The nurse teaches the mother of a young child with Duchenne's muscular

NCLEX RN Pediatric

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Question 1 of 5.

The nurse teaches the mother of a young child with Duchenne's muscular dystrophy about the disease and its management. Which of the following statements by the mother indicates successful teaching?

A. My son will probably be unable to walk independently by the time he is 9 to 11 years old.'

B. Muscle relaxants are effective for some children; I hope they can help my son.'

C. When my son is a little older, he can have surgery to improve his ability to walk.'

D. I need to help my son be as active as possible to prevent progression of the disease.'

Explanation: Children with Duchenne's muscular dystrophy typically lose the ability to walk independently by ages 9 to 11 due to progressive muscle weakness.

Question 2 of 5.

Which of the following is appropriate language development for an 8-month-old? The child should be:

A. Saying 'dada' and 'mama' specifically ('dada' to father and 'mama' to mother).

B. Saying three other words besides 'mama' and 'dada.'

C. Saying 'dada' and 'mama' nonspecifically.

D. Saying 'ball' when parents point to a ball.

Explanation: At 8 months, infants typically say 'dada' and 'mama' nonspecifically, as specific use develops closer to 12 months.

Question 3 of 5.

The nurse assesses a 6-month-old for vaccination readiness. Which finding would most likely indicate the need to delay administering the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine?

A. A family history of sudden infant death syndrome (SIDS).

B. A fever of 38.5Ã‚Â°C following the 4-month vaccinations.

C. An acute bilateral ear infection.

D. Living with a family member who is immunosuppressed.

Explanation: An acute infection is a contraindication for vaccination due to the risk of adverse reactions.

Question 4 of 5.

A mother states that she thinks her 9-month-old 'is developing slowly.' When assessing the infant's development, the nurse is also concerned because the infant should be demonstrating which of the following characteristics?

A. Vocalizing single syllables.

B. Standing alone.

C. Building a tower of two cubes.

D. Drinking from a cup with little spilling.

Explanation: Building a tower of two cubes is expected by 9 months; failure to do so suggests developmental delay.

Question 5 of 5.

When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following should the nurse expect the child to be able to do?

A. Ride a tricycle.

B. Tie his shoelaces.

C. Kick a ball forward.

D. Use blunt scissors.

Explanation: Kicking a ball forward is a gross motor skill expected at 2 years.