The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Can dress and undress herself without help

Draws a person with three body parts

Is beginning to tie her own shoelaces

Can copy a square on another piece of paper

Answer and Explanation

The Correct Answer is B

A.   Dressing and undressing without help is an appropriate motor skill for a 5-year- old.
B.   Drawing a person with three body parts is expected for a 3-year-old child, not a 5- year-old child. A 5-year-old child should be able to draw a person with six or more body parts, such as head, body, arms, legs, eyes, and mouth.
C.   Beginning to tie her own shoelaces is a fine motor skill developmentally appropriate for a 5-year-old.
D.   Copying a square on another piece of paper is normal developmental milestone for a 5-year-old child.

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Correct Answer is C

Explanation

A. Obtaining a blood culture may be necessary in certain clinical contexts but is not the priority in this situation.
B. While kangaroo care is beneficial for newborns, it is not the priority when a newborn has a low Apgar score and may require immediate interventions.
C. Beginning resuscitative measures is the priority when a newborn has a low Apgar score at 5 minutes, as it indicates the need for interventions to support breathing and circulation.
D. Initiating IV fluid therapy may be necessary in some cases but is not the priority compared to addressing immediate resuscitative needs.

A. Warning about small objects left on the floor B. Telling about safety procedures during baths C. Advising how to create a toddler-safe home D. Cautioning about putting the baby in a walker

Correct Answer is A

Explanation

A. At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B. Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C. This more relevant for older babies or toddlers who can stand, walk, or climb.
D. Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.

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The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A newborn has an Apgar score of 6 at 5 minutes. Which action would be the priority?

Correct Answer is C

Explanation

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Correct Answer is A

Explanation

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