The nurse is observing a group of 2- and 3-year-olds in a playgroup.
Which behavior noted in one of the children indicates to the nurse that the child may have autism spectrum disorder (ASD)?
After another child takes a toy, the child cries and stomps his feet.
A child playing in the kitchen area pretends to pour a glass of milk and repeats this over and over.
While the other children are eating a snack, the child walks around the room feeling the walls and ignores the caregiver who offers him a snack.
A child flips the light switch off and on until the caregiver asks her to stop and join the other children in play.
The Correct Answer is C
A child with autism spectrum disorder may have problems with social communication and interaction, including ignoring a caregiver who offers them a snack.
Choice A is incorrect because crying and stomping feet after another child takes a toy is normal behavior for a 2- or 3-year-old child.
Choice B is incorrect because repeating an action over and over is not necessarily indicative of autism spectrum disorder.
Choice D is incorrect because flipping a light switch off and on until asked to stop and join other children in playing is not necessarily indicative of autism spectrum disorder.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
This is known as the Adams Forward Bend Test and is a standard screening test for scoliosis.
Choice A is incorrect because touching the chin to the chest and looking up at the ceiling does not provide a view of the spine necessary for scoliosis screening.
Choice C is incorrect because turning to the side and remaining relaxed does not provide a view of the spine necessary for scoliosis screening.
Choice D is incorrect because lying prone on the examination table does not provide a view of the spine necessary for scoliosis screening.
Correct Answer is A
Explanation
This is a sign of uterine hyperstimulation, which can cause fetal distress and excessive bleeding12.
The nurse should report this finding to the provider and monitor the fetal heart rate and maternal vital signs.
Choice B.
Early decelerations in the FHR are incorrect, as this is a normal finding during the second stage of labor, indicating head compression.
Choice C.
Pelvic pressure with contractions is incorrect, as this is an expected finding during the second stage of labor, indicating that the baby is descending through the birth canal.
Choice D.
Bloody show from the vagina is incorrect, as this is also an expected finding during the second stage of labor, indicating cervical dilation and effacement13.
Therefore, choice A is the best answer.
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