A nurse is contributing to a plan of care for a child who is 3 years of age. Which of the following developmental milestones should the nurse incorporate into the plan of care?
The child is able to answer simple questions.
The child engages in conversation.
The child knows to stays away from danger.
The child adheres to rules.
The Correct Answer is A
A. The child is able to answer simple questions. By the age of 3, children develop basic language skills, allowing them to respond to simple questions. Their vocabulary expands significantly, and they begin to form short sentences, making communication more interactive.
B. The child engages in conversation. While 3-year-olds can communicate basic needs and thoughts, true conversational skills, including back-and-forth exchanges with complex sentences, typically develop later, around age 4 to 5.
C. The child knows to stay away from danger. At 3 years old, children have limited understanding of danger and often require close supervision to ensure safety. Their impulse control is still developing, making them prone to risky behaviors.
D. The child adheres to rules. While toddlers begin to understand rules, they may not consistently follow them. At this stage, they still need reminders and reinforcement, as their self-regulation skills are not yet fully developed.
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Related Questions
Correct Answer is A
Explanation
A. "Lack of supervision is a big risk factor for burns in children." This is correct. Young children are naturally curious and have limited awareness of danger, making them more prone to thermal injuries. Inadequate supervision increases the risk of burns from hot liquids, open flames, electrical sources, and heated objects.
B. "Microwaved food should sit for 30 seconds before giving to the child." While allowing food to cool is helpful, 30 seconds may not be enough time to reduce the risk of burns. Additionally, caregivers should stir microwaved food thoroughly to distribute heat evenly and test the temperature before feeding the child.
C. "Young children should be kept indoors at all times to prevent sunburns." This is unrealistic and unnecessary. Instead, caregivers should use protective measures such as sunscreen, hats, protective clothing, and shade to prevent sunburn while allowing outdoor activities.
D. "The water heater should be set at 130 degrees Fahrenheit or less." This is incorrect. The recommended maximum water heater temperature is 120°F (49°C) to prevent scald burns. Water at 130°F can cause serious burns within seconds, making it too high for safety.
Correct Answer is A
Explanation
A. Collect data on physical examination. The first priority in managing a suspected head injury is assessing the adolescent's neurological status, airway, breathing, circulation, and level of consciousness. A physical examination helps determine the severity of the injury and guides further interventions.
B. Administer pain medication to the adolescent. While pain management is important, administering medication before assessing neurological status could mask symptoms of worsening intracranial pressure, making it difficult to monitor changes in the adolescent’s condition.
C. Notify the adolescent's primary care provider. Informing the provider is necessary, but it should be done after an initial assessment to provide accurate information about the adolescent’s condition and guide appropriate interventions.
D. Collect a detailed past medical history. While medical history is valuable, it is not the immediate priority in an emergency. The primary concern is assessing the adolescent’s current condition to determine if there are signs of increased intracranial pressure or other serious complications.
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