The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish- speaking mother. The boy does not say "mama" or "dada" yet. What is the priority intervention?
Encourage the parents to speak English to the child.
Refer the child to a developmental specialist.
Perform a developmental evaluation of the child.
Ask the mother if the child uses Spanish words.
The Correct Answer is C
A. Encouraging the parents to speak English to the child may influence language acquisition but might not be the priority if there are concerns about speech development.
B. Referring the child to a developmental specialist could be considered, but conducting a developmental evaluation should be the first step to determine if intervention is needed.
C. Performing a developmental evaluation will provide a clearer understanding of the child's speech and language development to ascertain if there are delays or concerns.
D. While understanding if the child uses Spanish words is relevant, it may not be the priority over a comprehensive developmental assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Questioning and curiosity, like a 3-year-old asking 'Why?' frequently, is a normal part of language development and cognitive growth.
B. A 15-month-old pointing to his eyes when asked is a developmental milestone indicating language and communication skills.
C. Using words and gestures to communicate is also a developmental milestone observed in toddlers, usually around 18 months.
D. Understanding prepositions like 'under' or 'on' is a language milestone typically achieved around 2 years old, indicating comprehension skills in toddlers.
Correct Answer is C
Explanation
A. Notifying the doctor if fever persists despite acetaminophen is appropriate and shows understanding of when to seek medical guidance.
B. Encouraging frequent intake of water or sugar-free fluids helps prevent dehydration and supports metabolic stability during illness.
C. Checking blood sugar only twice daily is insufficient for a child with type 1 diabetes who is ill. Illness increases the risk of hyperglycemia and diabetic ketoacidosis, so blood glucose should be monitored every 3–4 hours during illness to ensure timely insulin adjustments.
D. Reporting changes in breathing or signs of confusion is appropriate because these can indicate worsening infection or metabolic complications, which require prompt intervention.
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