A parent asks why their 12-month-old can pull to stand but cannot walk alone. Which explanation reflects the sequential trend in development?
All children develop skills randomly
Walking should have occurred first: the child is delayed
Development occurs only in spurts and cannot be predicted
Development follows a predictable order: standing precedes independent walking
The Correct Answer is D
A. "All children develop skills randomly" is incorrect because child development follows a predictable sequence, even though the exact timing may vary slightly among individuals. While each child’s pace may differ, motor skills generally progress in a set order based on neuromuscular maturation. Skills build on one another, and earlier abilities provide the foundation for later ones.
B. "Walking should have occurred first: the child is delayed" is incorrect because walking typically occurs after a child can pull to stand, cruise along furniture, and balance with support. At 12 months, it is normal for a child to be pulling up and standing independently but not yet walking unassisted. This reflects expected developmental progression rather than a delay.
C. "Development occurs only in spurts and cannot be predicted" is incorrect because while growth can occur in rapid periods or spurts, motor development follows a predictable sequence. Infants generally progress from rolling, sitting, crawling, pulling to stand, cruising along furniture, and finally taking independent steps. This sequence allows healthcare providers and parents to anticipate and support developmental needs.
D. "Development follows a predictable order: standing precedes independent walking" is correct. Motor development progresses in a cephalocaudal pattern (head to toe) and proximodistal pattern (center of the body outward). Gross motor skills develop first in the head, neck, and trunk before the legs and feet can function independently. Pulling to stand, standing with support, and cruising are essential precursors to independent walking. A 12-month-old demonstrating these skills is following normal sequential development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Headache is correct because severe pre-eclampsia is associated with hypertension, cerebral edema, and vascular changes, which often manifest as persistent, severe headaches. This is a classic symptom and one of the warning signs of possible progression to eclampsia, which may include seizures.
B. Tachycardia is incorrect because patients with pre-eclampsia often have normal or slightly elevated heart rates, but tachycardia is not a hallmark sign. Bradycardia can sometimes occur if severe hypertension triggers reflex responses, but it is not expected as a defining feature.
C. Diplopia is incorrect because visual disturbances in pre-eclampsia are usually blurred vision, scotomata (spots in vision), or transient visual changes, rather than double vision. While visual symptoms are common, diplopia specifically is less typical.
D. Polyuria is incorrect because pre-eclampsia often causes oliguria, not polyuria, due to renal vasoconstriction and reduced glomerular filtration. Polyuria would be more indicative of conditions like gestational diabetes or diabetes insipidus, not pre-eclampsia
Correct Answer is D
Explanation
A. "It depends on what caused the defect" is incorrect because while risk factors may vary, the critical period for heart development is well-established. Heart formation occurs during a specific window in fetal development, regardless of the cause.
B. "They usually occur in the first 2 weeks of development" is incorrect because the first two weeks after fertilization (the pre-embryonic period) involve cellular proliferation and implantation, not organ formation. Heart structures have not yet developed during this period.
C. "We don't really know when such defects occur" is incorrect because the timing of congenital heart development is well-documented. Most defects arise during a defined embryonic period.
D. "They occur between the third and eighth weeks of development" is correct. The heart begins forming in the third week after fertilization, and most major structural cardiac development occurs by the eighth week. Exposure to teratogens, maternal illnesses, or genetic factors during this period can lead to congenital heart defects.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.