A nurse is doing developmental assessments on several children in ...

[dbose]

A nurse is doing developmental assessments on several children in the day-care setting. Which child indicates a delay in meeting developmental milestones? (Select all that apply.)
 
  1. An 18-month-old toddler who isunable to phrase sentences
  2. A 5-year-old who is unable to buttonhis shirt
  3. A 6-year-old who is unable to sit stillfor a short story
  4. A 2-year-old who is unable to cutwith scissors
  5. A 2-year-old who cannot recite herphone number

Question 2

The nurse is discharging a client after hospitalization for pelvic inflammatory disease (PID). Which statements indicate that teaching was effective? Note: Credit will be given only if all correct and no incorrect choices are selected.
 
  Select all that apply. 1. I might have infertility because of this infection.
  2. It is important for me to finish my antibiotics.
  3. Tubal pregnancy could occur after PID.
  4. My PID was caused by a yeast infection.
  5. I am going to have an IUD placed for contraception.

[sailorcrescent]

Answer to Question 1

Answer:2,3
Rationale: A developmental milestone that can indicate learning disability is a kindergartener's being unable to button his shirt.Inability to phrase sentences is considered a delay if not done by 21/2 years;inability to sit still for a short story is considered a delay if the child is 3 to 5 years old;and being unable to cut with scissors indicates a delay if not done by kindergarten age.Reciting the phone number is not appropriate for a 2-year-old.

Answer to Question 2

1, 2, 3
Explanation: 1. Women sometimes become infertile because of scarring in the fallopian tubes as a result of the inflammation of PID.
2. Antibiotic therapy should always be completed when a client is diagnosed with any infection.
3. The tubal scarring that occurs from tubal inflammation during PID can prevent a fertilized ovum from passing through the tube into the uterus, causing an ectopic or tubal pregnancy.