The nurse is caring for a 9-month-old child.
The nurse assesses the baby and finds all of the following data.
Which finding is of MOST concern and leads the nurse to consider a possible referral to Early intervention for developmental delay?
Inability to pick up crackers with thumb and forefinger.
Playing with a toy for only a few minutes.
Ability to crawl on all fours supported on hands and knees.
Inability to pull self to a standing position.
The Correct Answer is A
Choice A rationale
By 9 months, most babies have developed the fine motor skills necessary to pick up small objects, like crackers, with their thumb and forefinger. This is known as the pincer grasp. If a 9- month-old child is unable to do this, it could be a sign of a developmental delay.
Choice B rationale
It’s normal for babies at this age to have a short attention span. They often play with a toy for only a few minutes before moving on to something else. Therefore, this behavior is not typically a cause for concern.
Choice C rationale
The ability to crawl on all fours supported on hands and knees is a typical developmental milestone for a 9-month-old child. Therefore, this behavior is expected and does not indicate a developmental delay.
Choice D rationale
While some 9-month-old babies may be able to pull themselves to a standing position, not all babies develop this skill at the same time. Therefore, the inability to do this is not necessarily a cause for concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Working on catching a bounced ball is an age-appropriate activity for a 7-year-old child. This activity helps develop motor skills and hand-eye coordination.
Choice B rationale
Purchasing a jumping rope is an age-appropriate activity for a 7-year-old child. Jumping rope helps improve physical fitness, coordination, and timing.
Choice C rationale
Encouraging a 7-year-old child to ride his tricycle indicates a need for further teaching. At this age, most children have the balance and coordination necessary to ride a two-wheeler bike.
Continuing to ride a tricycle may limit the development of these skills.
Choice D rationale
Running is a great activity for a 7-year-old child. It helps improve cardiovascular fitness and physical strength. Playing chase adds an element of fun and can also help develop social skills.
Correct Answer is B
Explanation
Choice A rationale
A pO2 of 75, pCO2 of 40, and HCO3 of 28 would be within normal limits for an infant. This would not typically be expected in an infant with a history of bronchopneumonia, as this condition often causes hypoxemia (low blood oxygen levels)78.
Choice B rationale
A pO2 of 55, pCO2 of 50, and HCO3 of 30 would indicate respiratory acidosis, which can occur in conditions like bronchopneumonia. The low pO2 indicates hypoxemia, while the high pCO2 indicates hypercapnia (excessive carbon dioxide in the bloodstream). The increased HCO3 is a compensatory mechanism to try to maintain the pH balance.
Choice C rationale
A pO2 of 75, pCO2 of 40, and HCO3 of 24 would be within normal limits for an infant. This would not typically be expected in an infant with a history of bronchopneumonia.
Choice D rationale
A pO2 of 55, pCO2 of 50, and HCO3 of 24 would indicate respiratory acidosis without compensation. However, in a chronic condition like bronchopneumonia, some degree of compensation (increased HCO3) would typically be expected.
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