The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?

The child does not vocally respond to voices.

The child never squeals or yells.

The child does not babble.

The child does not say dada or mama.

Answer and Explanation

The Correct Answer is C

A. The child does not vocally respond to voices: While vocal responsiveness is an important aspect of development, it may vary among infants and is not necessarily indicative of a developmental problem at 4 months.

B. The child never squeals or yells: Squealing and yelling are vocalizations that infants may or may not exhibit at this age, and their absence alone may not necessarily indicate a developmental problem.

C. The child does not babblE. Babbling, which typically begins around 4 to 6 months of age, involves the repetition of consonant-vowel combinations (e.g., "bababa"). The absence of babbling by 4 months may suggest a delay in language development and could be a potential sign of a developmental problem.

D. The child does not say dada or mamA. Infants may begin to associate "dada" or "mama" with specific caregivers, but this typically occurs later, closer to 6 to 9 months of age. The absence of this behavior at 4 months may not necessarily indicate a developmental problem.

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Correct Answer is A

Explanation

A. An infant's rate is 90 bpm.

An infant's normal heart rate typically ranges from 70 to 150

B. A toddler's rate is 150 bpm.

The normal heart rate for a toddler usually ranges from 70 to 130. Therefore a rate of 150 bpm would be considered tachycardia in a toddler.

C. A preschooler's rate is 130 bpm.

The normal heart rate for a preschooler typically ranges from 80 to 120 bpm, with an average rate around 100-110 bpm. A rate of 130 bpm would be considered tachycardia in a preschooler.

D. A school-age child's rate is 50 bpm.

The normal heart rate for a school-age child usually ranges from 75 to 118 bpm. A rate of 50 bpm would be considered bradycardia in a school-age child.

A. Transduction B. Centration C. Magical thinking D. Animism

Correct Answer is C

Explanation

A. Transduction - Transduction refers to the process of reasoning from one specific instance to another without necessarily understanding the broader concept. The girl's statement about the sky and her throat does not demonstrate this mental process.

B. Centration - Centration involves focusing on only one aspect of a situation while ignoring others. The girl's statement may involve a degree of focus, but it's more indicative of a broader imaginative process.

C. Magical thinking - Magical thinking involves attributing human emotions or characteristics to inanimate objects or natural phenomena. The girl's belief that the sky is crying because it's sad about her throat hurting reflects this type of thinking.

D. Animism - Animism is a belief system that attributes life or consciousness to natural objects or phenomena. While the girl's statement involves anthropomorphizing the sky, it specifically

involves emotions rather than attributing life itself to the sky. Therefore, magical thinking is a more accurate description.

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The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?

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Naxlex Comprehensive Predictor Exams

The nurse is assessing heart rate for children on the pediatric ward. What is a normal finding based on developmental age?

Correct Answer is A

Explanation

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

Correct Answer is C

Explanation

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