A nurse is caring for a 30-month-old child. Which of the following activities should the nurse expect the child to participate in?
Playing with a jump rope
Playing with a large plastic truck
Playing with dress-up clothes
Playing with an imaginary friend
The Correct Answer is B
A. Playing with a jump rope: Jump rope requires advanced gross motor coordination and balance, which typically develops around age 4–5 years. A 30-month-old is not developmentally ready for this activity.
B. Playing with a large plastic truck: Toddlers around 2–3 years enjoy manipulating large toys such as trucks, cars, or blocks. This play supports fine and gross motor skills, hand-eye coordination, and imaginative exploration appropriate for their developmental stage.
C. Playing with dress-up clothes: Pretend or dress-up play becomes more common around age 3–4 years, as symbolic thinking and role-playing abilities develop. A 30-month-old may begin simple pretend play but usually engages in more concrete, manipulative play.
D. Playing with an imaginary friend: Engaging in complex imaginative play, such as interacting with an imaginary friend, usually emerges around age 3–4 years, reflecting more advanced cognitive and social development than expected at 30 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. Position the child at a 10° to 20° angle after feeding: This angle is too low to effectively reduce the risk of aspiration. The child should remain in at least a 30° to 45° upright position during and after feeding for optimal safety.
B. Measure the tubing from the nose to the distal port: Correct placement measurement involves determining the appropriate tube length from the tip of the nose to the earlobe and then to the xiphoid process. Measuring to the distal port ensures accurate placement for safe feeding.
C. Warm the formula in the microwave: Microwaving can create uneven heating and hot spots that may burn the gastrointestinal mucosa. Formula should be warmed by placing the container in warm water and checking the temperature before administration.
D. Complete the feeding in 5 min: Rapid feeding increases the risk of nausea, vomiting, and aspiration. Feedings should be administered slowly over the recommended time frame to allow for tolerance and digestion.
Correct Answer is B
Explanation
Rationale:
A. "Place a pillow under your knees while in bed.": Elevating the knees with a pillow can compress blood vessels and restrict circulation, increasing the risk of venous stasis and deep vein thrombosis.
B. "Participate in range-of-motion exercises.": Performing range-of-motion exercises promotes blood flow in the extremities, prevents venous stasis, and reduces the risk of complications such as deep vein thrombosis, supporting postoperative circulation.
C. "Remain on bed rest for 24 hours following the procedure.": Prolonged immobility can impair circulation and increase the risk of blood clots. Early ambulation and movement are encouraged unless contraindicated by the provider.
D. "Use an incentive spirometer every hour”: While using an incentive spirometer is important for preventing respiratory complications, it primarily promotes lung expansion and does not directly enhance circulation.
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