The practical nurse (PN) observes an infant searching for a fallen toy. According to Piaget, which additional finding should the PN correlate with this developmental stage?

Comprehension of simple commands.

Exploration beyond caregiver presence.

Visible or audible separation anxiety.

Ability to place objects in a container.

Answer and Explanation

The Correct Answer is B

Choice A: Comprehension of simple commands is an earlier developmental stage and not directly related to the infant's ability to search for a fallen toy.

Choice B: Exploration beyond caregiver presence is a key characteristic of the sensorimotor stage in Piaget's theory. During this stage, infants develop object permanence and begin to explore their environment independently.

Choice C: Visible or audible separation anxiety is common during the early stages of infancy and is not specific to the sensorimotor stage.

Choice D: The ability to place objects in a container is more related to later developmental stages when fine motor skills are more developed.

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Correct Answer is A

Explanation

A. Document the findings in the record – A bluish-black discoloration over the lumbosacral area is most likely a Mongolian spot, a benign congenital birthmark commonly seen in infants with darker skin tones. It does not require intervention, only documentation.
B. Report possible child abuse to protective services – Mongolian spots may resemble bruises, but they are not a sign of abuse. Reporting without further assessment is inappropriate.
C. Gently rub the area with skin cream to promote healing – Mongolian spots are not injuries and do not require treatment.
D. Ask the mother about the discoloration – While obtaining history is important, Mongolian spots are well-known benign findings that do not require further clarification from the parent.

A. Partner with a major pharmaceutical company to provide nebulizers at reduced cost to inner-city children. B. Offer free asthma screening to children at a health fair sponsored by a local hospital. C. Inform the city council of the need to strengthen the city's air pollution ordinances. D. Refer parents of preschoolers with asthma to a support group sponsored by the American Lung Association.

Correct Answer is C

Explanation

Choice A: Partnering with a major pharmaceutical company to provide nebulizers at reduced cost to inner-city children is an example of a secondary prevention strategy aimed at managing asthma symptoms and exacerbations. It does not address primary prevention, which focuses on preventing the development of the condition in the first place.

Choice B: Offering free asthma screening to children at a health fair is a secondary prevention strategy aimed at early detection and management of existing asthma cases. It does not address primary prevention.

Choice C: Informing the city council of the need to strengthen the city's air pollution ordinances is a primary prevention strategy. It aims to address environmental factors (such as air pollution) that can contribute to the development of asthma in children. By reducing exposure to environmental triggers, the goal is to prevent new cases of asthma from occurring.

Choice D: Referring parents of preschoolers with asthma to a support group sponsored by the American Lung Association is a secondary prevention strategy aimed at providing support and education to

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The practical nurse (PN) observes an infant searching for a fallen toy. According to Piaget, which additional finding should the PN correlate with this developmental stage?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

During assessment of a 2-month-old infant, the nurse notices a bluish-black discoloration over the lumbosacral area. Which action should the nurse take?

Correct Answer is A

Explanation

A community health nurse is concerned about the incidence of asthma among preschool aged children in a metropolitan area. Which intervention reflects a primary prevention strategy the nurse might initiate to combat this chronic illness?

Correct Answer is C

Explanation

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