A previously "potty-trained" 30 month old child had reverted to wearing diapers while hospitalized. The nurse should recognize:
Developmental delays occur because of hospitalizations.
The child is too young to be potty trained.
Regression is sometimes seen during hospitalization.
The child is experiencing urinary urgency as a result of the hospitalization.
The Correct Answer is C
A. Developmental delays occur because of hospitalizations.
This statement implies that the hospitalization itself causes developmental delays, which is not accurate. Hospitalization might disrupt routines, but it does not directly cause developmental delays.
B. The child is too young to be potty trained.
The child was previously "potty-trained," so age is not the primary factor. Regression in toilet training can occur for various reasons.
C. Regression is sometimes seen during hospitalization.
This statement is correct. Regression, including reverting to behaviors like wearing diapers, can occur in response to stress, illness, or changes in routine, such as hospitalization.
D. The child is experiencing urinary urgency as a result of the hospitalization.
While urinary urgency can be a possibility, the given scenario emphasizes the regression to wearing diapers, which is more indicative of behavioral regression rather than a physical issue like urgency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. 21 pounds: This is the correct answer. The general guideline is that infants tend to triple their birth weight by the age of 12 months. If the infant weighed 7 pounds at birth, tripling that weight would be 21 pounds.
B. 14 pounds: This weight would not be consistent with the expected weight gain of a healthy infant by 12 months. It's too low based on the tripling guideline.
C. 25 pounds: This weight would be higher than expected based on the tripling guideline. It's not a typical weight for a healthy 12-month-old who had a birth weight of 7 pounds.
D. 10 pounds: This weight would be lower than the expected weight gain. A 12-month-old who started at 7 pounds should have gained more weight by this age.
Correct Answer is B
Explanation
A. An abnormal finding-indicates the need for developmental assessment.
This is not accurate. The closure of the anterior fontanel within the expected age range does not indicate an abnormal finding or the need for additional developmental assessment.
B. A normal finding.
This is the correct interpretation. The anterior fontanel normally closes between 12 to 18 months, and closure by 19 months is within the expected developmental range.
C. An abnormal finding-indicates the need for immediate referral to a practitioner.
This is not necessary based on the information provided. The closure of the anterior fontanel within the expected timeframe is a normal finding.
D. A questionable finding-the infant should be rechecked in 1 month.
There's no need for rechecking in 1 month. The closure of the anterior fontanel at 19 months is considered normal.
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