The nurse is performing a cognitive assessment of a 2-year-old. Which behavior would alert the nurse to a developmental delay in this child?
The child does not point to named body parts.
The child cannot say name, age, and gender.
The child cannot follow a series of two independent commands.
The child has a vocabulary of 40 to 50 words.
The Correct Answer is A
A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.
B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.
C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.
D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Encouraging the parents to rock the infant provides comfort and soothing without risking trauma to the surgical site. It also promotes bonding and emotional reassurance.
B. Positioning the infant on the abdomen is contraindicated because it can put pressure on the surgical site, increasing the risk of complications. The infant should be positioned on their back or side to protect the repair.
C. Administering ibuprofen is not appropriate for a 2-month-old infant due to the risk of gastrointestinal and renal complications. Acetaminophen is typically used for pain management at this age.
D. Offering a pacifier is not recommended because sucking motions could disrupt the surgical repair and delay healing. Alternative soothing methods should be used instead.
Correct Answer is A
Explanation
A. At 15 months, toddlers should typically be able to stand upright without support. The inability to do so might indicate a developmental delay or a motor skill issue.
B. Inability to jump with both feet might be within the range of normal development at 15 months, as jumping skills tend to develop later.
C. Building a tower of six to seven cubes might be challenging for some toddlers at this age due to fine motor skills still developing, so it might not necessarily raise concern.
D. Turning a doorknob involves more complex fine motor skills and might not be expected at this age, so it's not as critical an indicator of developmental delay.
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