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Total Questions : 10

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Question 1: A nurse is assessing a 6-month-old infant's developmental milestones during a well-child visit. Which action should the nurse prioritize to evaluate gross motor skills?

Explanation

Choice A reason:

Grasping small objects is a fine motor skill, not a gross motor skill.

Choice B reason:

This statement is correct. Rolling from back to stomach is a gross motor skill that should be achieved around 6 months of age.

Choice C reason:

Responsiveness to visual stimuli relates more to sensory development than gross motor skills.

Choice D reason:

Mimicking facial expressions involves social and emotional development, not gross motor skills.


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Question 2:

A client is concerned about their 3-year-old child's speech development. Which action should the nurse recommend to support language acquisition?

Explanation

Choice A reason:

Limiting exposure to diverse language environments can hinder language development rather than promote it.

Choice B reason:

While some educational TV programs can be beneficial, they are not a substitute for interactive language experiences.

Choice C reason:

Imaginative play supports cognitive and social development but may not specifically address speech concerns.

Choice D reason:

This statement is correct. Seeking a speech-language evaluation is crucial to identify any potential speech delays and initiate appropriate interventions.


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Question 3:

A nurse is caring for a preschool-aged child in the pediatric clinic. Which action is most appropriate to support the child's psychosocial development?

Explanation

Choice A reason:

While chores can teach responsibility, they may not directly address psychosocial development.

Choice B reason:

Solitary play is important, but encouraging social interactions also supports psychosocial development.

Choice C reason:

This statement is correct. Allowing the child to make simple choices fosters a sense of autonomy and contributes to psychosocial development.

Choice D reason:

Discouraging the expression of emotions may hinder emotional development and self-awareness.


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Question 4:

A client is concerned about their 12-month-old infant's feeding habits. Which action should the nurse recommend to support healthy nutritional intake?

Explanation

Choice A reason:

This statement is correct. Introducing solid foods one at a time helps identify any potential allergies and allows for a gradual transition to a diverse diet.

Choice B reason:

Exposure to a variety of food textures is important for the development of oral motor skills.

Choice C reason:

While pureed foods are suitable initially, the introduction of different textures is necessary for overall oral and sensory development.

Choice D reason:

Bottle feeding can continue, but introducing cup feeding is essential for oral motor development.


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Question 5:

A nurse is conducting a growth assessment for a school-age child. Which action is essential to include in the assessment?

Explanation

Choice A reason:

While measuring head circumference is important in infancy, it becomes less relevant in school-age children for assessing overall growth.

Choice B reason:

Pubertal development is more pertinent during adolescence than in the school-age years.

Choice C reason:

Evaluating shoe size is not a standard measure for assessing overall growth.

Choice D reason:

This statement is correct. Monitoring BMI is a crucial component of assessing growth and nutritional status in school-age children.


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Question 6:

A client is seeking guidance on promoting cognitive development in their 2-year-old toddler. Which action should the nurse recommend?

Explanation

Choice A reason:

Parallel play is common at this age, but promoting interactive play with peers also supports cognitive development.

Choice B reason:

This statement is correct. Age-appropriate puzzles and toys that stimulate problem-solving skills are beneficial for cognitive development.

Choice C reason:

Exposure to new environments is essential for cognitive development, providing opportunities for exploration and learning.

Choice D reason:

Imaginative play is crucial for cognitive and social development, and discouraging it may hinder these aspects.


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Question 7:

A nurse is providing anticipatory guidance to the parents of a 4-month-old infant. Which recommendation is appropriate for promoting motor development?

Explanation

Choice A reason:

Providing a stationary position limits the infant's opportunities for movement and exploration.

Choice B reason:

This statement is correct. Encouraging tummy time while the infant is awake and supervised helps develop neck and upper body strength.

Choice C reason:

Exploring different textures is important for sensory and motor development.

Choice D reason:

Introducing solid foods is typically recommended around 6 months, focusing on tummy time before this age.


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Question 8:

A client expresses concern about their 9-year-old child's social interactions and friendships. Which action should the nurse recommend to support social development?

Explanation

Choice A reason:

While academic achievements are important, social development also plays a crucial role in a child's overall well-being.

Choice B reason:

Balanced participation in extracurricular activities can enhance social skills rather than hinder them.

Choice C reason:

This statement is correct. Facilitating opportunities for the child to engage in group activities promotes social development and peer interactions.

Choice D reason:

Team sports provide valuable opportunities for social interaction and teamwork.


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Question 9:

A nurse is conducting a routine developmental assessment for a 15-month-old toddler. Which milestone should the nurse expect the toddler to achieve?

Explanation

Choice A reason:

Drawing recognizable shapes and figures typically develops later, around 3 to 4 years of age.

Choice B reason:

This statement is correct. Walking independently is a milestone expected around 12 to 15 months.

Choice C reason:

Counting objects up to 10 is more characteristic of later stages of cognitive development.

Choice D reason:

Complex imaginative play usually emerges around 2 to 3 years of age.


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Question 10:

A client is seeking advice on promoting emotional well-being in their school-age child. Which action should the nurse recommend?

Explanation

Choice A reason:

Discouraging the expression of negative emotions may hinder emotional development and communication.

Choice B reason:

While a consistent bedtime routine is important, it primarily addresses physical health rather than emotional well-being.

Choice C reason:

Exposure to various social activities can contribute positively to social and emotional development.

Choice D reason:

This statement is correct. Encouraging open communication and expression of feelings fosters emotional well-being and a supportive parent-child relationship.


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