The nurse is conducting a well-child assessment for a 5-year-old boy in preparation for kindergarten. The boy's grandmother is his primary caregiver because the boy's mother has suffered from depression and substance abuse issues. The nurse understands that the child is at increased risk for which developmental problem?
Speech and language delays
Fine motor skills delay
Stuttering
Lack of social and emotional readiness for school
The Correct Answer is D
A. Speech and language delays could occur but might not be the primary developmental problem given the circumstances.
B. Fine motor skills delays could also occur but might not be the primary developmental problem considering the caregiver's situation.
C. Stuttering might arise but might not be the primary developmental problem given the context of the caregiving environment.
D. Children in environments affected by parental depression and substance abuse may face challenges in developing social and emotional readiness for school due to inconsistent caregiving and potential emotional stressors.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Adding cereal to formula in a bottle or sweetening with honey can pose choking hazards and introduce unnecessary risks or adverse reactions.
B. Washing bottles and nipples properly is essential, but this guideline doesn't specifically address formula preparation.
C. Storing ready-to-feed formula in the refrigerator is a valid guideline, but it's not related to formula preparation.
D. Microwaving formula can create uneven heating and hot spots, potentially burning the baby's mouth; this is not a recommended method for warming formula.
Correct Answer is B
Explanation
A. The need for surety and security involves seeking safety and stability, which might not directly cause such sudden shifts in behavior observed in toddlers.
B. Toddlers often struggle with the emerging desire for independence and control over their environment, leading to emotional outbursts when their attempts at control are challenged.
C. The need for love and belonging is a fundamental aspect of development but might not directly relate to the sudden emotional fluctuations seen in limit-setting situations.
D. While peer approval becomes important later in childhood, during the toddler years, the primary focus is on asserting independence rather than seeking peer validation.
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