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. Questioning and curiosity, like a 3-year-old asking 'Why?' frequently, is a normal part of language development and cognitive growth.
B. A 15-month-old pointing to his eyes when asked is a developmental milestone indicating language and communication skills.
C. Using words and gestures to communicate is also a developmental milestone observed in toddlers, usually around 18 months.
D. Understanding prepositions like 'under' or 'on' is a language milestone typically achieved around 2 years old, indicating comprehension skills in toddlers.
Correct Answer is ["A","B","C","E"]
Explanation
A. Stroking the nipple against the infant's face might confuse the baby and hinder the proper latch-on technique.
B. Supplementing feedings with water might interfere with the baby's intake of necessary nutrients from breast milk.
C. Feeding the infant every hour might not allow enough time for the baby to obtain the full benefits of feeding, potentially leading to inadequate milk intake.
D. Holding the breast in the "C position" is a proper technique for breastfeeding and doesn't require teaching.
E. Carefully washing breasts prior to feeding isn't necessary and might remove natural oils that aid breastfeeding.
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