Author Question: The nurse is assessing a 4-month-old boy during a scheduled visit. Which of the following findings ... (Read 26 times)

Evvie72 · **on:** Jun 27, 2018

The nurse is assessing a 4-month-old boy during a scheduled visit. Which of the following findings might suggest a developmental problem?

A) The child does not coo or gurgle.
B) The child does not babble or laugh.
C) The child never squeals or yells.
D) The child does not say dada or mama.

Question 2

When conducting the Rinne test for hearing with a school-age child, the nurse learns that the child is unable to hear the sound when the tuning fork is moved to the auditory meatus. What does this finding suggest to the nurse?

A) The child is totally deaf.
B) The child has normal hearing.
C) The child has minimal air conduction for hearing.
D) The child has minimal bone conduction for hearing.

sailorcrescent · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Feedback:
The fact that the child does not babble or laugh might suggest a developmental problem. At 4 to 5 months of age most children are making simple vowel sounds, laughing aloud, doing raspberries, and vocalizing in response to voices. The child should have developed past cooing or gurgling, but is too young to squeal, yell, or say dada or mama.

Answer to Question 2

C
Feedback:
The Rinne test is conducted by placing the stem of a tuning fork against the mastoid bone. When the sound disappears the fork is then moved to the auditory meatus. If the sound cannot be heard at the auditory meatus, this means air conduction of sound is impaired. This does not mean that bone conduction of sound is impaired. This does not mean that the child has normal hearing. This also does not mean that the child is totally deaf.