse record as the child's fluid intake?

The nurse performing a health history on a child asks the parents if their child has experienced increased appetite or thirst. What body system is the nurse assessing with this question?