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 D

Explanation

A. Congenital anomalies: While congenital anomalies can contribute to infant mortality, they are not the leading cause of death among infants.

B. Respiratory distress: Respiratory distress can be a significant concern in newborns, especially premature infants, but it is not the leading cause of death among infants overall.

C. Low birth weight: Low birth weight is a risk factor for various health complications in infants, but it is not the leading cause of death among infants.

D. Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically during sleep. It is the leading cause of death among infants aged 1 month to 1 year, making it an essential consideration in health promotion and education efforts for parents.

A. "I will give him a pacifier during feeding time." B. "We need to make sure he doesn't lose the desire to eat by mouth." C. "We need to keep feeding time very quiet." D. "Sucking produces saliva, which aids in digestion."

Correct Answer is A

Explanation

A. "I will give him a pacifier during feeding time.": Giving a pacifier during feeding time may interfere with the infant's ability to coordinate sucking, swallowing, and breathing, especially if

they are receiving nutrition through a nasogastric tube. This response indicates a need for further teaching because pacifiers during feeding time could potentially disrupt the infant's feeding

pattern and may not be appropriate in this situation.

B. "We need to make sure he doesn't lose the desire to eat by mouth.": This response

demonstrates an understanding of the importance of maintaining the infant's oral feeding skills and indicates appropriate knowledge about promoting oral feeding while using a nasogastric

tube.

C. "We need to keep feeding time very quiet.": Keeping feeding time quiet can help reduce distractions and promote a calm environment, which may enhance feeding tolerance for the infant. This response reflects an understanding of strategies to facilitate feeding.

D. "Sucking produces saliva, which aids in digestion.": This response demonstrates knowledge about the benefits of sucking and saliva production during feeding, indicating an understanding of the infant's physiological needs during feeding.

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Naxlex Comprehensive Predictor Exams

A nurse is providing health promotion teaching to the parents of an infant. Which of the following conditions should the nurse identify as the leading cause of death among this age group?

Correct Answer is D

Explanation

The nurse is providing teaching for the mother of an infant who receives all of his nutrition through a nasogastric feeding tube. The nurse is reviewing interventions to promote growth and development. Which response from the mother indicates a need for further teaching?

Correct Answer is A

Explanation

After assessing a 10-year-old girl, the nurse documents the appearance of breast buds, identifying this as what body change?

The nurse is performing risk assessments on adolescents in the school setting. Which teen should the nurse screen for hypertension?

The nurse is administering acetaminophen PRN to a 9-year-old child on the pediatric ward of the hospital. Which answers reflect nursing actions that follow the rules of the rights of pediatric medication administration? Select all that apply.

The nurse has seen a 15-year-old girl and a 16-year-old boy during health surveillance visits. Which physical characteristics would be seen in both teenagers?

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear of painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

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

A mother brings her 3-year-old daughter to the emergency department because the child has been vomiting and having diarrhea for the past 36 hours. When assessing this child'stemperature, which method would be least appropriate?