Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

“My child has a vocabulary of approximately 20 words.”

“My child is still thumb sucking.”

“My child seems to be quite wary of strangers.”

“My child is able to stand but is not yet taking steps independently.”

Answer and Explanation

The Correct Answer is D

A. “My child has a vocabulary of approximately 20 words.”

This statement indicates language development, and an 18-month-old with a vocabulary of approximately 20 words is within the expected range. It's a positive indicator of language acquisition.

B. “My child is still thumb sucking.”

Thumb sucking is a common self-soothing behavior in infants and toddlers. While it's a normal behavior, it typically decreases with age. Thumb sucking alone may not necessarily be a cause for concern unless it persists significantly and interferes with other aspects of development.

C. “My child seems to be quite wary of strangers.”

Stranger anxiety is a normal developmental stage, and many children exhibit wariness or fear of unfamiliar people around the age of 18 months. It is considered a typical response and not necessarily indicative of developmental delay.

D. “My child is able to stand but is not yet taking steps independently.”

At 18 months, most children are expected to be walking independently. The inability to take independent steps might be a concern for gross motor skill development. While some variation is normal, a delay in achieving this milestone might prompt further evaluation to rule out any underlying developmental issues.

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Correct Answer is B

Explanation

A. Internet resources, movies, and television have the most accurate and current information for your adolescent to learn about sexuality issues:

This statement may not be accurate, as the internet, movies, and television can sometimes provide misinformation or biased perspectives. It's crucial to emphasize the importance of reliable and evidence-based sources when adolescents seek information about sexuality.

B. Being honest and straightforward with teenagers will encourage them to ask about subjects like sexuality:

This statement is valuable as it emphasizes open communication. Being honest and straightforward creates an environment where adolescents feel comfortable approaching their caregivers with questions or concerns about sexuality. It promotes trust and a supportive relationship.

C. Most schools have excellent programs to teach adolescents about sex and sexuality:

While some schools do have comprehensive sex education programs, the quality of these programs can vary. Additionally, the involvement of parents and caregivers in discussions about sex and sexuality is essential. Relying solely on school programs may not cover all aspects, and caregivers play a crucial role in reinforcing positive attitudes and values.

D. Teenagers spend so much time with their peers, and that is usually how they find out about sex:

While it's true that peers can influence adolescents, relying solely on peer influence for information about sex may not provide accurate or comprehensive knowledge. Caregivers should aim to create an open and honest dialogue to supplement information from peers and address any misconceptions.

Correct Answer is ["0.1696"]

Explanation

To calculate the ordered dose by the physician in mg/kg/dose, we need to convert the infant's weight from pounds and ounces to kilograms. One pound is equal to 0.4536 kg and one ounce is equal to 0.02835 kg. Therefore, the infant's weight in kilograms is:

6 x 0.4536 + 3 x 0.02835 = 2.948 kg

The ordered dose by the physician is 0.5 mg IV q 2 hours prn. To find the dose in mg/kg/dose, we divide the dose in mg by the weight in kg:

0.5 / 2.948 = 0.1696 mg/kg/dose

The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. The ordered dose by the physician falls within this range, so it is a safe dosage for the infant.

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Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

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Naxlex Comprehensive Predictor Exams

The nurse is meeting with a group of caregivers of adolescents and discussing sex and sexuality, including how to discuss these issues with their children. Which comment should the nurse prioritize with this group of caregivers?

Correct Answer is B

Explanation

An infant weighing 6 pounds 3 ounces has morphine 0.5 mg IV q 2 hours prn ordered for post op pain. The recommended dosage for a child is 0.1-0.2 mg/kg/dose q2-4 hours prn. Prove mathematically the ordered dose by the physician (mg/kg/dose) and is it safe to give.

Correct Answer is ["0.1696"]

Explanation

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