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 C
A. Inability to push a toy lawnmower might indicate strength or coordination issues but might not necessarily point to delayed motor development.
B. Having trouble undressing himself could relate to coordination or dexterity but doesn't directly reflect delayed motor development.
C. The inability to unscrew a jar lid suggests delayed fine motor skills, which could indicate delayed motor development at this age.
D. Falling when bending over might indicate balance or coordination concerns but might not solely indicate delayed motor development.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Adding cereal to formula in a bottle or sweetening with honey can pose choking hazards and introduce unnecessary risks or adverse reactions.
B. Washing bottles and nipples properly is essential, but this guideline doesn't specifically address formula preparation.
C. Storing ready-to-feed formula in the refrigerator is a valid guideline, but it's not related to formula preparation.
D. Microwaving formula can create uneven heating and hot spots, potentially burning the baby's mouth; this is not a recommended method for warming formula.
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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