The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

The child falls when he bends over.

The child is unable to push a toy lawnmower.

The child is unable to unscrew a jar lid.

The child has trouble undressing himself.

Answer and Explanation

The Correct Answer is B

A. Incorrect: Falling when bending over is still common at 24 months, as balance and coordination are still developing.

B. Correct: By 24 months, a child should be able to push and pull toys with ease. Difficulty pushing a toy lawnmower suggests gross motor delay.

C. Incorrect: Unscrewing a jar lid is a fine motor skill that develops closer to 3 years of age.

D. Incorrect: While toddlers may struggle with undressing, some level of independence (such as pulling off shoes or socks) is expected. This alone does not indicate significant delay.

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Correct Answer is D

Explanation

A. Incorrect: Cow’s milk should never be given to infants under 1 year because it lacks essential nutrients like iron and can lead to gastrointestinal bleeding.

B. Incorrect: Iron supplementation is not necessary unless the infant is premature or formula-fed with low-iron formula. Standard iron-fortified formula is usually sufficient.

C. Incorrect: A 2-week-old should typically consume 1.5 to 3 ounces per feeding, increasing gradually. 5-6 ounces per feeding is excessive at this age.

D. Correct: Fruit juice should be discouraged before 12 months of age as it provides unnecessary sugars, increases the risk of obesity, and may contribute to dental caries.

A. Ask the child to squeeze the nurse's hand. B. Let the child suture a doll. C. Allow the child to play with surgical instruments. D. Sing a song and have the child sing along. E. Have the child blow bubbles.

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

Explanation

A. Correct: Asking the child to squeeze the nurse’s hand gives a focus point and a sense of control.

B. Correct: Allowing the child to suture a doll promotes engagement and reduces fear through play therapy.

C. Incorrect: Allowing the child to play with surgical instruments is not safe and may increase anxiety.

D. Correct: Singing a song distracts the child with rhythm and engagement.

E. Correct: Blowing bubbles encourages deep breathing and relaxation, helping to reduce pain perception.

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The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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