The nurse is performing developmental surveillance for children ...

[rlane42]

The nurse is performing developmental surveillance for children at a medical home. Which of the following infants are most at risk for developmental delays? Select all answers that apply.
 
  A) A child whose birthweight was 1,600 g
  B) A child whose parent has a mental illness
  C) A child raised by a single parent
  D) A child with a lead level above 10 mg/dL
  E) A child with hypertonia or hypotonia
  F) A child with gestational age more than 33 weeks

Question 2

The nurse is evaluating teaching provided to the mother of a child with celiac disease. Which type of breakfast indicates that instruction has been effective?
 
  A) Eggs and orange juice
  B) Oat cereal and skim milk
  C) Wheat toast and grape jelly
  D) Rye toast and peanut butter

[blfontai]

Answer to Question 1

B, C, E
Feedback:
Risk factors for developmental delays include having a single parent, a parent with developmental disability or mental illness, hypertonia or hypotonia, birthweight less than 1,500 g, lead level above 19 mg/dL, and gestational age less than 33 weeks.

Answer to Question 2

A
Feedback:
Parents need a great deal of nutritional counseling when their child is first placed on a gluten-free diet so they can recognize foods that contain gluten, which include wheat, rye, oats, and barley products. Eggs and orange juice is the only breakfast that does not contain wheat, rye, or oats. The oat cereal contains oats. Wheat toast contains wheat. Rye toast contains rye.