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A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?

Falls when throwing a ball overhand

Goes up stairs with two feet on each step

Runs with a wide stance

Refers to self by name

Answer and Explanation

The Correct Answer is D

A. It is expected for a 24-month-old to have some difficulty with coordination when throwing a ball.

B. Using both feet on each step when going upstairs is developmentally appropriate at this age.

C. Running with a wide stance is common in toddlers as they develop balance and coordination.

D. This is the correct answer. By 24 months, a toddler should begin using pronouns such as "I" or "me" instead of referring to themselves by name, indicating a possible language delay.

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Correct Answer is B

Explanation

A. MRSA is a serious infection but is not nationally required to be reported to health departments in all cases.

B. This is the correct answer. Pulmonary tuberculosis (TB) is a reportable disease due to its public health risk, as it is highly contagious and requires monitoring.

C. Herpes simplex virus is not a reportable disease.

D. Fibromyalgia syndrome is a chronic pain condition and is not infectious or reportable.

A. "You should wear a snug-fitting bra continuously for 72 hours." B. "You should apply moist heat to your breasts four times per day." C. "You should limit your fluid intake to 1 liter per day." D. "You should manually express milk when engorgement occurs."

Correct Answer is A

Explanation

A. This is the correct answer. A snug-fitting bra helps suppress lactation and provides support to relieve discomfort. It should be worn continuously, even while sleeping, for 72 hours.

B. Moist heat stimulates milk production and should be avoided. Instead, cold compresses can help reduce swelling.

C. Fluid restriction is not necessary and could lead to dehydration.

D. Manually expressing milk will encourage continued milk production rather than suppressing lactation.

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A nurse is assessing a 24-month-old toddler at a well-child checkup. Which of the following findings indicates to the nurse that the toddler has a developmental delay?

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