The nurse is performing a physical assessment on a 3-year-old ...

[2125004343]

The nurse is performing a physical assessment on a 3-year-old child. The parents state that the child excessively rubs the eyes and often tilts the head to one side.
 
  What visual impairment should the nurse suspect?
  a. Strabismus
  b. Astigmatism
  c. Hyperopia, or farsightedness
  d. Myopia, or nearsightedness

Question 2

What suggestion by the nurse for parents regarding stuttering in children is most helpful?
 
  a. Offer rewards for proper speech.
  b. Encourage the child to take it easy and go slow when stuttering.
  c. Help the child by supplying words when he or she is experiencing a block.
  d. Give the child plenty of time and the impression that you are not in a hurry.

[lkoler]

Answer to Question 1

ANS: D
Clinical manifestations of myopia include excessive eye rubbing, head tilting, difficulty reading, headaches, and dizziness. Strabismus, astigmatism, and hyperopia have other clinical manifestations.

Answer to Question 2

ANS: D
Hesitancy and dysfluency should be considered a normal part of speech development. An important approach is to allow the child plenty of time to speak. Promising rewards for proper speech places additional pressure on the child. Encouraging the child to take it easy and go slow when stuttering draws attention to the dysfluency. The child needs to complete a sentence and thought without being interrupted.