A nurse is collecting data from a 15-month-old toddler.
Which of the following findings should the nurse expect?
Turns two pages in a book at a time.
Throws a ball overhead without falling.
Drinks independently from a cup.
Refers to themselves by their first name.
The Correct Answer is C
Choice A rationale
Turning two pages at a time reflects fine motor control development seen in younger toddlers. At 15 months, most toddlers refine coordination, progressing to turning single pages. Double-page turning is less precise, often due to immature grasp and pinch abilities. Fine motor milestones evolve with age, allowing toddlers to handle books more adeptly. This finding contrasts expected skills of a 15-month-old toddler, who typically exhibits improved single-page manipulation.
Choice B rationale
Throwing a ball overhead without falling signifies advanced gross motor skills uncommon at 15 months. Toddlers this age generally develop basic motor coordination like walking and controlled ball rolling rather than overhead throwing. Overhead throwing requires integrated balance and muscle strength, milestones reached closer to 18-24 months. A 15-month-old’s motor development includes walking without assistance and simple gross motor activities like kicking.
Choice C rationale
Drinking independently from a cup indicates motor and cognitive skills typical of a 15-month-old toddler. At this age, toddlers develop hand-eye coordination and the ability to grasp and tilt cups correctly. Fine motor milestones include learning to feed themselves and achieve independence in activities like drinking. Drinking independently reflects self-sufficiency and developmental progress expected in toddlers at 15 months.
Choice D rationale
Referring to themselves by their first name reflects cognitive and language skills progressing beyond 15 months. Toddlers this age typically use single words or gestures to communicate needs. Self-identification with their name becomes evident later, around 18-24 months, as language skills improve. A 15-month-old toddler may recognize their name but is unlikely to articulate it spontaneously.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Weak pedal pulses in coarctation of the aorta indicate impaired blood flow distal to the narrowed area but do not indicate immediate deterioration. Chronic coarctation causes gradual compensatory mechanisms, and absent urgent changes, this case is less critical compared to acute presentations in other choices.
Choice B rationale
Rheumatic fever elevates erythrocyte sedimentation rate (ESR) due to inflammation, but this alone does not indicate acute danger. ESR reflects systemic inflammation rather than life-threatening symptoms, which makes this patient a lower priority unless accompanied by other significant changes.
Choice C rationale
New onset lethargy in endocarditis suggests possible septic emboli or worsening infection, which can rapidly progress to critical complications. Lethargy often indicates systemic compromise or reduced perfusion, which requires immediate attention compared to chronic or stable cases in other options.
Choice D rationale
Kawasaki disease presents erythema of the lips due to systemic vasculitis, but this finding alone does not indicate acute deterioration. The condition is serious but relatively stable without additional evidence of impending coronary complications, making this client less urgent than Choice C.
Correct Answer is B
Explanation
Choice A rationale
A low carbohydrate, high-fat diet is not suitable for toddlers with cystic fibrosis. This condition requires meeting increased metabolic demands, making carbohydrate restriction detrimental to energy balance.
Choice B rationale
High-protein, high-calorie diets are ideal for toddlers with cystic fibrosis due to their higher basal metabolic rate and nutrient malabsorption. These diets support growth and immune function despite the disease.
Choice C rationale
Moderate protein, low-calorie diets are inappropriate for cystic fibrosis management. Insufficient caloric intake exacerbates malnutrition and can lead to failure to thrive in affected children.
Choice D rationale
High-fat, low-protein diets neglect the importance of balanced nutrition required for growth. While fat content is important, adequate protein intake is equally crucial for muscle development. .
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