Child Growth & Development: Key Milestones

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Questions and Answers

A 3-year-old child consistently engages in parallel play. How should a healthcare provider interpret this behavior in the context of typical developmental milestones?

The child is exhibiting advanced social skills by observing peers before engaging in interactive play.
The child is demonstrating age-appropriate social development, as parallel play is typical for this age group. (correct)
The child is delayed in social development and needs immediate intervention to encourage cooperative play.
The child may have an underlying social communication disorder that requires further evaluation.

An adolescent reports frequent feelings of being overwhelmed and a desire to sleep excessively. They also mention experimenting with vaping to 'relax.' What is the most appropriate initial nursing intervention?

Providing educational materials on the dangers of nicotine addiction and referring them to a smoking cessation program.
Assessing the adolescent's stress levels, coping mechanisms, and exploring alternative stress management techniques, while also addressing the risks of vaping. (correct)
Immediately informing the parents or guardians about the vaping behavior and the potential health consequences.
Recommending an over-the-counter sleep aid to address the excessive sleepiness and scheduling a follow-up appointment.

A 6-month-old infant, born prematurely, is brought in for a well-child visit. The mother expresses concern that the baby is not yet rolling over. What is the most appropriate approach for the healthcare provider?

Refer the infant to a physical therapist for immediate intervention to address the delayed rolling over.
Evaluate the infant's motor skills, adjust for prematurity when assessing developmental milestones, and provide guidance on age-appropriate activities to promote development. (correct)
Reassure the mother that premature infants often reach milestones later, and rolling over should be expected within the next month.
Educate the mother on rolling over techniques and instruct her to practice with the infant several times a day.

During a home visit, a nurse observes a toddler with several bruises in various stages of healing. The parents explain that the child is clumsy and bruises easily. What is the most appropriate next step for the nurse?

Conduct a thorough assessment of the child, including a detailed history, physical examination, and exploration of alternative explanations for the injuries, while maintaining a high index of suspicion. (C) Signup and view all the answers

A 10-year-old child is admitted to the hospital. Which intervention best applies the principles of family-centered care to minimize stress?

Creating opportunities for the family to participate in care planning and decision-making, while also offering emotional support and resources. (C) Signup and view all the answers

A 4-year-old child is scheduled for a painful procedure. Which approach is most effective in gaining their cooperation?

Using simple, age-appropriate language to explain what will happen, allowing the child to play with medical equipment beforehand, and focusing on the positive aspects of the procedure. (B) Signup and view all the answers

An infant with a cleft lip and palate is having difficulty feeding. What intervention will be most helpful to the parents?

Recommend a specialized bottle and nipple designed for infants with cleft lip and palate, and educate the parents on proper feeding techniques and positioning. (A) Signup and view all the answers

A child with recurrent otitis media and associated speech delays is being evaluated. What intervention is most important?

Referring the child for an audiological evaluation and speech therapy services to address the hearing loss and speech delays. (B) Signup and view all the answers

A child presents with signs and symptoms indicative of epiglottitis. What is the priority nursing intervention?

Preparing for immediate intubation or tracheostomy to secure the airway. (B) Signup and view all the answers

A child with asthma is experiencing frequent exacerbations triggered by allergens. What education is most important for the parents?

Creating an asthma action plan, teaching proper inhaler technique, and identifying and minimizing exposure to triggers. (D) Signup and view all the answers

What is the most critical consideration when calculating fluid bolus for a child experiencing dehydration?

Using the child's body weight to determine the appropriate volume and administering the bolus rapidly over 5-10 minutes. (A) Signup and view all the answers

Which finding in a newborn is most indicative of respiratory distress?

Nasal flaring, grunting, and retracting during breathing. (D) Signup and view all the answers

What is the primary focus of anticipatory guidance for parents of a newborn?

Educating parents on age-appropriate developmental milestones and safety practices to promote the child's well-being. (D) Signup and view all the answers

A 15-year-old is diagnosed with iron-deficiency anemia. What dietary recommendations should the nurse provide?

Consume iron-rich foods such as red meat, leafy green vegetables, and fortified cereals, along with vitamin C to enhance iron absorption. (A) Signup and view all the answers

An infant is diagnosed with phenylketonuria (PKU). What dietary restriction is most important?

Restricting intake of foods high in phenylalanine, such as meat, dairy products, and nuts. (D) Signup and view all the answers

A 2-year-old child is brought to the clinic because they refuse to eat anything besides a few specific foods. What is the most appropriate initial intervention?

Providing a multivitamin supplement and offering a variety of nutritious foods without pressure, while assessing for any underlying medical conditions or feeding disorders. (D) Signup and view all the answers

A 7-year-old child is fearful of the dark and insists on sleeping with a nightlight. The parents are concerned about this behavior. What is the most helpful guidance?

Have the parents acknowledge the child's fears, provide reassurance, and use strategies such as a nightlight or transitional object to promote a sense of security. (D) Signup and view all the answers

A nurse is caring for a premature infant. What breastfeeding teaching will best support the mother?

Instructing the mother on proper pumping techniques, milk storage guidelines, and strategies to increase milk supply, while emphasizing the benefits of breast milk for premature infants. (A) Signup and view all the answers

A 16-year-old girl requests information about contraception. She does not want her parents to know. What is the most appropriate nursing response, considering legal and ethical considerations?

Providing confidential information about contraception, while also assessing her understanding of safe sex practices and potential risks, in accordance with mature minor doctrine. (A) Signup and view all the answers

A child is diagnosed with cystic fibrosis. What information is essential for the parents to understand regarding long-term management?

The importance of airway clearance techniques, pancreatic enzyme replacement, nutritional support, and monitoring for complications to optimize the child's health and quality of life. (A) Signup and view all the answers

Flashcards

CDC Growth Chart

CDC growth charts plot height and weight to assess a child's growth pattern.

Failure to Thrive

Failure to thrive is when a child is not gaining weight or growing as expected.