A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Propose food even if the child shows no interest.

Integrate play activities during meal times.

Establish regular meal times.

Permit a variety of food options.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Proposing food even if the child shows no interest might not be effective. Children with autism spectrum disorder often have specific food preferences and may resist trying new foods.
Choice B rationale
While integrating play activities during meal times can make the experience more enjoyable for some children, it might be distracting for a child with autism spectrum disorder. These children often benefit from a calm, structured environment.
Choice C rationale
Establishing regular meal times can provide a sense of structure and predictability, which can be comforting for children with autism spectrum disorder. Regular meal times can also help ensure that the child is receiving adequate nutrition.
Choice D rationale
Permitting a variety of food options can be beneficial for some children, but children with autism spectrum disorder often have specific food preferences and may resist trying new foods.

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Correct Answer is C

Explanation

Choice A rationale
Recognizing most letters and numbers is a skill that typically develops later in childhood, not at 3 years old.
Choice B rationale
Using 1-word sentences is a skill that is typically mastered by 2 years old. A 3-year-old child is usually able to speak in longer sentences.
Choice C rationale
Speaking in simple sentences with four or more words is a normal developmental milestone for a 3-year-old child.
Choice D rationale
Using gestures with 1 to 2-word sentences is a skill that is typically mastered by 2 years old. A 3-year-old child is usually able to speak in longer sentences.

A. Check for signs of teeth clenching or grinding B. Inspect the back of the throat C. Stimulate the gag reflex by touching the tonsillar pillars D. Ask the child to speak to assess for any changes in voice tone .

Correct Answer is B

Explanation

Choice A rationale
Checking for signs of teeth clenching or grinding is not typically necessary in a child who has undergone a tonsillectomy and is swallowing frequently. These signs are not typically associated with post-tonsillectomy complications.
Choice B rationale
Inspecting the back of the throat is an appropriate action for the nurse to take next. Frequent swallowing can be a sign of bleeding in the throat, which is a potential complication of tonsillectomy. By inspecting the back of the throat, the nurse can assess for signs of bleeding.
Choice C rationale
Stimulating the gag reflex by touching the tonsillar pillars is not typically necessary in a child who has undergone a tonsillectomy and is swallowing frequently. This action could potentially cause discomfort or induce vomiting.
Choice D rationale
Asking the child to speak to assess for any changes in voice tone is not typically necessary in a child who has undergone a tonsillectomy and is swallowing frequently. Changes in voice tone are not typically associated with post-tonsillectomy complications.

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A nurse is providing care for a toddler diagnosed with autism spectrum disorder and failure to thrive. What strategy should the nurse employ?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

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