A nurse is assessing a female child in an area struck by an earthquake. The child, who is crying, walks well, can state her first name, and repeatedly says "All done" and "Go bye-bye” now during the assessment. The child has 24 deciduous teeth and her anterior fontanel is closed. Based on these observations, the nurse should estimate that the child is how many months old?

Answer and Explanation

The Correct Answer is D

Walking Well: The ability to walk well typically develops around 12 to 15 months. Since the child walks well, we can consider her closer to this age range.

Stating first name: By 24-30 months, most children can identify themselves by name.

Repeating Phrases (“All done” and “Go bye-bye”): Repeating phrases is common around 15 to 18 months. The child’s language development aligns with this stage.

24 Deciduous Teeth: By the age of 2 to 3 years, children typically have all 20 deciduous (baby) teeth. Since this child has 24 deciduous teeth, she is likely closer to the 2-year-old mark.

Closed Anterior Fontanel: The anterior fontanel (soft spot on the baby’s head) usually closes by 18 months. The fact that it is closed indicates that the child is beyond this age.

Child is most likely 30 months old.

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Correct Answer is A

Explanation

Children with congenital immunodeficiencies have compromised immune systems and may not be able to mount an adequate immune response to the vaccine. Administering live vaccines, such as MMR, to these children can potentially cause severe complications.

A. A 4-month-old infant B. A 2-year-old toddler C. An 11-year-old school-age child D. A 4-year-old child

Correct Answer is C

Explanation

The MCV4 vaccine is recommended for individuals aged 11-12 years, with a booster dose recommended at age 16. It helps protect against meningococcal disease, which is caused by bacteria and can lead to serious infections such as meningitis or bloodstream infections.

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Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to 15-month-old toddler. Which of the following findings is a contraindication for this immunization?

Correct Answer is A

Explanation

A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?

Correct Answer is C

Explanation

A nurse working in a pediatric clinic recognizes the three most common toxins in pediatric care?

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