The nurse is observing a 24-month-old boy in a daycare center. Which finding suggests delayed motor development?
The child is unable to push a toy lawnmower.
The child has trouble undressing himself.
The child is unable to unscrew a jar lid.
The child falls when he bends over.
The Correct Answer is A
A. By 24 months, children are typically able to walk, run, and push or pull toys, such as a toy lawnmower, demonstrating gross motor skills and coordination. The inability to push a toy indicates possible delay in gross motor development.
B. Difficulty undressing self involves fine motor and self-care skills, which may vary among children and develop gradually; mild challenges are not necessarily delayed at 24 months.
C. Unscrewing a jar lid requires more advanced fine motor coordination than is expected of most 2-year-olds, so inability to perform this task is within normal developmental limits.
D. Occasional imbalance when bending is common in toddlers, as gross motor control and balance are still developing, and does not indicate a significant delay.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","D","E","F"]
Explanation
A. Preschoolers do have a degree of attention but may not notice if a page is skipped during reading.
B. Preschoolers are often drawn to stories that describe experiences different from their own, fostering imagination and understanding of different perspectives.
C. Stories with repeated phrases or predictable patterns can help maintain a preschooler's attention and engagement.
D. Preschoolers often enjoy picture books as visual cues aid in understanding the story and keep them engaged.
E. Preschoolers engaging in various literacy-related behaviors like retelling stories, pretending to read, and asking questions about stories they've heard indicate developing literacy skills.
F. Reciting stories or portions of books shows early literacy skills in preschoolers as they grasp and remember parts of a story.
Correct Answer is A
Explanation
A. Nurses are mandated reporters, required by law to report suspected cases of child abuse or neglect to the appropriate authorities.
B. While maintaining confidentiality is important, in cases of suspected abuse, legal obligations override the need for confidentiality.
C. Involving the provider might not be immediate or necessary for explaining the situation, as the priority is reporting and ensuring the child's safety.
D. Directly reporting to authorities or involving supervisors is the responsibility of the nurse when faced with suspected child abuse.
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