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A nurse in an outpatient pediatric clinic is caring for a 4-year-old child.

Exhibits

Click to highlight the findings that indicate anticipated growth and development based on the child's chronological age. To deselect a finding, click on the finding again.

Today

4-year-old child brought to the clinic for routine physical examination. Developmental tasks reviewed. Parent states the child can throw a ball overhand, draw a picture of a person with three body parts, and balance on one foot. Parent reports the child engages in pretend play independently and in parallel play with peers. The child has gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago. No concerns today.

can throw a ball overhand

draw a picture of a person with three body parts

balance on one foot

engages in pretend play independently and in parallel play with peers

gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago

Developmental tasks reviewed

Answer and Explanation

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

"Can throw a ball overhand"

Expected gross motor skill for a 4-year-old.

"Draw a picture of a person with three body parts"

Reflects typical fine motor and cognitive development for this age.

"Balance on one foot"

Demonstrates appropriate gross motor development for a 4-year-old, who is expected to balance on one foot for a few seconds.

"Engages in pretend play independently and in parallel play with peers"

Normal social and imaginative play for this age, indicating appropriate social-emotional development.

"Gained 2 kg (4.5 lb) and grown 6.2 cm (2.6 inches) since their physical examination 1 year ago"

Reflects typical physical growth for a 4-year-old child.

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Naxlex Comprehensive Predictor Exams

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Free Nursing Study Resources

Correct Answer is C

Explanation

A. While handwashing is important, it alone may not prevent the spread of meningitis.

B. Both children, not just the 2-year-old, should avoid contact with the infected infant.

C. Meningitis, especially bacterial forms, can be contagious, and close contact should be minimized to reduce the risk of transmission.

D. Meningitis can be highly transmissible, especially in young children, through respiratory droplets and close contact.

A. If pain lasts more than 5 days, notify the provider B. Verify the dose with the provider before taking C. Avoid use if there is a family history of Long QT syndrome (LOTS) D. This medication can be used for pain relief only

Correct Answer is A

Explanation

A. If pain persists for more than 5 days, it may indicate an underlying condition that requires medical attention.

B. Acetaminophen dosing guidelines for children are well established and do not require verification for occasional use unless there is a specific concern.

C. Long QT syndrome is not a contraindication for acetaminophen use.

D. Acetaminophen can be used for both pain and fever relief.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant diagnosed with meningitis. The parent of the infant asks how they can prevent the infection from being spread to their other children who are 2 and 4-years of age. Which of the following responses should the nurse make?

Correct Answer is C

Explanation

A nurse is creating a plan of care for a child who is 12 years of age and takes acetaminophen occasionally for pain. Which of the following recommendations should the nurse plan to make?

Correct Answer is A

Explanation

A nurse is teaching a student nurse about the positive results of providing family-centered care. Which of the following statements by the student nurse shows that the teaching has been effective?

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