The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructors determines the class is successful after the students correctly choose which milestone as the beginning of adolescence?

The deciduous teeth falling out

The beginning of puberty

The child becoming self-supported

The fine motor skills fully developed

Answer and Explanation

The Correct Answer is B

A. The deciduous teeth falling out:

The falling out of deciduous (baby) teeth is a natural part of early childhood development and is not specifically indicative of adolescence. The loss of deciduous teeth usually occurs before the age of 12.

B. The beginning of puberty:

Puberty is the period of physical and sexual development that marks the transition from childhood to adolescence. It involves the development of secondary sexual characteristics, such as breast development in girls and facial hair growth in boys, along with other physical changes.

C. The child becoming self-supported:

Becoming self-supported is a broad concept that can occur at various stages of development and is not a specific marker of the beginning of adolescence. Adolescents may gain increasing independence, but this is a gradual process.

D. The fine motor skills fully developed:

Fine motor skills typically develop during early childhood, and the full development of these skills is not a specific marker for the beginning of adolescence. Fine motor skills involve the coordination of small muscle movements and are important for tasks like writing and drawing.

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Correct Answer is A

Explanation

A. “Bring the child to the emergency room immediately.”

This is the most appropriate recommendation given the symptoms described, including the barking cough, elevated temperature, and blueness around the mouth. These signs may indicate respiratory distress, and immediate medical attention is needed.

B. “Bundle the child up and take her out into the cold for a few minutes. Call back if the exposure to the cold air does not provide relief.”

Taking a child out into the cold is not a recommended intervention for respiratory distress. This action may exacerbate the child's breathing difficulties. The symptoms described require urgent evaluation in a healthcare setting.

C. “Take the child into the steam-filled room for an additional 15 minutes. If there is no relief, bring the child to the emergency room.”

While steam may provide temporary relief for mild respiratory symptoms, the presence of blueness around the mouth suggests a more severe condition. Delaying care by waiting for an additional 15 minutes may not be appropriate in this situation.

D. “Put a cool mist humidifier or vaporizer in the room to see if that relieves the cough. Call back if there’s no relief in an hour.”

Using a cool mist humidifier may be helpful for mild respiratory symptoms, but the severity of the symptoms described, especially blueness around the mouth, indicates a need for immediate medical attention. Waiting for an hour could lead to worsening of the child's condition.

A. Measles, Mumps, and Rubella (MMR) B. Pneumococcal C. Meningococcal D. Rotavirus (RV)

Correct Answer is A

Explanation

A. Measles, Mumps, and Rubella (MMR):

The first dose of the MMR vaccine is usually administered around 12-15 months of age. Therefore, this vaccine is appropriate for a 15-month-old child's routine health visit.

B. Pneumococcal:

The pneumococcal vaccine is typically given in several doses, with one of the doses recommended around 12-15 months. It's part of the routine immunization schedule for this age range.

C. Meningococcal:

Meningococcal vaccines are not usually part of the routine schedule at 15 months of age unless there are specific risk factors or circumstances that necessitate this vaccination.

D. Rotavirus (RV):

The rotavirus vaccine is administered in multiple doses, usually starting at around 2 months and completing before 8 months of age. By 15 months, the child should have completed the recommended doses.

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The nursing instructor is leading a class discussion on the various aspects of adolescents. The instructors determines the class is successful after the students correctly choose which milestone as the beginning of adolescence?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A mother brings a 15-month-old child to the clinic for a routine health maintenance visit. Which immunization should the nurse prepare to administer to this child?

Correct Answer is A

Explanation

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