The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?
Can dress and undress herself without help
Draws a person with three body parts
Is beginning to tie her own shoelaces
Can copy a square on another piece of paper
The Correct Answer is B
A. Dressing and undressing without help is an appropriate motor skill for a 5-year- old.
B. Drawing a person with three body parts is expected for a 3-year-old child, not a 5- year-old child. A 5-year-old child should be able to draw a person with six or more body parts, such as head, body, arms, legs, eyes, and mouth.
C. Beginning to tie her own shoelaces is a fine motor skill developmentally appropriate for a 5-year-old.
D. Copying a square on another piece of paper is normal developmental milestone for a 5-year-old child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Before answering questions, it's important to understand what the child already knows or thinks about the subject to provide developmentally appropriate information.
B. Expanding upon the topic when answering questions may overwhelm the child with too much information and may not be developmentally appropriate.
C. Providing a less than honest response may undermine trust between the parent and child and may not adequately address the child's curiosity or concerns.
D. Waiting until the child asks about a topic may miss opportunities for proactive, age-appropriate education and guidance.
Correct Answer is ["A","B","C","D"]
Explanation
A. Asymmetrical movement may indicate discomfort or restricted mobility due to a fractured clavicle.
B. Bruising over the area of the clavicle may suggest trauma and could be associated with a fracture.
C. Edema (swelling) over the fractured clavicle may be present due to inflammation and tissue injury.
D. Facial grimacing with movement could indicate pain or discomfort associated with a fractured clavicle.
E. A positive Babinski reflex is unrelated to a fractured clavicle and would not be directly assessed for this condition.
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