The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Use of car seats and other safety measures

Use of supplements and vitamins

Prenatal and perinatal histories

The child's race and ethnicity

The child's toileting habits

Answer and Explanation

Correct Answer : A,B,E

A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.

B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.

C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.

D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.

E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.

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Correct Answer is B

Explanation

A. Has a fear of strangers: Fear of strangers typically emerges around 6 to 9 months of age as part of normal social development. While it indicates cognitive and emotional growth, it does not necessarily warrant further evaluation unless it is excessive or accompanied by other concerning behaviors.

B. Uses a unidextrous grasp: By 7 months, infants typically develop a more refined pincer grasp, where they can pick up small objects using the thumb and forefinger (bidextrous grasp). A unidextrous grasp (using only one hand) may suggest a delay in fine motor development and could warrant further evaluation by a healthcare provider.

C. Babbles one-syllable sounds: Babbling is a typical milestone in language development for

infants around 6 to 9 months of age. One-syllable babbling is expected at this stage and does not necessarily indicate a need for further evaluation.

D. Shows preferences towards foods: Developing food preferences is part of normal feeding behavior for infants. While it is important to ensure a balanced diet, showing preferences towards certain foods is not typically a cause for concern at this age.

A. Absorption of drugs administered by subcutaneous injection is increased. B. Absorption of intramuscularly administered drugs is fairly constant. C. Topical drugs are absorbed more quickly in young children than adults. D. Oral drugs are absorbed more quickly in children than adults.

Correct Answer is B

Explanation

A. Absorption of drugs administered by subcutaneous injection is increaseD. Subcutaneous absorption can vary based on factors such as blood flow and tissue characteristics, but it is generally slower and more variable compared to intramuscular absorption.

B. Absorption of intramuscularly administered drugs is fairly constant: Intramuscular absorption tends to be more consistent compared to subcutaneous absorption. However, absorption rates can still be affected by factors such as muscle mass and blood flow.

C. Topical drugs are absorbed more quickly in young children than adults: Topical drug absorption can be influenced by factors such as skin thickness and permeability, but absorption rates may not necessarily be faster in young children compared to adults.

D. Oral drugs are absorbed more quickly in children than adults: This statement is generally incorrect. While gastrointestinal transit time may be faster in children, other factors such as

gastric pH and enzymatic activity can affect oral drug absorption, and absorption rates may not always be faster in children compared to adults.

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The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a clinic is assessing a 7-month-old infant. Which of the following indicates a need for further evaluation?

Correct Answer is B

Explanation

When describing the differences affecting the pharmacokinetics of drugs administered to children, which would the nurse include?

Correct Answer is B

Explanation

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