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 D
Explanation
A. Congenital anomalies: While congenital anomalies can contribute to infant mortality, they are not the leading cause of death among infants.
B. Respiratory distress: Respiratory distress can be a significant concern in newborns, especially premature infants, but it is not the leading cause of death among infants overall.
C. Low birth weight: Low birth weight is a risk factor for various health complications in infants, but it is not the leading cause of death among infants.
D. Sudden infant death syndrome (SIDS): SIDS is the sudden and unexplained death of an otherwise healthy infant, typically during sleep. It is the leading cause of death among infants aged 1 month to 1 year, making it an essential consideration in health promotion and education efforts for parents.
Correct Answer is A
Explanation
A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no
intervention is usually necessary.
B. Notify the primary care healthcare provider about the condition: Lordosis alone is not
typically considered a concerning finding in toddlers unless it is severe or accompanied by other
symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.
C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.
D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.
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