The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?

The child does not vocally respond to voices.

The child never squeals or yells.

The child does not babble.

The child does not say dada or mama.

Answer and Explanation

The Correct Answer is C

A. The child does not vocally respond to voices: While vocal responsiveness is an important aspect of development, it may vary among infants and is not necessarily indicative of a developmental problem at 4 months.

B. The child never squeals or yells: Squealing and yelling are vocalizations that infants may or may not exhibit at this age, and their absence alone may not necessarily indicate a developmental problem.

C. The child does not babblE. Babbling, which typically begins around 4 to 6 months of age, involves the repetition of consonant-vowel combinations (e.g., "bababa"). The absence of babbling by 4 months may suggest a delay in language development and could be a potential sign of a developmental problem.

D. The child does not say dada or mamA. Infants may begin to associate "dada" or "mama" with specific caregivers, but this typically occurs later, closer to 6 to 9 months of age. The absence of this behavior at 4 months may not necessarily indicate a developmental problem.

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Correct Answer is C

Explanation

A. The child performs his bedtime preparations autonomously: While autonomy is a key aspect of development, it doesn't directly align with Erikson's stage of industry versus inferiority, which focuses more on the child's sense of competence and mastery of tasks.

B. The child is developing a consciencE. Conscience development is more closely associated with Erikson's previous stage of initiative versus guilt, where children begin to internalize societal standards and expectations.

C. The child signs up for after-school activities: Engaging in after-school activities involves

actively seeking out opportunities for skill development and social interaction, demonstrating the child's initiative and industry.

D. The child becomes aware of the opposite sex: Awareness of gender differences typically

emerges during middle childhood but is not directly related to Erikson's stage of industry versus inferiority, which emphasizes the development of a sense of competence and productivity in

mastering tasks.

A. "This is a primitive reflex known as the palmar grasp." B. "This is a protective reflex known as rooting." C. "This is a primitive reflex known as the plantar grasp." D. "This is a protective reflex known as the Moro reflex."

Correct Answer is A

Explanation

A. "This is a primitive reflex known as the palmar grasp.": The palmar grasp reflex is a primitive reflex observed in newborns where they automatically grasp onto objects (or fingers) that touch

their palms. This reflex typically disappears by around 6 months of age.

B. "This is a protective reflex known as rooting.": Rooting is a reflex where newborns turn their head and open their mouth in response to cheek or mouth stimulation, facilitating breastfeeding. It is not related to grasping objects with the hands.

C. "This is a primitive reflex known as the plantar grasp.": The plantar grasp reflex is similar to the palmar grasp but occurs when pressure is applied to the sole of the foot. It is unrelated to grasping objects with the hands.

D. "This is a protective reflex known as the Moro reflex.": The Moro reflex, also known as the startle reflex, involves the newborn's arms and legs extending and then flexing in response to a sudden movement or loud noise. It is not related to grasping objects with the hands.

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The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse knows that the school-age child is in Erikson's stage of industry versus inferiority. Which best exemplifies a school-ager working toward accomplishing this developmental task?

Correct Answer is C

Explanation

A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?

Correct Answer is A

Explanation

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