A nurse is conducting developmental assessments on several children in the day-care setting. Which two children does the nurse identify as having developmental delays?
A 5-year-old who is unable to zip his own jacket.
A 2-year-old who cannot recite her phone number.
A 6-year-old who is unable to sit still for a short story.
A 2-year-old who is unable to cut with scissors.
An 18-month-old toddler who is unable to phrase sentences.
The Correct Answer is C
Choice A reason: This choice is incorrect. It is not unusual for a 5-year-old to have difficulty with zippers.
Choice B reason: This choice is incorrect. Reciting a phone number is not expected of a 2-year-old.
Choice C reason: This is one of the correct choices. A 6-year-old should be able to sit still for a short story, and difficulty doing so may indicate a developmental delay.
Choice D reason: This choice is incorrect. A 2-year-old typically does not have the fine motor skills to cut with scissors.
Choice E reason: This is one of the correct choices. An 18-month-old should be starting to phrase simple sentences, and the inability to do so may indicate a developmental delay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: While symptoms of infection are important to assess, they are not the immediate priority following vaccine administration.
Choice B reason: Anaphylaxis is a rapid, potentially life-threatening allergic reaction that can occur after vaccination, making it the priority assessment.
Choice C reason: Pain at the injection site is common and expected, but it is not as critical as assessing for anaphylaxis.
Choice D reason: Myalgia, or muscle pain, may occur after vaccination but is not the immediate priority for assessment.
Choice E reason: Hyperthermia, or elevated body temperature, could indicate an adverse reaction; however, anaphylaxis is the most urgent concern to address post-vaccination.
Correct Answer is A
Explanation
Choice A reason: Allowing parents to hold their infant is a compassionate act that acknowledges their need for closure and can help them begin the grieving process.
Choice B reason: Interviewing parents to determine the cause of the incident is not considered supportive care; it may be part of an investigation but does not provide comfort.
Choice C reason: Providing mementos can be a cherished way for parents to remember their infant and can offer some solace during a difficult time.
Choice D reason: Advising parents about the necessity of an autopsy is not supportive care; it is a medical decision that should be discussed with sensitivity to the parents' feelings and needs. Autopsies can be important for understanding SIDS and preventing future occurrences.
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