Author Question: A home health-care nurse sees several pediatric patients who have the nursing diagnosis of delayed ... (Read 119 times)

mspears3 · **on:** Jun 28, 2018

A home health-care nurse sees several pediatric patients who have the nursing diagnosis of delayed growth and development. Which action by a child would indicate that outcomes have been met?

A.
A 3-year-old child walks backward.
B.
A 4-year-old child plays video games.
C.
A 5-year-old child can unscrew items.
D.
A 7-year-old child uses scissors to cut an outline figure.

Question 2

A mother is worried that her 3-month-old child is not holding her own head up. Which action by the nurse is most appropriate?

A.
Explain that sturdy head control occurs around 6 months.
B.
Document the findings and alert the health-care provider.
C.
Reassure the mother that her baby is completely normal.
D.
Teach the mother that head control is evident at 9 months.

dreamfighter72 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
The ability to walk backward is accomplished in the toddler stage (1-3 years). The ability to play video games is more likely seen in the adolescent stage. Screwing and unscrewing objects is appropriate for a toddler. Using scissors to accurately cut a figure from an outline is a milestone of the early childhood stage (3-6 years).

Answer to Question 2

ANS: A
Sturdy head control occurs around 6 months of age. The findings should be documented, but there is no need to alert the health-care provider because this is a normal finding for a 3-month-old. Simply reassuring the mother does not give her the information she needs.