The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?
Speech and language delays
Fine motor skills delay
Stuttering
Lack of social and emotional readiness for school
The Correct Answer is D
A. Speech and language delays could occur but might not be the primary developmental problem given the circumstances.
B. Fine motor skills delays could also occur but might not be the primary developmental problem considering the caregiver's situation.
C. Stuttering might arise but might not be the primary developmental problem given the context of the caregiving environment.
D. Children in environments affected by parental depression and substance abuse may face challenges in developing social and emotional readiness for school due to inconsistent caregiving and potential emotional stressors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. At 15 months, toddlers should typically be able to stand upright without support. The inability to do so might indicate a developmental delay or a motor skill issue.
B. Inability to jump with both feet might be within the range of normal development at 15 months, as jumping skills tend to develop later.
C. Building a tower of six to seven cubes might be challenging for some toddlers at this age due to fine motor skills still developing, so it might not necessarily raise concern.
D. Turning a doorknob involves more complex fine motor skills and might not be expected at this age, so it's not as critical an indicator of developmental delay.
Correct Answer is B
Explanation
A. Correctly identifies the need to inform the doctor if the child's temperature is not controlled.
B. Overhydration can be a concern; drinking such a significant volume of water every 30 minutes might not be appropriate, especially with a respiratory infection.
C. Properly involves checking the child's blood sugar regularly as required in diabetes management.
D. Understands the need to report changes in breathing or signs of confusion, which can indicate worsening symptoms.
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