The father of a preschool-aged child tells the nurse he is concerned that his son cannot ride a tricycle. Which of the following actions would be appropriate for the nurse?
1. Reassure the father that this is normal.
2. Refer the child to the health care provider.
3. Perform further growth and development assessments.
4. Ask the father about any siblings and at what age they rode a tricycle.
3
Rationale 1: While the child may not be developmentally delayed, simply reassuring the father that this is normal without further assessment is not an appropriate action by the nurse.
Rationale 2: By first performing further growth and developmental assessments the nurse is better informed as to the need and urgency of a referral to the health care provider.
Rationale 3: The nurse should perform further growth and development assessments as gross and fine motor development undergo rapid development during the toddler years (ages 1–3). A preschool aged child (ages 3–5) should be able to pedal a tricycle, a major accomplishment typically mastered at the end of the toddler years.
Rationale 4: Before gathering information about other children in the family and their developmental milestones, this child should be thoroughly assessed.
You might also like to view...
A patient is a candidate for fertility drug therapy with human menopausal gonadotropin (hMG). By which route should the health care provider administer this drug?
a. Intravaginal b. Intramuscular c. Subcutaneous d. Oral
What tissue in the vagina allows for stretching during intercourse as well as permitting the passage of the baby during delivery?
a. cilia c. tubercles b. rugae d. ducts
Which medication system allows for client independence?
A) Unit dose system B) Self-administered medication system C) Automated medication-dispensing system D) Bar Code Medication Administration
How are asthma and chronic obstructive pulmonary disease (COPD) different?
a. COPD is a genetic disease whereas asthma is largely caused by allergies. b. Breathing problems with asthma are reversible but those with COPD are perma-nent. c. Asthma is a disease of children and younger adults whereas COPD is found only in older adults. d. Breathing problems with COPD can lead to death, whereas those with asthma are not severe enough to be fatal.