When interacting with a parent at her child’s well visit, which statement by the mother would be an indication for a speech referral? Select all that apply

Failure to speak any meaningful words spontaneously in a 2-year-old child

Using different words or nicknames for certain people

Failure to use sentences of three or more words in a 3-year-old

Stuttering or any other type of dysfluency

Omission of word endings (e.g., plurals, tenses of verbs) in a 3-year-old

Frequent omission of final consonants in a 3-year-old

Answer and Explanation

Correct Answer : A,C,D,E

Speech and language milestones are critical indicators of a child’s development. Certain delays or persistent speech difficulties are red flags that warrant referral for a speech and language evaluation.

Rationale for correct answers:

A. Failure to speak any meaningful words at 2 years old is a developmental red flag. By this age, children should be using several single words spontaneously. Lack of expressive language warrants referral.

C. Failure to use sentences of three or more words by 3 years old indicates a possible expressive language delay. Most 3-year-olds should be able to form short, understandable sentences.

D. Stuttering or dysfluency can be normal in preschoolers (ages 2–5), especially during language bursts. However, persistent or significant dysfluency (such as repeating sounds, words, or phrases) can indicate a need for evaluation.

E. Frequent omission of final consonants in a 3-year-old is concerning. While some articulation errors are normal, consistent omission of final consonants after age 3 is not developmentally appropriate.

Rationale for incorrect answers:
B. Using different words or nicknames for people is typical of normal language development and shows creativity in communication.
E. Omission of word endings such as plurals or verb tenses may still be developmentally normal at 3 years old. Many children master these grammatical rules closer to age D.

Take home points

By age 2: Child should use at least 50 words and begin combining words.
By age 3: Child should form 3–4 word sentences and be mostly understandable to familiar listeners.
Speech referral red flags: no meaningful words at 2, no short sentences at 3, and persistent articulation errors (e.g., omitting final consonants).
Some errors (stuttering, word endings) are developmentally normal at 3 years.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is ["A","B","C","D"]

Explanation

When a parent expresses concern that their child is not acting like or responding the same as a sibling, the nurse should perform a thorough developmental assessment while also supporting the parent emotionally. The focus is on assessing possible developmental issues while reassuring the parent appropriately.

Rationale for correct answers:

A. Assessment for dysmorphic syndromes is important if developmental differences are noted. Conditions such as congenital anomalies or microcephaly may underlie developmental delays.

B. Inquiring about temperament such as irritability and lethargy helps identify possible neurological, metabolic, or developmental issues influencing the child’s behavior.

C. Explaining that all children are different is key for parental reassurance. Comparison with siblings can create unnecessary anxiety or pressure; each child develops uniquely.

D. Noting language development appropriate for the child’s age is a standard part of developmental assessment and can reveal early indicators of delays or disorders.

Rationale for incorrect answer:
E. Meeting siblings to assess similarities is not necessary for evaluating developmental differences. Assessment should be focused on the individual child’s growth and milestones, not comparisons to family traits.

Take home points

Parental concerns about differences between siblings should always be taken seriously.
A thorough developmental assessment such as growth, language, behavior, and neurological signs is essential.
Normalize differences while carefully evaluating for potential disorders.
Avoid direct sibling comparisons, each child has unique developmental patterns.

A. Follow a strict schedule for all medicines and treatments. B. Take the child to the playroom at least twice a day. C. Keep all of the room lights on throughout the night. D. Provide the child with sugar-free juice at snack time.

Correct Answer is A

Explanation

Autism Spectrum Disorder (ASD) is a neurodevelopmental condition that affects how a person communicates, interacts socially, and processes sensory information. The term “spectrum” reflects the wide range of symptoms, abilities, and challenges that individuals with autism may experience.

Rationale for correct answer:

A. Children with autism spectrum disorder (ASD) thrive on structure, predictability, and routine. A strict, consistent schedule for treatments, meals, and daily care reduces anxiety and behavioral outbursts. Sudden changes can be very distressing for children with ASD.

Rationale for Incorrect Answers:

B. Children with ASD may have difficulty with social interactions and overstimulation in busy playrooms. Play therapy can be helpful, but it should be individualized and not forced.

C. Keeping all of the room lights on throughout the night is not appropriate; it may worsen sleep disturbances is already common in autism and cause sensory overload.

D. Providing the child with sugar-free juice at snack time is not specific to autism management. Unless the child has diabetes or dental concerns, this intervention is not related to autism care.

Take home points

Nursing care for children with autism should prioritize:
- Consistency and routine in care.
- Minimizing sensory overload (noise, light, crowds).
- Respecting communication styles (use of pictures, simple words, or devices).
- Creating a safe, structured environment to reduce anxiety.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

When interacting with a parent at her child’s well visit, which statement by the mother would be an indication for a speech referral? Select all that apply

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother comments to a nurse working on the pediatric unit, “My second child just does not seem to be acting like or responding the same way as my first child.” Nursing interventions to respond to this inquiry should include which of the following? Select all that apply

Correct Answer is ["A","B","C","D"]

Explanation

A 9-year-old child with autism spectrum disorder has been admitted to the hospital. Which of the following interventions is important for the nurse to perform during the child’s stay?

Correct Answer is A

Explanation

As the nurse caring for a culturally diverse population, it is important to understand cultural health beliefs of families. This can best be accomplished by:

A nurse working in a preschool has just been advised that a toddler with fragile X syndrome has been admitted to the school. The nurse should advise the teacher that the child may exhibit which of the following characteristics?

The nurse is caring for a child who has received all possible medical care for cancer, yet continues to experience relapse and metastasis. It is time to make the transition from curative care attempts to palliative care. What is the most important nursing consideration at this time?

The parents of a 5-year-old with special health care needs talk to the parents of a 10-year-old with a similar condition for quite a while each day. What is the nurse’s interpretation of this behavior?

A nurse suspects that a newly delivered baby has Down syndrome. The nurse noted that the baby exhibited which of the following physiological characteristics? Select all that apply

A child has been diagnosed with fragile X syndrome. The nurse would predict that the child may exhibit which of the following signs/symptoms?

The nurse is caring for a child with a developmental disability who is starting kindergarten this year. The mother is tearful and doesn’t want the child to go to school. What is the best response by the nurse?

A school nurse suspects that a 5-year-old child has autism spectrum disorder. The nurse’s suspicion is based on which of the following observations? The nurse noted that the child: Select all that apply