A toddler is being evaluated for developmental delays.
At what age should a child typically be able to say at least 50 words?
12 months.
24 months.
36 months.
15 months.
The Correct Answer is B
Choice A rationale
At 12 months, a child typically says their first single words with meaning, such as "mama" or "dada," and may understand simple commands. Reaching a vocabulary of 50 words is not expected at this early stage of language development.
Choice B rationale
By 24 months, most toddlers have experienced a significant language explosion and are typically able to say at least 50 words and are beginning to combine two words into simple phrases. This is a key milestone in language development.
Choice C rationale
At 36 months, a child's vocabulary has typically expanded significantly, often exceeding several hundred words. They are also using longer and more complex sentences. Saying only 50 words at this age would be considered a developmental delay.
Choice D rationale
At 15 months, children are typically in the stage of building their vocabulary beyond the initial single words. While some may be approaching a larger vocabulary, consistently saying 50 words is more characteristic of older toddlers closer to 24 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Choice A rationale
Ensuring suction equipment is readily available is crucial for a child with a history of seizures because they are at an increased risk of aspiration during or immediately following a seizure. Suctioning helps to clear the airway of saliva, vomitus, or other secretions, preventing respiratory complications.
Choice C rationale
Padding the side rails of the child's bed provides a protective barrier against injury during a seizure. Tonic-clonic seizures involve sudden, uncontrolled muscle contractions that can cause the child to hit the side rails, potentially leading to bruising or more serious injuries. Padding helps to cushion these impacts.
Choice D rationale
Educating parents on how to administer rectal diazepam for breakthrough seizures at home empowers them to manage prolonged or clustered seizures promptly. Rectal diazepam is a benzodiazepine medication that can effectively stop a seizure, reducing the risk of status epilepticus, a medical emergency.
Correct Answer is A
Explanation
Choice A rationale
Nephroblastoma, also known as Wilms tumor, is the most common malignant renal tumor in young children, typically presenting between the ages of 3 and 4 years. A firm, non-tender abdominal mass, often in the right flank, is a classic finding. The association with aniridia, a congenital absence of the iris, is a known risk factor for Wilms tumor, occurring in WAGR syndrome (Wilms tumor, aniridia, genitourinary anomalies, and intellectual disability).
Choice B rationale
Neuroblastoma is a cancer that arises from immature nerve cells and can occur in various locations, most commonly the adrenal glands. While it can present with an abdominal mass, it is often associated with other symptoms such as fever, weight loss, and irritability due to catecholamine secretion. It is less specifically linked to aniridia than nephroblastoma.
Choice C rationale
Hepatoblastoma is a rare malignant tumor of the liver that typically presents in children younger than 3 years old. While it causes abdominal swelling due to a liver mass, it is not typically associated with aniridia. Palpation might reveal a mass in the upper right quadrant rather than the flank.
Choice D rationale
Hydronephrosis refers to the swelling of a kidney due to a buildup of urine. While it can cause an abdominal mass, it is often associated with urinary symptoms or pain, which are not reported in this case. Furthermore, it is not a malignancy and has no known association with aniridia.
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