The nurse is observing a 24-month-old boy in a daycare center. Which finding suggests delayed motor development?
The child is unable to push a toy lawnmower.
The child has trouble undressing himself.
The child is unable to unscrew a jar lid.
The child falls when he bends over.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Notifying the doctor if fever persists despite acetaminophen is appropriate and shows understanding of when to seek medical guidance.
B. Encouraging frequent intake of water or sugar-free fluids helps prevent dehydration and supports metabolic stability during illness.
C. Checking blood sugar only twice daily is insufficient for a child with type 1 diabetes who is ill. Illness increases the risk of hyperglycemia and diabetic ketoacidosis, so blood glucose should be monitored every 3–4 hours during illness to ensure timely insulin adjustments.
D. Reporting changes in breathing or signs of confusion is appropriate because these can indicate worsening infection or metabolic complications, which require prompt intervention.
Correct Answer is A
Explanation
A. Acknowledging that food consumption might not significantly decrease helps manage the mother's expectations regarding her "picky eater" child and reduces potential stress around mealtime.
B. Adding fruit juice might contribute to increased sugar intake and may not necessarily address the nutritional concerns associated with picky eating.
C. Forcing a child to remain at the table after meals could create negative associations with mealtime and food, potentially exacerbating picky eating behavior.
D. Emphasizing quantity over quality doesn't address the nutritional concerns related to picky eating and might encourage unhealthy eating habits.
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