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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. “The preschooler is developing a conscience": This response acknowledges the ongoing development of morality in preschoolers. During the preschool years, children begin to
internalize rules and develop a sense of right and wrong, guided by their emerging conscience. They may start to show guilt or remorse when they do something wrong and may seek approval from adults.
B. "The preschooler's morals are his or her own, right or wrong": While preschoolers are
beginning to form their own sense of morality, it is not accurate to suggest that their morals are inherently right or wrong. Rather, they are in the process of learning and developing moral understanding.
C. "The preschooler sees morality as internal to self": This statement highlights the emerging understanding of morality as an internal guide for behavior. Preschoolers begin to recognize that certain actions are considered right or wrong, although their understanding may still be somewhat egocentric.
D. “The preschooler has no sense of right and wrong": This statement is incorrect. Preschoolers do start to develop a sense of right and wrong, although their understanding may be limited and influenced by their stage of cognitive and moral development.
Correct Answer is ["A","B"]
Explanation
A. The nurse checks the documented time of the last dosage administereD. This action ensures that the medication is given at the appropriate frequency and prevents overdosing or underdosing.
B. The nurse calculates the dosage according to the child's weight: Pediatric medication dosages are often calculated based on the child's weight to ensure safe and effective administration.
C. The nurse makes sure the medication is given within the hour of the ordered timE. While
timely administration of medication is important, the specific time interval within which a PRN medication should be given may vary depending on the medication and the healthcare provider's orders. This statement does not necessarily reflect the rules of pediatric medication
administration.
D. The nurse explains the therapeutic effects of the medication to the child and parents. The nurse administers the medication even though the child is adamant about not taking it: Administering medication against the child's wishes without proper explanation or consent does not adhere to the principles of pediatric medication administration. It is important to provide education about the medication and involve the child and parents in the decision-making process whenever possible.
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