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A nurse is collecting data from an 18-month-old toddler. Which of the following findings should the nurse report to the provider?

Speaks four words

Builds a tower of three blocks

Has temper tantrums

Jumps in place with both feet

Answer and Explanation

The Correct Answer is A

Choice A reason:

At 18 months, a toddler should typically be saying more than four words. This finding may

indicate a potential delay in speech development, and it should be reported to the provider for further evaluation.

Choice B reason:

Building a tower of three blocks is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

Choice C reason:

Temper tantrums are a normal behavior for toddlers, as they are still developing emotional regulation skills. This finding does not require reporting unless it is severe or causing harm to the child.

Choice D reason:

Jumping in place with both feet is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

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Correct Answer is D

Explanation

Choice A reason:

A sodium level of 140 mEq/L is within the normal range.

Choice B reason:

An iron level of 100 mcg/dL is within the normal range.

Choice C reason:

A calcium level of 9 mg/dL is within the normal range.

Choice D reason:

Correct. A hemoglobin level of 8 g/dL is lower than the normal range for a preschooler and should be reported to the provider for further evaluation. This may indicate anemia, which requires assessment and potential intervention.

A. "You should place a folded blanket to pad the back of the infant's head." B. "You should position the car seat at a 30-degree angle." C. "You should use a car seat with a four-point harness." D. "You should place the retainer clip at the level of the infant's armpits."

Correct Answer is B

Explanation

Choice A reason:

Placing a folded blanket to pad the back of the infant's head is not recommended, as it can interfere with the proper fit of the car seat harness and potentially be a safety hazard.

Choice B reason:

This statement is correct. Infant car seats should be positioned at a 30-degree angle to provide optimal support for the infant's head and neck, as well as to prevent airway obstruction.

Choice C reason:

While car seats with a four-point harness do exist, a standard infant car seat typically has a five- point harness system.

Choice D reason:

The retainer clip should be positioned at the level of the infant's armpits to ensure that the harness is snug and secure.

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A nurse is collecting data from an 18-month-old toddler. Which of the following findings should the nurse report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

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