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

Answer and Explanation

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.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Adolescents typically develop a deeper understanding of morality and develop their conscience during this stage.
B. While adolescents may seek pleasure and avoid punishment, this is not necessarily a moral milestone but rather a characteristic of behavior influenced by developmental stages.
C. Adolescents start to question established norms and develop their own set of morals and values.
D. Adolescents undergo the process of developing their own set of morals at different rates, which reflects individual differences and influences from peers, family, and society.
E. Understanding and incorporating the "golden rule" (treating others as you would like to be treated) is a significant moral milestone for adolescents.
F. While some adolescents may become more interested in the spiritual aspects of their religion, this is not universally true for all adolescents and therefore not a specific milestone.

A. Provide early feedings to prevent hypoglycemia B. Maintain oxygen saturation parameters C. Obtain hemoglobin and hematocrit laboratory tests D. Monitor urinary output E. Insert a peripheral IV

Correct Answer is ["A","B","C","D","E"]

Explanation

A. Providing early feedings can help prevent hypoglycemia, a common complication of polycythemia.
B. Maintaining oxygen saturation parameters, which can indicate the adequacy of tissue oxygenation and perfusion.
C. Obtaining hemoglobin and hematocrit laboratory tests is essential for diagnosing and monitoring polycythemia.
D. Polycythemic neonates may have decreased urinary output due to reduced renal blood flow, dehydration, or increased risk of thrombosis. The nurse should monitor the urinary output and report any signs of oliguria, anuria, hematuria, or renal failure.
E. A peripheral IV is a catheter inserted into a vein to administer fluids, medications, or blood products. Polycythemic neonates may require a partial exchange transfusion, which is a procedure where some of the neonate's blood is removed and replaced with normal saline or donor blood. This can help lower the hematocrit and viscosity and improve oxygen delivery and tissue perfusion. The nurse should insert a peripheral IV and prepare for the transfusion as ordered by the physician.

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The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

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Naxlex Comprehensive Predictor Exams

The nurse assesses the spirituality of an adolescent. What are normal moral and spiritual milestones in this age group? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

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Correct Answer is ["A","B","C","D","E"]

Explanation

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