The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?
Kimberly and Amanda share clay to each make things.
Brian playing with his truck next to Kristina playing with her truck.
Adam playing a board game with Kyle, Steven, and Erich.
Danielle playing with a music box on her mother's lap.
The Correct Answer is B
Choice A rationale:
Kimberly and Amanda sharing clay to each make things represents cooperative play, not parallel play. Cooperative play involves interaction and collaboration between children, whereas parallel play involves children playing side by side without interacting.
Choice B rationale:
Brian playing with his truck next to Kristina playing with her truck demonstrates parallel play. In parallel play, children play independently but alongside others, showing interest in what others are doing but without direct interaction.
Choice C rationale:
Adam playing a board game with Kyle, Steven, and Erich represents cooperative play, not parallel play. Cooperative play involves shared activities and collaboration, while parallel play involves independent activities in proximity to others.
Choice D rationale:
Danielle playing with a music box on her mother's lap is an example of solitary play, where a child plays alone without regard to others. Solitary play is common in younger children and is different from parallel play.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Applying oil-based lotion is not recommended during phototherapy as it can block the pores and reduce the effectiveness of the therapy. The baby's skin should be exposed to the light as much as possible to treat hyperbilirubinemia effectively.
Choice B rationale:
Limiting the newborn's intake of milk is not appropriate. Adequate hydration and nutrition are essential for infants, especially those undergoing phototherapy. Dehydration can worsen jaundice, so the baby should be encouraged to feed frequently.
Choice C rationale:
Placing eye shields over the newborn's closed eyes is essential during phototherapy. Exposure to high-intensity light can damage the baby's eyes, so protecting the eyes with shields is necessary.
Choice D rationale:
Changing the newborn's position every 2-3 hours is recommended during phototherapy. This helps ensure that all parts of the baby's skin receive equal exposure to the light, maximizing the effectiveness of the treatment.
Correct Answer is D
Explanation
This question evaluates the nurse's understanding of neonatal assessment protocols using the Apgar scoring system. One must differentiate between the immediate clinical interpretation of a perfect score and the mandatory requirement for follow-up assessment to ensure sustained transition to extrauterine life.
Choice A rationale: While a score of 10 indicates the infant has transitioned well, standard protocol mandates a follow-up assessment. One score does not preclude the need for monitoring, as neonatal status can change rapidly following the initial adjustment to the outside environment.
Choice B rationale: An Apgar score of 10 is the highest possible score, indicating the infant is in excellent condition. Severe distress is associated with low scores ranging from 0 to 3, which would necessitate immediate, aggressive resuscitation interventions by the medical team.
Choice C rationale: The Apgar score is a rapid assessment tool for immediate physiological transition and is not a prognostic indicator for long-term neurological development. Attributing future neurological status to a 1-minute score is clinically inaccurate and unsupported by research on neonatal outcomes.
Choice D rationale: An Apgar score of 10 at 1 minute demonstrates that the newborn is adjusting excellently to extrauterine life. However, hospital protocol requires a secondary assessment at 5 minutes to confirm stable adaptation and ensure no delayed signs of respiratory or cardiovascular compromise emerge.
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