A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?

Complete eruption of six teeth

Use of two-word or three-word phrases

Builds a tower of six to seven cubes

Picks up object without falling

Answer and Explanation

The Correct Answer is A

A. A 2-year-old toddler should have more than six teeth by this age, and the eruption of only six teeth is a delay in expected development. Most children have 16 teeth by age 2.

B. Using two- or three-word phrases is appropriate for a 2-year-old and is a sign of normal language development.

C. Building a tower of six to seven cubes is an appropriate developmental milestone for a 2-year-old and indicates normal motor development.

D. Being able to pick up objects without falling is a normal gross motor skill for a 2-year-old.

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Correct Answer is B

Explanation

A. A decreased white blood cell (WBC) count in the cerebrospinal fluid (CSF) would not support the diagnosis of bacterial meningitis. Bacterial infections typically cause an increased WBC count, specifically neutrophils.

B. Elevated total protein in the CSF is a classic finding in bacterial meningitis, as the infection leads to increased permeability of the blood-brain barrier and results in an increase in protein content.

C. Elevated glucose in the CSF is not consistent with bacterial meningitis. In bacterial meningitis, glucose levels are usually decreased due to the consumption of glucose by bacteria.

D. Decreased pressure in the CSF is not typical in bacterial meningitis. Increased intracranial pressure often results in elevated CSF pressure.

A. "You should position your child on their back during administration of the medication." B. "You should add the medication to your child's formula prior to feeding." C. "You should put small bits of ice on your child's tongue prior to administering the medication." D. "You should place the medication along the side of your child's tongue during administration."

Correct Answer is D

Explanation

A. Positioning the child on their back is not recommended, as it could increase the risk of aspiration. It's safer to hold the child in an upright position or slightly reclined, supporting the head and neck.

B. Adding medication to formula or food is not advisable, as the child may not ingest the full dose, and it might not be effective if the child doesn't finish the bottle.

C. While cold may help with taste, it could be difficult for a 1-year-old to handle ice, and it may not effectively improve medication administration.

D. Placing the medication along the side of the child's tongue helps prevent the gag reflex and encourages the child to swallow it more easily, ensuring proper administration.

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A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is D

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