A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?
A toddler who is 18 months old and has unintelligible speech
An infant who is 8 months old and is not yet making babbling sounds
A preschooler who is 4 years old and prefers playing with others rather than alone.
An infant who is 3 months old and has an exaggerated startle response
The Correct Answer is B
A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.
B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.
C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.
D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Tracheoesophageal fistula involves an abnormal connection between the esophagus and trachea, typically presenting with respiratory distress, coughing, and feeding difficulties, not a palpable abdominal mass and blood in stools.
B. Hypertrophic pyloric stenosis is characterized by projectile vomiting, dehydration, and an olive-shaped mass in the upper abdomen, not blood and mucus in the stools.
C. Inguinal hernia may present with a bulging mass in the groin area, but it does not cause blood or mucus in stools.
D. Intussusception is characterized by the telescoping of one part of the intestine into another, which can cause a palpable mass, abdominal pain, and stools mixed with blood and mucus (often referred to as "currant jelly" stools).
Correct Answer is A
Explanation
A. Preschoolers (ages 3-5) engage in imaginative play, where they create stories and use objects or toys in creative ways. This is a key part of their cognitive and social development.
B. While some preschoolers may begin to show an interest in collecting items, it is more common in school-age children.
C. The need for privacy typically emerges in adolescence, not during the preschool years.
D. Preschoolers are still developing emotional regulation and may struggle with controlling impulses.
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