What information is most correct regarding the nervous system of the child?

As the child grows, the gross and fine motor skills increase.

The child’s nervous system is fully developed at birth.

The child has underdeveloped gross motor skills and well-developed fine motor skills.

The child has underdeveloped fine motor skills and well-developed gross motor skills.

Answer and Explanation

The Correct Answer is A

Choice A reason: As children grow, their nervous system matures, improving gross (e.g., walking) and fine (e.g., writing) motor skills through myelination and neural connections. This aligns with pediatric neurology development milestones, making it the most correct statement about the child’s nervous system and motor skill progression.

Choice B reason: The nervous system is not fully developed at birth; it matures through childhood with ongoing myelination and synaptic growth. Motor skill development reflects this, making this incorrect compared to the accurate depiction of progressive skill improvement in children as the nervous system matures.

Choice C reason: Children develop gross motor skills (e.g., crawling) before fine motor skills (e.g., grasping), not the reverse. Both skills improve with growth, making this incorrect, as it misrepresents the developmental sequence of motor skill acquisition in the child’s nervous system development.

Choice D reason: Fine motor skills are less developed than gross motor skills in early childhood, but both improve with growth. Stating gross skills are well-developed oversimplifies, making this incorrect compared to the comprehensive statement about both skills increasing with nervous system maturation in children.

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Correct Answer is B

Explanation

Choice A reason: Repeating symptoms may help but doesn’t provide immediate emergency guidance, risking delay in critical situations. Treating as hypoglycemia ensures rapid response, making this less practical and incorrect compared to a clear action plan for the caregivers’ concerns about diabetes emergencies.

Choice B reason: Instructing to treat unclear reactions as hypoglycemia prioritizes rapid glucose administration, which is safer and more urgent than mistreating hyperglycemia. This aligns with pediatric diabetes emergency protocols, making it the best initial response to ensure the child’s safety in potential crises.

Choice C reason: Providing pamphlets and videos educates long-term but doesn’t address immediate emergency response needs. Treating as hypoglycemia offers clear guidance, making this supplementary and incorrect compared to the urgent action needed to manage the caregivers’ fears about diabetes emergencies.

Choice D reason: Suggesting an insulin pump addresses insulin delivery, not symptom recognition or emergency response. Treating as hypoglycemia ensures safety in crises, making this irrelevant and incorrect compared to the immediate guidance needed for the caregivers’ concerns about handling diabetes emergencies.

A. Encourage the child to socialize with healthy peers every day so that he or she is motivated to become as independent as those peers. B. The caregiver and child co-write a contract that identifies what reward will be earned when certain self-care treatment goals are mastered. C. Frequently reinforce for the child why self-care goals are so important to their overall health. D. Make a chart of self-care goals the child should do successfully; add a sticker to the chart each time a goal is reached.

Correct Answer is B

Explanation

Choice A reason: Socializing with healthy peers may motivate but doesn’t directly teach self-care skills for chronic illness. A contract with rewards engages the child actively, making this less focused and incorrect compared to a structured strategy ensuring school-aged children achieve treatment goals effectively.

Choice B reason: Co-writing a contract with rewards engages the child in setting and achieving self-care goals, fostering responsibility and motivation. This aligns with pediatric chronic illness management, making it the most effective strategy to help school-aged children master treatment goals with caregiver involvement.

Choice C reason: Reinforcing the importance of goals educates but lacks active engagement compared to a reward-based contract. Contracts promote accountability, making this less effective and incorrect for directly helping chronically ill children achieve self-care treatment goals in a structured, motivating way.

Choice D reason: A sticker chart tracks progress but is less collaborative than a contract, which involves the child in goal-setting. Contracts better foster ownership, making this less engaging and incorrect compared to the co-written contract strategy for achieving self-care goals in school-aged children.

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What information is most correct regarding the nervous system of the child?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is B

Explanation

The nurse is working with a group of chronically ill school-aged children and their caregivers. Which strategy would be most effective in helping the children reach their self-care treatment goals?

Correct Answer is B

Explanation

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