Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

“My child has a vocabulary of approximately 20 words.”

“My child is still thumb sucking.”

“My child seems to be quite wary of strangers.”

“My child is able to stand but is not yet taking steps independently.”

Answer and Explanation

The Correct Answer is D

A. “My child has a vocabulary of approximately 20 words.”

This statement indicates language development, and an 18-month-old with a vocabulary of approximately 20 words is within the expected range. It's a positive indicator of language acquisition.

B. “My child is still thumb sucking.”

Thumb sucking is a common self-soothing behavior in infants and toddlers. While it's a normal behavior, it typically decreases with age. Thumb sucking alone may not necessarily be a cause for concern unless it persists significantly and interferes with other aspects of development.

C. “My child seems to be quite wary of strangers.”

Stranger anxiety is a normal developmental stage, and many children exhibit wariness or fear of unfamiliar people around the age of 18 months. It is considered a typical response and not necessarily indicative of developmental delay.

D. “My child is able to stand but is not yet taking steps independently.”

At 18 months, most children are expected to be walking independently. The inability to take independent steps might be a concern for gross motor skill development. While some variation is normal, a delay in achieving this milestone might prompt further evaluation to rule out any underlying developmental issues.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Temperament:

Temperament refers to a child's innate traits and behavioral style. While temperament influences how a child responds to social situations, during the school-aged years, the focus often shifts towards developing social skills through interactions with peers.

B. School:

School is a crucial aspect of a child's life, providing opportunities for social interaction, learning, and development. However, within the context of social interaction, the emphasis on school might encompass friendships, group activities, and the overall social environment that the child experiences within the school setting.

C. Peer relationships:

During the school-aged years, peer relationships become particularly important for social development. Children start to form friendships, learn to navigate social situations, and develop a sense of belonging. Peer interactions contribute significantly to emotional and social growth during this stage.

D. Family:

Family plays a fundamental role in a child's development, including social development. However, during the school-aged years, children often begin to explore relationships outside the family circle, and peer relationships become increasingly influential.

A. Tetracyline B. Penicillin C. Metronidazole D. Lindane

Correct Answer is B

Explanation

A. Tetracycline:

Tetracycline antibiotics, such as doxycycline or minocycline, can be effective against the bacteria that cause impetigo. However, their use in children, especially younger ones, might be limited due to concerns about potential effects on developing teeth and bones. Therefore, they are not the first-line choice for pediatric impetigo.

B. Penicillin:

Penicillin or other antibiotics in the penicillin family, such as dicloxacillin or amoxicillin, are commonly used to treat impetigo caused by Streptococcus pyogenes. Penicillin-based antibiotics are effective against certain strains of the bacteria responsible for impetigo. They are often a preferred choice for pediatric impetigo.

C. Metronidazole:

Metronidazole is an antibiotic with activity against anaerobic bacteria and certain parasites. However, it is not typically used to treat impetigo caused by Staphylococcus aureus or Streptococcus pyogenes.

D. Lindane:

Lindane is an anti-parasitic medication used for conditions like scabies or lice. It is not effective against the bacteria that cause impetigo. Lindane is not an appropriate treatment for impetigo, and its use is limited due to potential neurotoxicity.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When providing anticipatory guidance to a group of parents with school-aged children, what would the nurse describe as the most important aspect of social interaction?

Correct Answer is C

Explanation

A child comes to the clinic for evaluation of skin lesions and is diagnosed with impetigo. Which of the following medications would the nurse anticipate the physician might prescribe?

Correct Answer is B

Explanation

A nurse is preparing to administer scheduled immunizations to a 5-year-old child. Which of the following vaccines should the nurse plan to administer (Select all that apply)?

The community health nurse is teaching parents about prevention of the spread and reoccurrence of pediculosis capitis. Which should the nurse include in the teaching session (Select all that apply)?

A 6-month-old boy weighed 8 lbs. 2 oz. at birth. Understanding developmental milestones, what should the nurse caring for the child calculate his current weight as?

The nurse is evaluating teaching provided to a school-age child and parents about the use of pancreatic enzymes for cystic fibrosis. Which observation indicates that teaching has been effective?

The student nurse is collecting data on a child diagnosed with cystic fibrosis and notes the child has a barrel chest and clubbing of the fingers. In explaining this manifestation of the disease, the staff nurse explains the cause of this symptom to be:

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay?

The nurse is collecting data on a child with a diagnosis of tonsillitis. Which clinical manifestation would likely have been noted in the child with this diagnosis?