The American Academy of Pediatrics recommends the use of validated standardized developmental screening tools at three of the health maintenance visits, these are at

Correct Answer: C

Rationale: Developmental screenings are recommended at 9, 18, and 30 months.

Correct Answer: A

Rationale: Monitoring the client's temperature before, during, and after transfusion is essential to determine if chilling is the result of an emerging complication or of infusing cold blood. By consistently monitoring the client's temperature at different points in the transfusion process, healthcare providers can identify any significant changes that may indicate a complication. This allows for timely intervention and appropriate management of any issues related to the blood transfusion. Comparing the client's temperature with the temperature of the blood is important but alone it may not provide a comprehensive assessment of the client's condition during the transfusion process. So, the best course of action is to monitor the client's temperature at various time points to ensure accurate assessment and early detection of any complications.

Correct Answer: C

Rationale: In a first-time generalized seizure, an immediate EEG and starting anticonvulsant therapy is prudent to prevent recurrence, especially if the EEG shows epileptiform activity.

Correct Answer: D

Rationale: Wilms tumor can grow very quickly, so a lump that was not evident previously may become noticeable in a short period.

Correct Answer: C

Rationale: Familial adenomatous polyposis significantly increases the risk of developing colorectal cancer.