A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

A toddler who is 18 months old and has unintelligible speech

An infant who is 8 months old and is not yet making babbling sounds

A preschooler who is 4 years old and prefers playing with others rather than alone.

An infant who is 3 months old and has an exaggerated startle response

Answer and Explanation

The Correct Answer is B

A. Unintelligible speech is common at 18 months and typically resolves with age. However, a hearing screening may still be appropriate to rule out any issues.

B. By 6 months of age, infants should begin making babbling sounds. The absence of babbling at 8 months suggests a potential hearing impairment and warrants further evaluation.

C. Preferring to play with others is typical behavior for a 4-year-old and does not indicate a hearing impairment.

D. An exaggerated startle response at 3 months is a normal developmental milestone and does not indicate a hearing problem.

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Correct Answer is A

Explanation

A. Preschoolers (ages 3-5) engage in imaginative play, where they create stories and use objects or toys in creative ways. This is a key part of their cognitive and social development.

B. While some preschoolers may begin to show an interest in collecting items, it is more common in school-age children.

C. The need for privacy typically emerges in adolescence, not during the preschool years.

D. Preschoolers are still developing emotional regulation and may struggle with controlling impulses.

A. The family needs to understand that palliative care takes place in the home. B. The family is included in the decision to shift the goals of treatment. C. The decision must be made by the health professionals involved in the child's care. D. The decision should not be communicated to the family because it will encourage a sense of hopelessness.

Correct Answer is B

Explanation

A. Palliative care does not always take place in the home. It can be provided in hospitals, hospices, or other care settings based on the child’s needs.

B. Palliative care focuses on providing relief from symptoms and improving quality of life for the patient. It is essential that the family is included in the decision-making process to align care with the child’s and family’s goals, ensuring informed choices.

C. While healthcare professionals provide guidance, the decision to transition to palliative care is collaborative and includes the family, respecting their values and wishes.

D. Not communicating the option of palliative care to the family may lead to confusion and a lack of understanding. Transparent discussions are necessary to ensure that families are aware of all care options.

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A nurse is performing hearing screenings for children at a community health fair. Which of the following children should the nurse refer to a provider for a more extensive hearing Evaluation?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

Correct Answer is A

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Correct Answer is B

Explanation

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