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.

Answer and Explanation

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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Correct Answer is D

Explanation

A. Autonomy vs. Shame and Doubt. This stage (ages 1–3 years) is when toddlers begin to assert independence by making simple choices and attempting self-care. However, they lack the cognitive ability and motor skills to manage a suprapubic catheter independently.

B. Trust vs. Mistrust. This stage (birth to 1 year) focuses on developing trust in caregivers. Infants are entirely dependent on others for care and are not developmentally capable of learning catheter care.

C. Initiative vs. Guilt. This stage (ages 3–6 years) involves children exploring their environment and developing a sense of initiative. While they may be curious, they are not developmentally ready to take responsibility for complex self-care tasks like catheter maintenance.

D. Industry vs. Inferiority. This stage (ages 6–12 years) is when children develop a sense of competence and responsibility. They are eager to learn new skills, follow instructions, and take part in their own care, making this the appropriate stage for teaching suprapubic catheter care.

A. The vaccine is administered subcutaneously, or just underneath the skin. B. The first dose of the vaccine is administered at 2 months of age. C. The vaccine is contraindicated in individuals who are allergic to gelatin. D. The vaccine in given in a series of six doses spread throughout the first 5 years of life.

Correct Answer is B

Explanation

A. The vaccine is administered subcutaneously, or just underneath the skin. The pneumococcal vaccine (PCV13) is given intramuscularly (IM), not subcutaneously. The preferred injection sites are the anterolateral thigh (for infants) or the deltoid muscle (for older children).

B. The first dose of the vaccine is administered at 2 months of age. This is correct. The pneumococcal conjugate vaccine (PCV13) is routinely given at 2, 4, 6, and 12–15 months of age to protect against Streptococcus pneumoniae, which can cause pneumonia, meningitis, and sepsis.

C. The vaccine is contraindicated in individuals who are allergic to gelatin. This is incorrect. The pneumococcal vaccine is not formulated with gelatin. Gelatin allergies are more relevant for vaccines like MMR and varicella. However, PCV13 should not be given to those with severe allergic reactions to any previous dose of the vaccine.

D. The vaccine is given in a series of six doses spread throughout the first 5 years of life. The PCV13 vaccine is given in a series of four doses, not six. While some high-risk children may require additional doses of PPSV23 (pneumococcal polysaccharide vaccine), the routine childhood schedule consists of four doses.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assisting in the care of a client who has a long-term suprapubic catheter in place and is eager to learn how to care for the catheter. The nurse recognizes that a child in which of the following psychosocial developmental stages may be ready for this education?

Correct Answer is D

Explanation

A nurse is reinforcing teaching with a parent about the pneumococcal vaccine. Which of the following should the nurse include?

Correct Answer is B

Explanation

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