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. Children are generally recommended to ride in the back seat until they are at least 13 years old due to airbag-related safety concerns, so this statement is inaccurate.
B. Signing the child up for swim lessons is a proactive safety measure to prevent drowning incidents, showing good awareness of safety concerns.
C. Wearing a helmet while riding a scooter is an essential safety precaution and demonstrates understanding of safety measures.
D. Riding a bike with traffic on the side of the road is the correct way to cycle and indicates an understanding of bike safety rules.
Correct Answer is A
Explanation
A. Questioning and curiosity, like a 3-year-old asking 'Why?' frequently, is a normal part of language development and cognitive growth.
B. A 15-month-old pointing to his eyes when asked is a developmental milestone indicating language and communication skills.
C. Using words and gestures to communicate is also a developmental milestone observed in toddlers, usually around 18 months.
D. Understanding prepositions like 'under' or 'on' is a language milestone typically achieved around 2 years old, indicating comprehension skills in toddlers.
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