The nurse is assessing the growth and development of a 3-year-old child.

Which speech and language skills should the nurse identify as normal developmental milestones for this child?

Speaks in simple sentences with four or more words.

Recognizes most letters and numbers.

Uses gestures with 1-to-2-word sentences.

Uses 1-word sentences.

Answer and Explanation

The Correct Answer is A

At the age of 3, children should be able to speak in simple sentences with a minimum of four words. This is a normal developmental milestone for this age group. Choices B, C, and D are not appropriate developmental milestones for speech and language skills for a 3-year-old child.

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Correct Answer is A

Explanation

To maintain normal growth and development of an infant with a repaired gastroschisis who is receiving parenteral nutrition and continuous enteral feedings, the nurse should include oﬀering a pacifier for non- nutritive sucking in the plan of care. Non-nutritive sucking can help promote the development of the infant's oral motor skills and support normal feeding behaviors. The other options (B, C, and D) are not directly related to maintaining normal growth and development in this situation.

A. Audible heart murmur. B. Heart rate of 162 beats/minute. C. Poor oral intake and suckling eﬀort. D. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours.

Correct Answer is C

Explanation

Infants with congenital heart defects may have difficulty with feeding due to increased eﬀort required to breathe and feed at the same time. This can lead to poor weight gain and dehydration. Thus, it is important for the nurse to report any signs of poor feeding or oral intake to the healthcare provider. While audible heart murmur (choice A)and a high heart rate (choice B)are expected findings in infants with congenital heart defects, they do not necessarily indicate a need for immediate intervention. Weight gain of 2.2 lbs. (1 kg) in the last 48 hours (choice D)may actually be a positive finding in an infant with a congenital heart defect, but it is not as important to report as poor oral intake and suckling eﬀort.

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The nurse is assessing the growth and development of a 3-year-old child. Which speech and language skills should the nurse identify as normal developmental milestones for this child?

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Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

The nurse is caring for an infant who was recently diagnosed with a congenital heart defect. Which assessment finding is most important for the nurse to report to the healthcare provider?

Correct Answer is C

Explanation

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The nurse is assessing the growth and development of a 3-year-old child.

Which speech and language skills should the nurse identify as normal developmental milestones for this child?