A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?

Older Adult

Pre-adolescent/adolescent

Toddler/Preschooler

Infant

Answer and Explanation

The Correct Answer is B

A. Older Adult: Scoliosis screening is typically performed during adolescence, not in older adults. Older adults are more likely to be screened for other conditions such as osteoporosis.

B. Pre-adolescent/adolescent: Scoliosis screening is most commonly conducted during preadolescence and adolescence, typically around 10-15 years of age, when growth spurts occur, and the spine is most susceptible to curvature.

C. Toddler/Preschooler: Scoliosis is rarely screened in toddlers or preschoolers. This age group focuses more on developmental milestones and immunizations.

D. Infant: Scoliosis is not typically screened in infants. Screening for spinal curvature is more relevant during the rapid growth periods of adolescence.

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Correct Answer is B

Explanation

A. Pincer grasp: The pincer grasp, which involves using the thumb and forefinger to pick up small objects, typically develops around 8 to 12 months of age, not at 4 months.

B. Rolls from tummy to back: At 4 months, many infants start to develop the ability to roll from their tummy to their back. This is a typical milestone for this age and reflects developing motor skills.

C. Walks with support: Walking with support usually begins around 9 to 12 months of age, much later than 4 months.

D. Rolls from back to tummy: Rolling from back to tummy typically occurs a bit later, often around 5 to 6 months. At 4 months, rolling from tummy to back is the more expected milestone.

A. Concrete operational B. Sensorimotor C. Formal operational D. Preoperational

Correct Answer is B

Explanation

A. Concrete operational: This stage (7 to 11 years) is characterized by logical thinking about concrete events.

B. Sensorimotor: This stage (birth to about 2 years) is when infants learn about the world through their senses and actions. Object permanence—the understanding that objects continue to exist even when they cannot be seen, heard, or touched—develops in this stage.

C. Formal operational: This stage (12 years and up) involves abstract and moral reasoning.

D. Preoperational: This stage (2 to 7 years) is when children begin to engage in symbolic play and learn to manipulate symbols, but they don’t yet understand concrete logic.

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A nurse working in a community health center is preparing a flow sheet detailing essential screenings according to age group. At which developmental stage on the chart should the nurse add scoliosis screening?

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