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A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

Uses a spoon

Crawls short distances

Speaks five to eight words

Stands with assistance

Answer and Explanation

The Correct Answer is B

Choice A rationale:

A 7-month-old infant with Down syndrome is less likely to use a spoon.

Choice B rationale:

Crawling short distances is a developmental milestone that can be expected at this age.

Choice C rationale:

Speaking five to eight words is not an appropriate milestone for a 7-month-old infant.

Choice D rationale:

Standing with assistance usually occurs around 9-12 months, which might be delayed in infants with Down syndrome.

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Correct Answer is A

Explanation

Choice A rationale:

Poorly controlled blood sugar levels can lead to fetal overgrowth (macrosomia), which increases the risk of a large baby during delivery.

Choice B rationale:

High blood sugar levels after delivery are not specific to babies born to mothers with type 1 diabetes.

Choice C rationale:

Insulin dosage requirements often increase during the second and third trimesters due to insulin resistance, not decrease.

Choice D rationale:

The risk of ketoacidosis is not typically increased in the first trimester; rather, the focus is on controlling blood sugar levels to minimize risks to the developing fetus.

A. Ask the client to explain what she is hearing. B. Convey empathy toward the client. C. Encourage the client to listen to music through headphones. D. Speak simply when communicating with the client. E. Use therapeutic touch when caring for the client.

Correct Answer is ["B","C","D"]

Explanation

Choice A rationale:

Asking the client to explain what she is hearing may not be helpful, as the client's perception of the hallucinations may not match reality.

Choice B rationale:

Conveying empathy is important to establish a therapeutic relationship and provide emotional support.

Choice C rationale:

Encouraging the client to listen to music through headphones can help distract from auditory hallucinations.

Choice D rationale:

Speaking simply and clearly when communicating helps the client understand and process information more effectively.

Choice E rationale:

Using therapeutic touch might not be appropriate for all clients and should be based on the client's preferences and comfort level.

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A nurse is assessing a 7-month-old infant who has Down syndrome. Which of the following developmental milestones should the nurse expect?

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