The nurse is caring for a 12-month-old diagnosed with chronic lung disease, receiving supplemental oxygen with a portable oxygen tank. What developmental milestone is likely to be delayed?

Walking unaided 15 steps.

Holding a crayon.

Copying a circle.

Speaking 15 words.

Answer and Explanation

The Correct Answer is A

Choice A reason: Walking unaided is a significant gross motor milestone that may be delayed in a child with chronic lung disease due to decreased physical stamina and energy levels. These children may tire easily, making it more challenging to develop the strength and coordination needed to walk independently. The need for supplemental oxygen can further limit the child's mobility and opportunities for practicing walking.

Choice B reason: Holding a crayon is a fine motor skill that may not be as significantly affected by chronic lung disease. While any serious health condition can impact overall development, fine motor skills like holding a crayon can be practiced in less physically demanding ways, even if the child has reduced stamina.

Choice C reason: Copying a circle is a developmental milestone typically expected later, around 3 years old. At 12 months, a child is not expected to perform this task, so it is not relevant in this context for identifying a delay at this age.

Choice D reason: Speaking 15 words is a language milestone that can be affected by various factors. However, chronic lung disease more directly impacts physical stamina and gross motor skills rather than speech development. While any health issue can influence overall development, speech and language milestones might not be as immediately impacted by chronic lung disease.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is A

Explanation

Choice A reason: Feeding the baby while lying in the bassinet can pose a significant risk of choking and improper feeding technique. Babies should be fed while being held in an upright or semi-upright position to ensure proper swallowing and to prevent aspiration of milk into their airways. This practice promotes bonding between the caregiver and the baby and supports the baby’s overall feeding development. Therefore, further teaching is required for parents who feed their baby while the baby is lying in the bassinet.

Choice B reason: Periodically pausing the feeding is actually a recommended practice as it allows the baby to burp and prevents overfeeding. It also gives the baby a break to catch their breath and reset their sucking pattern. This technique can reduce the risk of discomfort and gas. Hence, this behaviour does not require further teaching.

Choice C reason: Discarding the remaining milk after one hour is a proper practice because milk can spoil and become contaminated with bacteria, leading to potential health risks for the baby if consumed. It is important to ensure that the baby is fed with fresh milk to avoid any health issues. Therefore, this behaviour does not require further teaching.

Choice D reason: Holding the baby upright during feedings is a correct and recommended practice. This position helps to prevent ear infections, reduces the risk of choking, and promotes better digestion. It ensures that the milk flows steadily and safely into the baby's mouth, aiding in a more efficient feeding process. Thus, this behaviour does not require further teaching.

A. Semi-Fowler's is the safest position for pushing. B. Choose a position you feel most comfortable. C. Sitting with your head elevated on two pillows makes pushing easier. D. It is normal if you're having a bowel movement.

Correct Answer is B

Explanation

Choice A reason: The statement that "Semi-Fowler's is the safest position for pushing" is not necessarily appropriate because the best position for pushing can vary from one woman to another. There is no single safest position universally recommended for all labouring women. The choice of position should be individualized based on the woman's comfort, progress of Labor, and any specific medical considerations. The Semi-Fowler's position involves lying semi-upright, which might be suitable for some but not for everyone.

Choice B reason: Advising the patient to "choose a position you feel most comfortable" is appropriate because it empowers the woman to listen to her body and adopt a position that feels natural and effective for her. Comfort plays a crucial role in the effectiveness of pushing and the overall Labor experience. This approach promotes a sense of control and autonomy for the labouring woman and aligns with best practices in patient-cantered maternity care.

Choice C reason: Suggesting that "sitting with your head elevated on two pillows makes pushing easier" may not be the best advice for every labouring woman. While this position might work for some, it is not universally effective or recommended. Labor positions should be flexible and adaptive to the individual's needs and comfort. Blanket recommendations can overlook the diversity of experiences and preferences among labouring women.

Choice D reason: Telling the patient that "it is normal if you're having a bowel movement" might address a concern some women have during Labor. However, it does not directly guide the woman on effective pushing positions. While it can be reassuring to mention that a bowel movement can occur during pushing, this statement alone is not sufficient as a primary piece of advice for managing the second stage of Labor.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse is caring for a 12-month-old diagnosed with chronic lung disease, receiving supplemental oxygen with a portable oxygen tank. What developmental milestone is likely to be delayed?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the bottle-feeding technique of a new family. Which behaviour by the parents requires further teaching?

Correct Answer is A

Explanation

The nurse is caring for a patient in the second stage of Labor. Which statement by the nurse is appropriate?

Correct Answer is B

Explanation

The nurse is assessing an 18-month-old patient at a well-child visit. What findings would suggest a developmental delay?

A nurse is reviewing the assessment findings of a paediatric patient. Which finding will the nurse prioritize?

The nurse is caring for an 11-year-old child during a well visit. Which vaccine will the nurse prepare to administer?

A pregnant person telephones the prenatal clinic and reports that their "water just broke." How will the nurse respond?

A school nurse is talking with a 13-year-old non-binary student at their annual health screening visit. Which statement by the adolescent will the nurse prioritize?

The nurse is caring for patients on the Labor and delivery unit. Which patient will the nurse consider at higher risk for having a newborn with a myelomeningocele?

The nurse is providing care to an infant with sickle cell anaemia who has increased work of breathing, a fever, coarse crackles upon auscultation, oxygen saturation of 89%, and inconsolable crying. Which intervention will the nurse perform first?

The nurse is caring for a primigravida at 36-weeks gestation admitted with suspected partial placental abruption. What actions will the nurse implement? Select all that apply.