A nurse is collecting growth and development data from a 5-year-old child during a well-child visit. Which of the following statements by the parent indicates the child's cognitive and language skills require further investigation?
"My child speaks 3 to 4 word sentences."
"My child can count to 10."
"My child can identify simple rhythms."
"My child knows the names of 5 colors."
The Correct Answer is A
A. "My child speaks 3 to 4 word sentences." This statement suggests a delay in language development for a 5-year-old. By this age, children should be able to form longer sentences, typically around 5 to 6 words. Speaking in only 3 to 4-word sentences could indicate a need for further evaluation of the child's language development.
B. "My child can count to 10." This is appropriate for a 5-year-old. Many children at this age are able to count to 10, which is a common milestone for their cognitive development.
C. "My child can identify simple rhythms." This is also a normal skill for a 5-year-old. The ability to identify simple rhythms reflects an appropriate level of cognitive and auditory processing.
D. "My child knows the names of 5 colors." This is a typical skill for a 5-year-old child. By this age, many children can identify and name a variety of colors, so this is not a concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Flushed skin is incorrect. Hypoglycemia typically causes pale, clammy skin due to the body's stress response. Flushed skin is more commonly associated with hyperglycemia.
B. Headache is correct. Hypoglycemia can cause neurological symptoms such as headache, dizziness, confusion, and irritability due to a lack of glucose available for brain function.
C. Fruity breath odor is incorrect. A fruity or acetone-like breath odor is a sign of diabetic ketoacidosis (DKA), which occurs with hyperglycemia, not hypoglycemia.
D. Thirst is incorrect. Increased thirst (polydipsiA. is a symptom of hyperglycemia due to excess glucose in the bloodstream drawing water out of the cells, leading to dehydration. Hypoglycemia does not typically cause excessive thirst.
Correct Answer is C
Explanation
A. "Apply petroleum jelly to your child's scalp at bedtime for 3 days." is incorrect. Petroleum jelly is not an effective treatment for head lice. The recommended treatment includes medicated shampoos or topical pediculicides specifically designed to kill lice.
B. "Leave your child's nonwashable items in a sealed plastic bag for 2 days." is incorrect. Lice can survive on items such as hats, stuffed animals, and bedding for up to 48 hours, but it is recommended to seal nonwashable items in a plastic bag for at least 2 weeks, not 2 days, to ensure the lice die.
C. "Submerge your child's combs and hairbrushes in boiling water for 10 minutes." is correct. Lice and nits can survive on combs and brushes, so disinfecting them by soaking in boiling water for at least 10 minutes effectively kills any remaining lice or eggs.
D. "Spray the carpet in your child's room with insecticide weekly for 1 month." is incorrect. Insecticide sprays are not recommended for treating head lice in the home environment. Vacuuming furniture and carpets and washing bedding in hot water are more effective and safer approaches.
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