The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays?

The child is homeless and has no toys.

The mother is suffering from depression.

The child is unperturbed by a loud noise.

The mother describes an inadequate diet.

Answer and Explanation

The Correct Answer is C

A. Incorrect: Lack of toys can limit stimulation, but it does not directly cause motor delays.

B. Incorrect: Maternal depression can impact emotional bonding but is less directly linked to motor skill delays.

C. Correct: A child who is unperturbed by loud noise may have hearing impairment, which can impact language and motor development due to lack of auditory feedback.

D. Incorrect: An inadequate diet can affect growth, but specific motor skill delays are more likely linked to neurological or sensory issues.

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Correct Answer is C

Explanation

A. Incorrect: Fires are a safety risk but are not the leading cause of adolescent injury.

B. Incorrect: Drowning is a major concern in children but not the leading cause of adolescent injuries.

C. Correct: Motor vehicle accidents are the leading cause of death and injury in adolescents, often due to inexperience, distracted driving, and risk-taking behaviors.

D. Incorrect: Firearm injuries are a serious concern but rank below motor vehicle accidents in overall adolescent injury statistics.

A. Discuss the plan of care out of earshot of the child. B. Provide opportunities for the parents to participate in the child's care. C. Encourage the parents to bring personal items to make the child feel more at home. D. Answer any questions the child may have in generalized terms. E. Make the child's room off limits to invasive procedures.

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

Explanation

A. Incorrect: Discussing the plan of care out of earshot of the child may increase anxiety and fear rather than help with adaptation.

B. Correct: Parental involvement provides comfort and emotional support, helping the child feel more secure.

C. Correct: Personal items can create a familiar and comforting environment, reducing stress.

D. Incorrect: Providing generalized answers may increase uncertainty; honest and age-appropriate communication is best.

E. Correct: Keeping the child’s room as a "safe zone" can help reduce stress related to medical procedures.

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The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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