A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

"Diets can play a part in behavioral concerns. What does your child typically eat during the day?"

"Discipline is an important aspect of parenting. How do you discipline the child when they act out?"

"Toddlers are beginning to develop a desire for autonomy. Temper tantrums are normal during this stage."

"Some children have more difficult personalities. There are great parenting books that can help you."

Answer and Explanation

The Correct Answer is C

A. While diet can influence behavior, the concern here is the child’s developmental stage, making this response less relevant.

B. Discussing discipline is important, but understanding normal developmental behaviors is more appropriate in this context.

C. Explaining that temper tantrums are normal for toddlers, who are starting to develop a sense of autonomy, helps reassure the parent that this behavior is typical and part of the child's development.

D. Suggesting parenting books might be helpful, but it does not directly address the parent's immediate concern about the behavior.

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Correct Answer is D

Explanation

A. The Doll's eye reflex is expected to be negative in older infants. It is present in newborns but should be absent by 2 months of age.

B. The Crawl reflex, which involves the infant moving forward when placed on their stomach, should disappear by 6-8 months. A negative reflex at 9 months is expected.

C. The Babinski reflex, where the toes fan out when the sole of the foot is stroked, is normal in infants up to 12-18 months.

D. The Moro reflex, or startle reflex, should disappear by 4-6 months of age. A positive Moro reflex at 9 months indicates a delay in neurological development and requires further evaluation.

A. Recording an upper extremities, B. Assessing for the presence of femoral pulses C. Observing for excessive crying D. Auscultating for a cardiac murmur

Correct Answer is A

Explanation

A. Recording an upper extremity blood pressure (in the arms) compared to a lower extremity blood pressure (in the legs) can help reveal coarctation of the aorta, as the condition often results in higher blood pressure in the upper body and lower pressure in the lower body.

B. Assessing for femoral pulses is important but may not reveal coarctation of the aorta unless there is significant obstruction.

C. Excessive crying is not a specific indicator of coarctation of the aorta.

D. While a cardiac murmur can be associated with various heart conditions, it is not the most definitive assessment for coarctation of the aorta.

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A nurse is assessing a 2-year-old child at a well-child visit. The child's parent expresses concern about the child's increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is assessing a 9-month-old infant. Which of the following findings requires further intervention?

Correct Answer is D

Explanation

Coarctation of the aorta demonstrates few symptoms in newborns. What is a important assessment to the nurse make on all newborns to help reveal this condition?

Correct Answer is A

Explanation

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