Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating "No one can understand him but us.”. What clinical classification of speech disorder does the nurse suspect?
Articulation disorder.
Global language delay.
Expressive language delay.
Language loss.
The Correct Answer is C
Choice A rationale:
Articulation disorder refers to difficulty in pronouncing sounds and is more related to the physical aspects of speech production. The scenario described by the parents focuses on the comprehensibility of the child's speech, not the specific pronunciation of sounds.
Choice B rationale:
Global language delay typically involves a delay in both expressive and receptive language skills. However, the parents' concern about their child's speech not being understood by others suggests that the issue is more specific to expressive language, which involves the ability to convey thoughts and ideas.
Choice C rationale:
Expressive language delay refers to difficulties in using language to express thoughts and ideas. In this case, the parents mention that "No one can understand him but us," indicating that the child has trouble communicating effectively with others, which aligns with an expressive language delay.
Choice D rationale:
Language loss is not a likely consideration in this scenario as the parents are concerned about their child's current speech development, not a regression in language skills.
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Correct Answer is D
Explanation
Choice A rationale:
The statement, "There are locks on all of the cabinets in the house," indicates a safe behavior. Locking cabinets helps prevent access to potentially harmful substances, reducing the risk of accidents for the child.
Choice B rationale:
The statement, "I have a gate at the top and bottom of the stairs," also indicates a safe behavior. Gates are important safety measures to prevent falls down the stairs, which can be dangerous for infants and young children.
Choice C rationale:
The statement, "I put covers on all of the electrical outlets," is another indicator of a safe behavior. Covering electrical outlets is essential to prevent children from inserting objects into them, reducing the risk of electrical accidents.
Choice D rationale:
The statement, "In the car, she rides in a front-facing car seat," indicates an unsafe behavior. For a 9-month-old infant, it is recommended to use a rear-facing car seat as they provide better support for the child's head, neck, and spine in the event of sudden stops or crashes. Front-facing car seats are typically suitable for older children. Therefore, this choice represents an unsafe practice that should be corrected.
Correct Answer is C
Explanation
On average, most infants triple their birth weight by their first birthday. However, it’s important to note that growth rates can vary widely among different babies due to factors such as genetics and nutrition. Regular check-ups with a healthcare provider can help ensure that an infant’s growth is on track.
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