The nurse is performing a physical assessment of a 3-year-old girl. What finding would be a concern for the nurse?
The toddler's anterior fontanel is not fully closed.
The toddler gained 3 in in height since last year.
The toddler gained 4 lb in weight since last year.
The circumference of the child's head increased 1 in since last year.
The Correct Answer is A
A. The toddler's anterior fontanel is not fully closeD. The closure of the anterior fontanel typically occurs by around 18 months of age. If the fontanel is still open at 3 years old, it may indicate a delay in normal development and could be a cause for concern. The nurse should further assess this finding and consider follow-up with the healthcare provider.
B. The toddler gained 3 in in height since last year: Growth in height is expected during early childhood, and a gain of 3 inches over a year is within the normal range for a 3-year-old.
C. The toddler gained 4 lb in weight since last year: Weight gain is also expected during early childhood, and a gain of 4 pounds over a year is within the normal range for a 3-year-old.
D. The circumference of the child's head increased 1 in since last year: Head circumference typically increases during early childhood as the brain grows, and a 1-inch increase over a year is within the normal range for a 3-year-old.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Keep a night light on in your child's room." - This option addresses the child's fear of
monsters by providing a solution that offers comfort and reassurance without dismissing the child's concerns outright.
B. "Let your child sleep in your bed with you." - While this may temporarily alleviate the child's fear, it doesn't address the underlying issue or help the child learn coping mechanisms for dealing with fear.
C. "Tell your child that monsters are not real." - This response invalidates the child's feelings and may increase anxiety by dismissing their fears as irrational.
D. "Stay with your child until the child is asleep." - While staying with the child may provide comfort initially, it doesn't offer a long-term solution and may reinforce the fear by implying that there is something to be afraid of.
Correct Answer is B
Explanation
A. Maximizing learning potential: While education is important during adolescence, the priority focus of guidance regarding healthy lifestyles typically centers around behaviors that directly
impact physical and emotional well-being.
B. Reducing risk-taking behavior: Adolescents are prone to engaging in risky behaviors such as substance use, unsafe sexual practices, and reckless driving. Guidance should emphasize
strategies to reduce these behaviors and promote safer choices.
C. Promoting adequate physical growth: Physical growth is largely determined by genetics and occurs earlier in life. While maintaining overall health, including physical activity and nutrition, is important during adolescence, it is not typically the primary focus of guidance regarding
healthy lifestyles at this stage.
D. Teaching personal hygiene routines: Personal hygiene is important for overall health, but it is just one aspect of a healthy lifestyle. While adolescents should be encouraged to practice good hygiene habits, guidance should encompass a broader range of behaviors that contribute to overall well-being, including mental health and risk reduction.
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