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 ["0.96"]
Explanation
- The dose of Solumedrol in mg is = 20 kg x 3 mg/kg = 60 mg.
- The concentration of Solumedrol is given as 125 mg/2mL
- Therefore 1 mL contains 125/2 = 62.5 mg of the drug.
If 62.5 mg =1ml
60mg= 60/62.5
= 0.96ml
Correct Answer is A
Explanation
A. The step reflex is an expected primitive reflex in infants, disappearing around 2 months of age.Therefore, if ounf in a 4 month old baby, the nurse should be concerned.
B. The plantar grasp reflex should be present in infants and typically disappears by 9 to 12 months of age.
C. Neck righting reflex is a normal response in infants, allowing them to orient their heads in relation to their body movements.
D. The Babinski reflex is typically present in infants but should disappear by around 12 months of age. If it persists beyond this age, it could indicate neurological concerns and warrant further evaluation. therefore, the reflex is normal in a 44 month old baby
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