A nurse is collecting growth and development data from a 5-year-old child during a well-child visit. Which of the following statements by the parent indicates the child's cognitive and language skills require further investigation?
"My child speaks 3 to 4 word sentences."
"My child can count to 10."
"My child can identify simple rhythms."
"My child knows the names of 5 colors."
The Correct Answer is A
A. "My child speaks 3 to 4 word sentences." This statement suggests a delay in language development for a 5-year-old. By this age, children should be able to form longer sentences, typically around 5 to 6 words. Speaking in only 3 to 4-word sentences could indicate a need for further evaluation of the child's language development.
B. "My child can count to 10." This is appropriate for a 5-year-old. Many children at this age are able to count to 10, which is a common milestone for their cognitive development.
C. "My child can identify simple rhythms." This is also a normal skill for a 5-year-old. The ability to identify simple rhythms reflects an appropriate level of cognitive and auditory processing.
D. "My child knows the names of 5 colors." This is a typical skill for a 5-year-old child. By this age, many children can identify and name a variety of colors, so this is not a concern.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Apply elbow immobilizers to both arms is correct. Elbow immobilizers are used to prevent the infant from putting their hands to their mouth, which could disrupt the healing of the surgical site. This is a common practice following cleft palate surgery.
B. Offer a pacifier with glucose syrup is incorrect. Offering a pacifier with glucose syrup is not appropriate, as it could cause harm to the surgical site. The infant should not be allowed to suck on objects that could interfere with healing.
C. Gently cleanse the surgical site with sterile gauze is incorrect. The surgical site should not be cleansed immediately postoperatively unless directed by the provider. Typically, the area is left to heal undisturbed, and cleaning is done with specific guidelines.
D. Place the infant in a supine position is incorrect. While supine positioning is important for infants to prevent sudden infant death syndrome (SIDS), following cleft palate surgery, the infant may need to be placed in an upright position to avoid putting pressure on the surgical site and to reduce the risk of aspiration.
Correct Answer is B
Explanation
A. "I will apply the antibiotic ointment in the morning and use the drops at bedtime." is incorrect. If an antibiotic is prescribed, either drops or ointment are typically used, but not both. Additionally, viral conjunctivitis does not require antibiotics, so treatment depends on the underlying cause.
B. "I will use a separate washcloth to clean the affected eye." is correct. Using a separate washcloth prevents the spread of infection to the unaffected eye or to others. Conjunctivitis is highly contagious, and proper hygiene is essential in preventing its spread.
C. "I will wipe from the outer to inner corners of the eye to remove secretions." is incorrect. The correct technique is to wipe from the inner to the outer canthus to prevent spreading debris and infection toward the tear ducts.
D. "I will leave a warm, moist compress on the affected eye for 10 minutes." is incorrect. While warm compresses can help soothe irritation, prolonged moisture can create an environment for bacterial growth. Shorter applications are recommended, and cool compresses may also provide relief.
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