Parents of a 5-year-old child tell the nurse they are concerned about their child's speech development by stating "No one can understand him but us.”. What clinical classification of speech disorder does the nurse suspect?
Articulation disorder.
Global language delay.
Expressive language delay.
Language loss.
The Correct Answer is C
Choice A rationale:
Articulation disorder refers to difficulty in pronouncing sounds and is more related to the physical aspects of speech production. The scenario described by the parents focuses on the comprehensibility of the child's speech, not the specific pronunciation of sounds.
Choice B rationale:
Global language delay typically involves a delay in both expressive and receptive language skills. However, the parents' concern about their child's speech not being understood by others suggests that the issue is more specific to expressive language, which involves the ability to convey thoughts and ideas.
Choice C rationale:
Expressive language delay refers to difficulties in using language to express thoughts and ideas. In this case, the parents mention that "No one can understand him but us," indicating that the child has trouble communicating effectively with others, which aligns with an expressive language delay.
Choice D rationale:
Language loss is not a likely consideration in this scenario as the parents are concerned about their child's current speech development, not a regression in language skills.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Keeping the infant's room well lit is not the best action to address lethargy. While adequate lighting is important, the primary concern in this situation is the infant's health and well-being, and manipulating the room lighting will not directly address the issue.
Choice B rationale:
Rubbing the infant's soles vigorously is not the most appropriate action for a lethargic infant. Lethargy may be a sign of an underlying medical issue, and vigorous rubbing of the soles is unlikely to resolve the problem.
Choice C rationale:
Offering the infant a pacifier may provide comfort in certain situations but is not the best action for a lethargic infant. Lethargy in an infant requires further assessment to determine the underlying cause and appropriate interventions.
Choice D rationale:
Handling the infant slowly and gently is the most appropriate action in this scenario. Lethargy in a 10-month-old infant can be a sign of illness or discomfort, and gentle handling is crucial to ensure the infant's well-being. The infant should be assessed for any signs of illness or distress and, if necessary, brought to a healthcare provider for further evaluation.
Correct Answer is A
Explanation
Choice A rationale:
The pincer grasp is the coordination of the index finger and thumb to pick up small objects. It is a developmental milestone that typically occurs around 9-12 months of age. This behavior indicates that the infant has developed the ability to use the pincer grasp to manipulate objects. It is an essential skill for fine motor development and is a positive sign of the child's motor skills progressing.
Choice B rationale:
Prehension ability refers to the general ability to grasp objects but does not specifically describe the pincer grasp. While the infant is displaying a form of prehension by picking up cereal, the pincer grasp is a more specific and advanced skill.
Choice C rationale:
A grasp reflex is an automatic and involuntary response to touch, and it is typically present in newborns but should disappear as the infant develops. The behavior described in the question is not a grasp reflex, as it involves a deliberate use of the index finger and thumb.
Choice D rationale:
The parachute reflex is a protective reflex that appears later in infancy and involves extending the arms when the infant feels like they are falling. It is not relevant to the described behavior of picking up cereal with the fingers.
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