A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply)

The preschooler mispronounces words.

The preschooler speaks in three-word sentences.

The preschooler stutters when speaking.

The preschooler talks to himself when reading.

The preschooler speaks in a nasally tone.

Answer and Explanation

Correct Answer : A,B,C,E

Choice A reason: The preschooler mispronounces words can be a sign of a speech sound disorder. While some mispronunciation is normal in early speech development, persistent difficulty with articulation may indicate a need for speech therapy to improve clarity and communication skills.

Choice B reason: The preschooler speaks in three-word sentences may indicate a delay in expressive language development. By preschool age, children typically use longer sentences and more complex language structures. Limited sentence length can suggest a need for further evaluation and intervention.

Choice C reason: The preschooler stutters when speaking can be a sign of a fluency disorder. Stuttering involves disruptions in the flow of speech, such as repetitions, prolongations, or blocks. Early intervention with speech therapy can help manage and reduce stuttering.

Choice D reason: The preschooler talks to himself when reading is generally not a concern. Self-talk can be a normal part of development and learning, as children often verbalize their thoughts and actions. It does not typically indicate a need for speech therapy.

Choice E reason: The preschooler speaks in a nasally tone can indicate a resonance disorder, which affects the quality of the voice. A nasally tone may result from structural issues or improper use of the vocal tract. Speech therapy can help address these issues and improve vocal quality.

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Correct Answer is D

Explanation

Choice A reason:

Naproxen is classified as a pregnancy category B medication during the first and second trimesters but becomes category D in the third trimester due to potential risks to the fetus. It is generally advised to avoid nonsteroidal anti-inflammatory drugs (NSAIDs) like naproxen during pregnancy unless specifically recommended by a healthcare provider.

Choice B reason:

Aspirin is not considered safe during pregnancy, especially in higher doses. It is classified as category D in the third trimester due to risks such as premature closure of the ductus arteriosus and potential bleeding complications. Low-dose aspirin may be prescribed in specific cases, but it is not generally recommended as an over-the-counter option for pregnant women.

Choice C reason:

Ibuprofen, like naproxen, is an NSAID and is classified as category B during the first and second trimesters but category D in the third trimester. It is generally advised to avoid ibuprofen during pregnancy due to potential risks to the fetus, particularly in the later stages of pregnancy.

Choice D reason:

Acetaminophen is classified as a pregnancy category B medication and is considered safe for use during all trimesters of pregnancy. It is the preferred over-the-counter analgesic and antipyretic for pregnant women due to its safety profile. Acetaminophen does not carry the same risks as NSAIDs and is widely used to manage pain and fever during pregnancy.

A. Sometimes my child acts bossy with his friends. B. The teacher says my child has to squint to see the board. C. My child has recently lost both front top teeth. D. My child often cheats when we play board games.

Correct Answer is B

Explanation

Choice A reason: Sometimes my child acts bossy with his friends is a common behavior in children as they navigate social interactions and develop leadership skills. While it may require some guidance on social skills, it is not typically a cause for medical concern.

Choice B reason: The teacher says my child has to squint to see the board is concerning because it indicates a potential vision problem. Squinting to see the board can be a sign of refractive errors such as myopia (nearsightedness) or astigmatism. Early detection and correction of vision problems are crucial for a child’s academic performance and overall development.

Choice C reason: My child has recently lost both front top teeth is a normal part of dental development. Children typically lose their primary (baby) teeth around the age of 6 to 7 years as their permanent teeth begin to erupt. This is a natural process and not a cause for concern.

Choice D reason: My child often cheats when we play board games can be a normal part of a child’s development as they learn about rules and fairness. While it may require parental guidance to teach honesty and fair play, it is not typically a medical concern.

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A nurse is assessing a preschooler. Which of the following findings should indicate to the nurse a need for speech therapy? (Select all that apply)

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