The nurse is assessing a 4-year-old on a routine well-child visit. When assessing the gross motor skills of this preschooler, which activity will the nurse predict the child to be able to successfully accomplish?
Walk backwards with heel to toe
Hop on one foot
Ride a bicycle
Jump rope
The Correct Answer is B
Choice A reason: Walking backwards heel-to-toe requires advanced balance typically mastered closer to age 5 or 6. A 4-year-old can hop on one foot, a gross motor skill achievable by this age, making this too complex and incorrect for the preschooler’s developmental stage during the assessment.
Choice B reason: Hopping on one foot is a gross motor skill typically mastered by age 4, reflecting balance and coordination development. This aligns with pediatric developmental milestones, making it the correct activity a 4-year-old preschooler can successfully accomplish during a well-child gross motor assessment.
Choice C reason: Riding a bicycle, especially without training wheels, is typically achieved around age 5-6, requiring advanced coordination. A 4-year-old can hop on one foot, making this too advanced and incorrect for the gross motor skills expected at this age in a well-child visit.
Choice D reason: Jumping rope demands complex coordination and strength, typically mastered after age 6. A 4-year-old can hop on one foot, a simpler skill, making this incorrect, as jump rope is beyond the gross motor capabilities of a preschooler at this developmental stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Half an aspirin with a viral infection poses a small Reye syndrome risk, warranting monitoring for symptoms like lethargy or vomiting. This aligns with pediatric safety guidelines, making it the best response to inform the mother while ensuring vigilance for the 9-year-old’s health.
Choice B reason: Nasal discharge and sneezing are unrelated to Reye syndrome, which involves neurological symptoms like stupor. Monitoring for lethargy or vomiting is correct, making this incorrect, as it lists irrelevant symptoms for the mother’s concern about Reye syndrome in her child.
Choice C reason: Admitting for observation overstates the risk, as a single half aspirin rarely causes Reye syndrome. Monitoring for specific symptoms is sufficient, making this alarmist and incorrect compared to the nurse’s balanced response to the mother’s concern about the viral infection.
Choice D reason: Downplaying the risk as unlikely ignores the potential, though rare, link between aspirin and Reye syndrome in viral infections. Monitoring for symptoms is prudent, making this dismissive and incorrect compared to advising vigilance for the 9-year-old’s safety post-aspirin use.
Correct Answer is C
Explanation
Choice A reason: Fever and stuffy nose are not reliable indicators of teething and may signal illness. Genetic variation explains delayed eruption in an 8-month-old, making this misleading and incorrect for addressing the mother’s anxiety about her baby’s lack of teeth in the phone consultation.
Choice B reason: Requiring x-rays if no teeth erupt by 9 months is premature, as teeth can appear up to 12 months normally. Genetic factors reassure without unnecessary tests, making this alarmist and incorrect for responding to the mother’s dentition concerns about her 8-month-old baby.
Choice C reason: Tooth eruption varies genetically, with some babies teething later (up to 12 months) without issue. This explanation reassures the mother about her 8-month-old’s delayed dentition, aligning with pediatric dental norms, making it the correct information to alleviate her anxiety effectively.
Choice D reason: Stating teeth should erupt by 8-10 months is inaccurate, as normal eruption can occur up to 12 months. Genetic variability better addresses the mother’s concern, making this incorrect, as it risks heightening anxiety with a rigid timeline for the baby’s tooth eruption.
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