When assessing an 18-month-old toddler, the nurse would expect the child to be able to:
Demonstrate independent dressing
Use a vocabulary of 300 words
Jump with both feet
Walk upstairs with one handheld
The Correct Answer is C
A. Demonstrating independent dressing is usually not expected at 18 months. Toddlers are still developing fine motor skills and may need assistance with dressing.
B. Using a vocabulary of 300 words is advanced for an 18-month-old. At this age, most children have a more limited vocabulary, typically around 50 words or so.
C. Jump with both feet.
At 18 months of age, children are usually developing their motor skills, including gross motor skills like walking, running, and jumping. Jumping with both feet is an age-appropriate milestone for a toddler of this age.
D. Walking upstairs with one hand held is typically not expected at 18 months. This is a skill that develops later as toddlers gain more confidence in their mobility and coordination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Diabetes Insipidus is associated with reduced ADH levels, leading to excessive urination and dehydration, not hyponatremia.
B. Acromegaly results from excessive growth hormone (not ADH) secretion, causing abnormal growth of tissues and bones.
C. Addison's disease involves the adrenal glands and the insufficient production of cortisol and aldosterone, not ADH-related hyponatremia.
D. Syndrome of Inappropriate Antidiuretic Hormone (SIADH).
SIADH is a disorder characterized by the excessive release of antidiuretic hormone (ADH) from the posterior pituitary gland, leading to increased water reabsorption by the kidneys. This results in diluted blood and hyponatremia (low sodium levels) due to the retention of water. Patients with SIADH often experience fluid overload and related symptoms.
Correct Answer is A
Explanation
A. Praise them for the care they are giving their child.
Families facing the impending loss of a child need compassion and support. Praising them for the care they are giving their child acknowledges their efforts and reinforces their role in providing comfort to the child. This can help build trust and rapport between the family and healthcare providers during this difficult time.
B. Informing the family that they should have taken better care of their child is judgmental and hurtful. It does not provide the emotional support the family needs.
C. Telling the family to wait until after the death to discuss feelings is not helpful. Open communication and addressing feelings should be encouraged throughout the process.
D. Telling them that the staff will perform all of the final care may come across as impersonal. Involving the family in the care of their dying child can be an important part of the grieving and healing process.
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