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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Clear drainage from the affected ear is not a typical finding in otitis media; instead, it might indicate other conditions such as a ruptured eardrum.
B. Otitis media commonly presents with erythema (redness) and edema (swelling) of the affected ear.
C. Pain when manipulating the affected ear lobe might be present but is not exclusive to otitis media.
D. Tugging on the affected ear lobe can be a sign of ear discomfort but isn't a specific indicator of otitis media.

A. The newborn's eye focuses on near objects. B. The newborn does not respond to loud noise. C. The newborn's eyes wander and occasionally are crossed. D. The newborn becomes more alert with stroking when drowsy.

Correct Answer is B

Explanation

A. The ability to focus on near objects is a normal sensory development in newborns.
B. Lack of response to loud noise might indicate a hearing deficit or impairment in the newborn's sensory skills.
C. Occasional eye wandering and crossing are common in newborns as their eye muscles are still developing and might not indicate a sensory deficit.
D. Becoming more alert with stroking when drowsy is a normal response and does not necessarily indicate a sensory deficit.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a child who has otitis media. Which of the following assessment findings should the nurse expect?

Correct Answer is B

Explanation

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her newborn?

Correct Answer is B

Explanation

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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?

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