A nurse is discussing growth and development milestones with the parents of a 3-year-old preschooler. Which of the following statements by a parent indicates to the nurse that the preschooler is meeting the expected benchmarks of other preschoolers in this age group?
"My child uses scissors to cut out the outline of an object.”
"My child can copy triangle shapes onto paper.”
"My child can ride a tricycle.”
"My child can throw a ball overhead.”
The Correct Answer is B
Choice A reason:
If the parent states, "My child uses scissors to cut out the outline of an object,” this indicates fine motor skills development. While this is a positive milestone, it is not specific to the expected benchmarks of other preschoolers in this age group. The ability to cut out shapes with scissors varies widely among preschoolers.
Choice B reason:
"My child can copy triangle shapes onto paper.” This statement shows that the child can demonstrate some level of visual-motor coordination and fine motor skills. Copying shapes like triangles is a common milestone for many preschoolers at the age of 3 and is considered an expected benchmark.
Choice C reason:
If the parent says, "My child can ride a tricycle,” this indicates gross motor skills development. Riding a tricycle is also a milestone achieved by many preschoolers, but it may not be as specific to the expected benchmarks of this age group as choice B, which focuses on fine motor skills and visual-motor coordination.
Choice D reason:
If the parent mentions, "My child can throw a ball overhead,” this also points to gross motor skills development. While throwing a ball overhead is an impressive skill for a 3-year-old, it may not be as common or consistent among all preschoolers in this age group as the ability to copy triangle shapes onto paper (choice B).
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Airborne precautions are implemented for diseases that spread through small airborne particles, such as tuberculosis or measles. These diseases can remain suspended in the air for extended periods and be inhaled by others. Pertussis, also known as whooping cough, is primarily spread through respiratory droplets when an infected person coughs or sneezes, making airborne precautions unnecessary.
Choice B reason:
Droplet precautions are appropriate for illnesses that spread through respiratory droplets produced when an infected person talks, coughs, or sneezes. Pertussis falls into this category as it is transmitted mainly through respiratory droplets. By implementing droplet precautions, the nurse will minimize the risk of transmission to others, including healthcare workers and other patients.
Choice C reason:
Standard precautions are the baseline infection prevention practices used for all patients to prevent the spread of infections in healthcare settings. While important, they may not be sufficient to control the transmission of pertussis, as it requires additional measures like droplet precautions due to its specific mode of transmission.
Choice D reason:
Neutropenic precautions are used for patients with compromised immune systems, particularly those with low white blood cell counts (neutropenia). The purpose is to protect these vulnerable individuals from exposure to infectious agents. However, pertussis precautions are different and do not fall under the neutropenic category.
Correct Answer is C
Explanation
Choice A reason:
The statement "I will discard insulin bottles 60 days after opening”. is incorrect. Insulin bottles typically have a shorter shelf life after opening, usually around 28 days. Discarding them after 60 days could lead to using ineffective insulin, which can be harmful to the individual's blood sugar control.
Choice B reason:
This statement is incorrect. Excessive insulin use can cause hypoglycemia which is aggravated by involvement in streneous exercise.
Choice C reason:
The statement "If I feel dizzy, I will drink 4 ounces of orange juice”. is correct. A feeling of dizziness is an early sign of hypoglycemia. Client should be encouraged to take simple acrbohydrayes when tehy experience any symptoms consistent with hypoglycemia
Choice D reason:
The statement "A hemoglobin A1c of 9 percent is a good goal”. is incorrect. Hemoglobin A1c reflects average blood sugar levels over the past 2-3 months. An A1c of 9 percent is relatively high and suggests poor diabetes management. The target A1c goal for most people with diabetes is typically below 7 percent, as recommended by the American Diabetes Association.
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