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

Answer: A

Rationale:

(A) Repair should be done before the child is potty-trained: Surgical correction of hypospadias is typically recommended before the child reaches the age of 18 months, ideally between 6 and 12 months. This timing ensures that the child has not yet developed any psychological awareness of the surgery and helps avoid complications during toilet training. Repair before potty training is important to prevent urinary dysfunction and psychosocial issues.

(B) The urethral repair should be done after sexual maturity: Delaying surgical repair until after sexual maturity is not recommended. Early repair is crucial to ensure normal urinary and sexual function, and delaying it could lead to complications such as difficulty with urination and psychological distress.

(C) Surgery should be done by one month to prevent bladder infections: While preventing urinary tract infections is important, performing surgery as early as one month is not typically necessary or recommended. The optimal timing is closer to 6 to 12 months of age when the child is more resilient to surgery but still before the developmental milestones of potty training.

(D) Delaying the repair until school age reduces castration fears: Delaying the surgery until school age can actually increase psychological stress and fear of castration. Early surgical correction is preferred to minimize psychological impact and to allow the child to develop normally without the need for complex explanations or fear of surgery later in life.

A. Sweat-chloride test. B. Faecal-fat test. C. Pulmonary-function test. D. Potassium chloride test.

Correct Answer is A

Explanation

The nurse should prepare the mother for a sweat-chloride test to screen for cystic fibrosis (CF). A sweat- chloride test measures the amount of chloride in the sweat and is used to diagnose CF. CF is a genetic disorder that can cause the body to produce thick, sticky mucus that can clog the lungs and pancreas. One of the symptoms of CF is salty-tasting skin due to an increased amount of salt in the sweat. The other options (B, C, and D) are not standard diagnostic tests for screening for CF.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The parents of a newborn infant with hypospadias are concerned about when the surgical correction should occur. Which information should the nurse provide?

Correct Answer is A

Explanation

A mother brings her 2-month-old to the well-baby clinic. She states that when she kisses her baby, the infant's skin tastes salty. The nurse should prepare the mother for what standard diagnostic test to screen for cystic fibrosis (CF)?

Correct Answer is A

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?