A nurse is assisting with the plan of care for a 6-month.old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

Speech and language acquisition

Gross motor skill development

Fine motor skill development

Cognitive development

Answer and Explanation

The Correct Answer is A

A. Speech and language acquisition – Correct. A cleft palate can impact speech development due to difficulties in articulation and phonation.

B. Gross motor skill development – Incorrect. Gross motor delays are not commonly associated with cleft palate.

C. Fine motor skill development – Incorrect. Fine motor skills are generally unaffected.

D. Cognitive development – Incorrect. Cognitive abilities are not typically impaired by cleft palate.

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Correct Answer is C

Explanation

A. Glasgow Coma Scale (GCS) assessment. – Incorrect. The GCS assesses neurological function but does not diagnose the underlying cause of symptoms.

B. RBC count. – Incorrect. A complete blood count (CBC) may be helpful, but it does not confirm meningitis.

C. Cerebrospinal fluid (CSF) analysis. – Correct. A lumbar puncture for CSF analysis is the gold standard for diagnosing bacterial or viral meningitis.

D. Magnetic resonance imaging (MRI). – Incorrect. An MRI may be used for complications but is not the initial diagnostic test for suspected meningitis

A. Encouraging the child to be more physically active to increase calorie expenditure. B. Provide education on growth and development. and parenting skills. C. Restricting fluids to prevent excessive weight gain. D. Encouraging the child to eat less to promote weight loss.

Correct Answer is B

Explanation

A. Encouraging the child to be more physically active to increase calorie expenditure. – Incorrect. A child with failure to thrive (FTT) requires adequate caloric intake, and excessive activity could further contribute to weight loss.

B. Provide education on growth and development and parenting skills. – Correct. Many cases of FTT result from inadequate nutrition due to parental knowledge deficits. Educating parents on feeding techniques and child development helps promote growth.

C. Restricting fluids to prevent excessive weight gain. – Incorrect. FTT is characterized by inadequate weight gain, not excessive weight. Hydration is essential for overall health.

D. Encouraging the child to eat less to promote weight loss. – Incorrect. The goal of FTT management is to increase caloric intake to support proper growth and development.

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A nurse is assisting with the plan of care for a 6-month.old infant who has a cleft palate. Which area should the nurse consider when addressing the child's overall development?

Nursing Test Bank

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Correct Answer is B

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