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 A

Explanation

A. Preventing spread of infection:

This is a priority because individuals with acquired immunodeficiency syndrome (AIDS) have a compromised immune system. Preventing the spread of infections is crucial to avoid additional complications and safeguard the individual's health.

B. Maintaining skin integrity:

Skin integrity is important for overall health, but in the context of AIDS, preventing infections and promoting immune function take precedence over maintaining skin integrity. Skin issues might be secondary to the immune system's compromised state.

C. Improving nutrition:

Good nutrition is important for overall health, including supporting the immune system. However, preventing the spread of infection is more immediate and critical in the case of someone with AIDS. Addressing nutritional needs can be part of the overall care plan but might be secondary to preventing infections.

D. Promoting comfort:

While promoting comfort is essential in nursing care, the priority in the case of a child with AIDS would be preventing the spread of infection due to the immunocompromised state. Comfort measures may be incorporated into the care plan, but they would not take precedence over preventing further health complications.

A. Temperament B. School C. Peer relationships D. Family

Correct Answer is C

Explanation

A. Temperament:

Temperament refers to a child's innate traits and behavioral style. While temperament influences how a child responds to social situations, during the school-aged years, the focus often shifts towards developing social skills through interactions with peers.

B. School:

School is a crucial aspect of a child's life, providing opportunities for social interaction, learning, and development. However, within the context of social interaction, the emphasis on school might encompass friendships, group activities, and the overall social environment that the child experiences within the school setting.

C. Peer relationships:

During the school-aged years, peer relationships become particularly important for social development. Children start to form friendships, learn to navigate social situations, and develop a sense of belonging. Peer interactions contribute significantly to emotional and social growth during this stage.

D. Family:

Family plays a fundamental role in a child's development, including social development. However, during the school-aged years, children often begin to explore relationships outside the family circle, and peer relationships become increasingly influential.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a 16-year-old child with a diagnosis of acquired immunodeficiency syndrome (AIDS). What treatment goal has the highest priority for this child?

Correct Answer is A

Explanation

When providing anticipatory guidance to a group of parents with school-aged children, what would the nurse describe as the most important aspect of social interaction?

Correct Answer is C

Explanation

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