The nurse is teaching parents of a child with a cognitive ...

[sjones]

The nurse is teaching parents of a child with a cognitive impairment signs that indicate the child is developmentally ready for dressing training. What signs should the nurse include that indicate the child is developmentally ready for dressing training?
 
  a. Can follow verbal commands
  b. Can sit quietly for 1 to 2 minutes
  c. Can master every task of dressing
  d. Can follow physical gestures or cues
  e. Can relate clothing to the appropriate body part

Question 2

The clinic nurse is assessing an infant. What are early signs of cognitive impairment the nurse should discuss with the health care provider? (Select all that apply.)
 
  a. Head lag at 11 months of age
  b. No pincer grasp at 4 months of age
  c. Colicky incidents at 3 months of age
  d. Unable to speak two to three words at 24 months of age
  e. Unresponsiveness to the environment at 12 months of age

[ririgirl15]

Answer to Question 1

ANS: A, D, E
Children are considered developmentally ready for dressing training if they can sit quietly for 3 to 5 minutes (not 1 to 2) while working on a task; can follow physical gestures or cues; can follow verbal commands; and can relate clothing to the appropriate body part, such as socks to feet. As with other self-help skills, the child may not be able to master every task but should be evaluated for evidence of willingness to participate at his or her level of readiness.

Answer to Question 2

ANS: A, D, E
Early signs of cognitive impairment include gross motor delay (head lag should be established by 6 months, and head lag still present at 11 months is a delay), language delay (normal language development is speaking two to three words by age 12 months; if unable to speak two to three words at 24 months, that is a delay), and unresponsiveness to the environment at 12 months. No pincer grasp at 4 months of age is normal (palmar grasp is the expected finding), and colicky incidents at 3 months of age is a normal finding.