A home health-care nurse sees several pediatric patients who have ...

[mspears3]

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]

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.

[mspears3]

Thanks for the timely response, appreciate it

[dreamfighter72]

Gracias!