A nurse is speaking with the parent of a 6-year-old child. Which of the following statements made by the parent should concern the nurse?
"My child fell off the swing at the playground but did not cry or complain of pain."
"My child has been experiencing occasional nightmares and has trouble falling asleep."
"My child has been having a low-grade fever for the past day."
"My child has started a new hobby of painting and spends a lot of time drawing."
The Correct Answer is A
A. A child falling from a swing and not crying or complaining of pain could be a sign of an underlying injury or a serious condition like a head injury or internal bleeding. Immediate evaluation is needed.
B. Occasional nightmares and trouble falling asleep are common in young children and are typically not
a cause for concern unless they are persistent or interfere with the child’s daily functioning.
C. A low-grade fever for a day is common and might be a mild viral illness, but should be monitored to see if it resolves or worsens.
D. Engaging in a new hobby like painting is a positive sign of the child’s social and emotional
development, not a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Demonstrating the dressing change with a doll is an excellent strategy for helping a child understand the procedure. It makes the experience less threatening and prepares the child for what will happen.
B. Distracting the child may not provide enough information or control over the situation, especially if the child is anxious. The child should be informed and comforted through understanding.
C. Watching a video may not be as effective as hands-on demonstration, especially for younger children, as it may not provide the same reassurance or tangible interaction.
D. Having the child assist with the dressing change might be a good strategy for involving the child, but it might not be appropriate if the child is too anxious or if the cognitive impairment prevents the child from fully understanding the procedure.
Correct Answer is B
Explanation
A. Trisomy 21, or Down syndrome, typically presents with features like intellectual disability, a flat facial profile, upward slanting eyes, and a small mouth. The elongated facial structure and ear protrusion are not characteristic of this condition.
B. Fragile X syndrome is associated with developmental delays, autistic behaviors, and distinct physical features such as a long face, large ears, and a prominent jaw. These characteristics are consistent with the child’s presentation.
C. Turner’s syndrome primarily affects females and is characterized by short stature, webbed neck, and gonadal dysgenesis, but it does not typically involve autistic behaviors or elongated facial features.
D. Williams syndrome involves a distinct set of features including a broad forehead, short nose, and full lips. It is not primarily associated with elongated facial features and ear protrusion.
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