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 A
Explanation
A. Nurses are mandated reporters, required by law to report suspected cases of child abuse or neglect to the appropriate authorities.
B. While maintaining confidentiality is important, in cases of suspected abuse, legal obligations override the need for confidentiality.
C. Involving the provider might not be immediate or necessary for explaining the situation, as the priority is reporting and ensuring the child's safety.
D. Directly reporting to authorities or involving supervisors is the responsibility of the nurse when faced with suspected child abuse.
Correct Answer is A
Explanation
A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.
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