A nurse is collecting data from a 2-year-old toddler during a well-child visit. For which of the following findings should the nurse notify the provider?
Complete eruption of six teeth
Use of two-word or three-word phrases
Builds a tower of six to seven cubes
Picks up object without falling
The Correct Answer is A
A. A 2-year-old toddler should have more than six teeth by this age, and the eruption of only six teeth is a delay in expected development. Most children have 16 teeth by age 2.
B. Using two- or three-word phrases is appropriate for a 2-year-old and is a sign of normal language development.
C. Building a tower of six to seven cubes is an appropriate developmental milestone for a 2-year-old and indicates normal motor development.
D. Being able to pick up objects without falling is a normal gross motor skill for a 2-year-old.
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Related Questions
Correct Answer is D
Explanation
A. Antidiarrheal agents are generally avoided in cases of shigella infection, as they can slow the elimination of the bacteria and worsen the infection.
B. A diet high in sodium is not appropriate; instead, oral rehydration therapy (ORT) is recommended to replace fluids and electrolytes lost during diarrhea.
C. Shigella is a bacterial infection, not a viral one, so antiviral medications would not be effective. Antibiotics may be prescribed in some cases, but antivirals are not appropriate.
D. Oral rehydration therapy is crucial to prevent dehydration and restore lost fluids and electrolytes in children with diarrhea from shigella.
Correct Answer is A
Explanation
A. The new onset of lethargy in a child with endocarditis is a significant concern, as it can indicate worsening infection or complications such as embolism. This child requires urgent assessment to prevent further deterioration.
B. Erythema of the lips in a child with Kawasaki disease is concerning, but this symptom is expected as part of the disease process. However, other signs like fever and conjunctivitis would be more concerning.
C. An increased erythrocyte sedimentation rate (ESR) in a child with rheumatic fever suggests inflammation, but it is not an immediate life-threatening concern like the lethargy in endocarditis.
D. Weak pedal pulses in a toddler with coarctation of the aorta indicate circulatory compromise, but this child may not be in immediate danger as the condition is often diagnosed and managed with interventions like surgery or medication.
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