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.

Answer and Explanation

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.

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Correct Answer is ["A","B","C","E"]

Explanation

A. Stroking the nipple against the infant's face might confuse the baby and hinder the proper latch-on technique.
B. Supplementing feedings with water might interfere with the baby's intake of necessary nutrients from breast milk.
C. Feeding the infant every hour might not allow enough time for the baby to obtain the full benefits of feeding, potentially leading to inadequate milk intake.
D. Holding the breast in the "C position" is a proper technique for breastfeeding and doesn't require teaching.
E. Carefully washing breasts prior to feeding isn't necessary and might remove natural oils that aid breastfeeding.

A. "This puts you in an at-risk category." B. "We need to talk about safe sex." C. "You're not gay, you're confused." D. "Tell me what makes you think you are gay."

Correct Answer is D

Explanation

A. Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B. While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C. Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D. Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A new mother tells the nurse that she is having difficulty breastfeeding her baby. When observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques? Select all that apply.

Correct Answer is ["A","B","C","E"]

Explanation

During a health check-up without his parents, a 17-year-old tells the nurse he is gay. Which approach should the nurse take?

Correct Answer is D

Explanation

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