The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish- speaking mother. The boy does not say "mama" or "dada" yet. What is the priority intervention?
Encourage the parents to speak English to the child.
Refer the child to a developmental specialist.
Perform a developmental evaluation of the child.
Ask the mother if the child uses Spanish words.
The Correct Answer is C
A. Encouraging the parents to speak English to the child may influence language acquisition but might not be the priority if there are concerns about speech development.
B. Referring the child to a developmental specialist could be considered, but conducting a developmental evaluation should be the first step to determine if intervention is needed.
C. Performing a developmental evaluation will provide a clearer understanding of the child's speech and language development to ascertain if there are delays or concerns.
D. While understanding if the child uses Spanish words is relevant, it may not be the priority over a comprehensive developmental assessment.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Nurses are mandated reporters, required by law to report suspected cases of child abuse or neglect to the appropriate authorities.
B. While maintaining confidentiality is important, in cases of suspected abuse, legal obligations override the need for confidentiality.
C. Involving the provider might not be immediate or necessary for explaining the situation, as the priority is reporting and ensuring the child's safety.
D. Directly reporting to authorities or involving supervisors is the responsibility of the nurse when faced with suspected child abuse.
Correct Answer is ["A","B","C","D"]
Explanation
A. Walking independently is a major motor skill milestone usually achieved by most toddlers by 15 to 18 months.
B. Drinking from a cup, often without spilling, is a fine motor skill that most toddlers can accomplish around 12 to 15 months.
C. Feeding themselves with a spoon, although messy at times, is a skill that many toddlers are starting to master around 18 to 24 months.
D. By 2 years old, most toddlers have a vocabulary of around 50 words and can start to combine words into simple sentences. Speaking up to 20 words is within the expected range.
E. Associative play, where children begin to interact and play with others but may not yet play together in an organized way, typically emerges later, around ages 3 to 4.
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