The nurse is examining a 10-month-old boy who was born 10 weeks early. Which finding is cause for concern?
The child exhibits plantar grasp reflex.
The child has doubled his birth weight.
No primary teeth have erupted yet.
The child's head circumference is 49.53 cm.
The Correct Answer is C
A. The child exhibits plantar grasp reflex: The presence of the plantar grasp reflex at 10 months
is appropriate and not cause for concern. This reflex typically diminishes by around 9 months but can persist slightly longer in premature infants.
B. The child has doubled his birth weight: Doubling birth weight by around 6 months is a normal developmental milestone, and achieving this by 10 months is appropriate, indicating healthy growth.
C. No primary teeth have erupted yet: The absence of primary teeth by 10 months, especially in a preterm infant, may indicate a delay in dental development and should prompt further evaluation by a healthcare provider.
D. The child's head circumference is 49.53 cm: The head circumference of 49.53 cm falls within the typical range for a 10-month-old infant and is not inherently concerning.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Is beginning to tie her own shoelaces: The ability to begin tying shoelaces is a fine motor skill milestone that is typically achieved around 5 to 6 years of age. This finding indicates appropriate motor skill development.
B. Can copy a square on another piece of paper: Copying shapes is a visual-motor integration skill that develops during early childhood. The ability to copy a square is an appropriate
milestone for a 5-year-old.
C. Draws a person with three body parts: By age 5, most children can draw a person with more body parts, typically including a head, trunk, arms, legs, and facial features. Drawing a person with only three body parts may suggest a delay in fine motor or cognitive development and could be a cause for concern.
D. Can dress and undress herself without help: Independence in dressing and undressing is a self- care skill that is typically achieved by 5 years of age and indicates appropriate motor
development.
Correct Answer is A
Explanation
A. Tell the child that another child the same age wasn't afraiD. This approach may backfire as toddlers may not fully understand or relate to the concept of comparison with other children. Additionally, it could potentially increase the child's anxiety by implying that being afraid is abnormal.
B. Permit the child to sit on the parent's lap during the examination: Allowing the child to stay close to their caregiver can provide comfort and security, promoting cooperation during the examination.
C. Offer immediate praise for holding still or doing what was askeD. Positive reinforcement can encourage desired behavior and cooperation by reinforcing the child's efforts to comply with the examination process.
D. Allow the child to touch and hold the equipment when possiblE. Giving the child a sense of control and familiarity with the examination tools can help alleviate fear and increase cooperation during the examination.
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