A pediatric nurse is assessing a 6-year-old child during a well-child visit. The nurse observes that the child has gained weight appropriately for age and notices improved coordination and problem-solving skills compared to a previous visit. Additionally, the nurse notes that the child can now perform complex tasks, such as tying shoelaces, which were not possible at an earlier age.
Differentiation and development
Growth and maturation
Growth and differentiation
Development and maturation
The Correct Answer is C
A. Differentiation refers to cells or structures becoming specialized, whereas development encompasses functional changes and skill acquisition. While differentiation occurs, the scenario emphasizes both physical growth and skill acquisition, making this pairing incomplete.
B. Growth refers to quantitative increases, such as weight and height, and maturation refers to qualitative functional changes over time. While maturation is implied, the scenario specifically highlights skill improvement and the ability to perform complex tasks, which aligns more directly with differentiation.
C. Growth is represented by the child’s appropriate weight gain, a quantitative change. Differentiation is reflected in the improved coordination, problem-solving skills, and ability to perform complex tasks like tying shoelaces. These changes indicate that the child’s structures and functions are becoming more specialized, matching the definition of differentiation.
D. Development focuses on functional abilities and skill acquisition, and maturation refers to functional competency over time. While relevant, this combination does not explicitly include the quantitative growth aspect (weight gain), which is a key part of the scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Developmental milestones follow predictable sequences, but the exact age at which each child reaches them can vary. Expecting all babies to reach milestones at the same age is unrealistic and does not reflect normal variation in growth and development.
B. While gross motor skills like walking often develop alongside fine motor skills, fine motor development does not occur automatically. It requires practice, coordination, and maturation of muscles and nervous system pathways.
C. Genetics play a significant role in growth, influencing height, weight, body proportions, and sometimes developmental timing. Denying the influence of genetics misrepresents a key factor in growth and development.
D. This statement reflects an accurate understanding of developmental principles. Growth and developmental milestones occur in a predictable sequence (cephalocaudal, proximodistal, and simple-to-complex patterns), but the timing can vary for each child. This acknowledges normal individual differences while recognizing typical developmental patterns.
Correct Answer is ["130 to 140"]
Explanation
The 1-hour GTT is a screening test for gestational diabetes mellitus (GDM) performed between 24–28 weeks of gestation. The client drinks a 50-gram glucose solution, and blood glucose is measured 1 hour later.
- A result ≤130–140 mg/dL is considered normal, indicating the client is unlikely to have GDM.
- A result above 130–140 mg/dL is considered positive, prompting a 3-hour, 100-gram OGTT to confirm the diagnosis.
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