The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

"The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height."

"I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height."

"Are most of the adults in your family short? It may be hereditary that your child will be shorter than average."

"Some children are short for their age during the preschool years but usually catch up during early childhood."

Answer and Explanation

The Correct Answer is D

A.   This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B.   While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C.   While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D.   This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.

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Correct Answer is B

Explanation

A. Dressing and undressing without help is an appropriate motor skill for a 5-year- old.
B. Drawing a person with three body parts is expected for a 3-year-old child, not a 5- year-old child. A 5-year-old child should be able to draw a person with six or more body parts, such as head, body, arms, legs, eyes, and mouth.
C. Beginning to tie her own shoelaces is a fine motor skill developmentally appropriate for a 5-year-old.
D. Copying a square on another piece of paper is normal developmental milestone for a 5-year-old child.

A. Fluid loss of the neonate will be minimized. B. Neonatal weight loss will be prevented. C. Assessment of hyperbilirubinemia will be monitored. D. Perfusing to the exposed abdominal contents will be maintained. E. The abdominal contents are protected.

Correct Answer is ["A","D","E"]

Explanation

A. Minimizing fluid loss is important in the care of a neonate with an omphalocele to prevent dehydration.
B. Preventing neonatal weight loss is not directly related to the care of an omphalocele.
C. While monitoring for hyperbilirubinemia is important in neonatal care, it's not specific to the care of an omphalocele.
D. Maintaining perfusion to the exposed abdominal contents is essential for preventing complications such as ischemia or necrosis.
E. Protecting the abdominal contents helps prevent infection and trauma to the exposed organs.

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The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is assessing the motor skills of a 5-year-old girl. Which finding would cause the nurse to be concerned?

Correct Answer is B

Explanation

A preterm newborn is admitted to the neonatal intensive care with the diagnosis of an omphalocele. What nursing actions would the nurse perform? Select all that apply.

Correct Answer is ["A","D","E"]

Explanation

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