The nurse is assessing the growth and development of a 3-year-old child.

Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Speaks in simple sentences with four or more words.

Recognizes most letters and numbers.

Uses gestures with 1-to-2-word sentences.

Uses 1-word sentences.

Answer and Explanation

The Correct Answer is A

At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for speech and language skills for a 3-year-old child.

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Correct Answer is D

Explanation

The nurse should implement the intervention of including the child's toy in the collection of information when the child screams and tries to hide behind the parent, dropping a stuﬀed toy. This can help engage the child and make them feel more comfortable during the medical history collection process. The other options (A, B, and C) are not appropriate interventions in this situation.

A. Positive rapid strep test of oropharynx. B. Blood pressure 88/50 mmHg. C. Maculopapular rash over trunk of body. D. Weight loss.

Correct Answer is A

Explanation

The nurse should report a positive rapid strep test of the oropharynx to the healthcare provider. Acute glomerulonephritis is often caused by a recent streptococcal infection, and a positive rapid strep test would confirm this as the underlying cause

A blood pressure of 88/50 mmHg is within the normal range for a child and would not need to be reported.

A maculopapular rash over the trunk of the body is not typically associated with acute glomerulonephritis and would not need to be reported.

Weight loss may occur with acute glomerulonephritis due to decreased appetite, but it is not an urgent finding that needs to be reported immediately.

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The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuﬀed toy. Which intervention should the nurse implement?

Correct Answer is D

Explanation

The nurse is assessing a child with acute glomerulonephritis who presents with increased fatigue, facial puffiness, decreased appetite. The child's urine sample is dark yellow in color. Which additional finding should the nurse report to the healthcare provider?

Correct Answer is A

Explanation

A breastfeeding infant, screened for congenital hypothyroidism, is found to have low levels of thyroxine (T4) and high levels of thyroid stimulating hormone (TSH). Which is the best explanation for this finding?

A 1-year-old child with respiratory syncytial virus (RSV) has been admitted to the pediatric unit. The nurse observes that the child has a fever, rhinorrhea, frequent coughing, and sneezing. Which additional finding should alert the nurse that the child is in acute respiratory distress?

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The nurse is caring for a 5-week-old infant presenting with a history of projectile vomiting after feedings. Which additional finding should the nurse expect to assess?

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A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?

The nurse is assessing the growth and development of a 3-year-old child.

Which speech and language skills should the nurse identify as normal developmental milestones for this child?