The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?
"This is a condition known as echolalia and can be corrected if you work with your daughter on language skills."
"This is a normal common speech pattern in the 3-year-old and is called telegraphic speech."
"This is a condition known as stuttering and it is a normal pattern of speech development in the toddler."
"This is considered a developmental delay in the 3-year-old, and we should consult a speech therapist."
The Correct Answer is B
A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Sexual curiosity typically emerges in later stages of development and is not a primary characteristic of the toddler stage.
B. Erikson's stage of initiative versus guilt occurs in early childhood (ages 3 to 6) and involves the child's exploration of the world and taking initiative in activities, leading to a sense of purpose or potential guilt if they're restricted or criticized.
C. Imaginary playmates might appear around this age but are not the primary characteristic defining this stage of development.
D. Negative behaviors associated with the need for autonomy are more commonly observed in toddlers, but they are not the defining characteristic of this developmental stage.
Correct Answer is D
Explanation
A. Placing the baby on a soft mattress with a firm, flat pillow can increase the risk of Sudden Infant Death Syndrome (SIDS). Infants should sleep on a firm mattress without pillows or soft bedding to reduce the risk of suffocation.
B. Placing the head of the bed near the window for fresh air is not recommended due to potential drafts, temperature changes, or exposure to outdoor elements that might disturb the baby's sleep.
C. Waking a sleeping baby for feedings is generally not advised. Babies will wake on their own when hungry, and consistent nighttime feedings are essential, especially for a 3-week-old infant.
However, advice on this may vary based on the infant's individual health and weight gain, and it's best to follow the pediatrician's guidance.
D. Placing the baby on his or her back when sleeping is the recommended sleep position to reduce the risk of Sudden Infant Death Syndrome (SIDS). This practice is endorsed by pediatric healthcare professionals and is considered a critical guideline for safe infant sleep.
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