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

Answer and Explanation

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.

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Correct Answer is B

Explanation

A. Acting bossy with friends might not necessarily raise immediate concerns regarding health or development.
B. The statement indicating the child has to squint to see the board might suggest a potential vision problem, which should be further evaluated to ensure proper eye health and vision correction if necessary.
C. Losing baby teeth around age 6 is a normal developmental process.
D. Playing board games and cheating is a common behavior in children but doesn't raise immediate health or developmental concerns.

A. The mother strokes the nipple against the infant's face B. The mother supplements feedings with water. C. The mother feeds the infant every hour D. The mother holds her breast in the "C position." E. The mother carefully washes her breasts prior to feeding the infant

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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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

Correct Answer is B

Explanation

A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

A nurse is assessing a 3-month-old infant. Which of the following findings should the nurse report to the provider?

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

After teaching a group of parents about language development in toddlers, which statement, if stated by a member of the group, indicates successful teaching?

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?

The school nurse is helping parents choose books for their preschoolers. What literacy skills present in the preschooler would the nurse consider when making choices? Select all that apply.

A nurse is caring for a 12-month-old toddler who is hospitalized and confined to a room with contact precautions in place. Which of the following toys should the nurse recommend to meet the developmental needs of the client?

The parent of a 4-year-old child tells a nurse that the child believes there are monsters hiding in the closets at bedtime. Which one of the following statements should the nurse make?