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 D
Explanation
A. MRI scans can vary in duration and may take longer than 30 minutes, depending on the specific procedure and imaging requirements.
B. Movement can distort the images in an MRI scan, so it's crucial for the client to lie as still as possible during the procedure.
C. The contrast dye used in MRIs does not typically contain iodine and is not known to cause skin itching.
D. MRI scanners generate loud noises during operation, and patients are often provided with earplugs or headphones to minimize discomfort from the noise.
Correct Answer is A
Explanation
A. By 24 months, children are typically able to walk, run, and push or pull toys, such as a toy lawnmower, demonstrating gross motor skills and coordination. The inability to push a toy indicates possible delay in gross motor development.
B. Difficulty undressing self involves fine motor and self-care skills, which may vary among children and develop gradually; mild challenges are not necessarily delayed at 24 months.
C. Unscrewing a jar lid requires more advanced fine motor coordination than is expected of most 2-year-olds, so inability to perform this task is within normal developmental limits.
D. Occasional imbalance when bending is common in toddlers, as gross motor control and balance are still developing, and does not indicate a significant delay.
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