The child who imitates a bridge of 3 cubes, copies a circle, makes a tower of 10 cubes, and imitates a cross is

Correct Answer: C

Rationale: The correct answer is C) 36 months old. This child is displaying developmental milestones consistent with a 3-year-old. The tasks mentioned in the question align with the expected developmental abilities of a child around 3 years of age. Option A) 24 months old is incorrect because a 2-year-old typically would not be able to complete all the tasks mentioned. Option B) 30 months old is also incorrect as the child described in the question is demonstrating more advanced skills typically seen in older children. Option D) 42 months old is too old for the level of tasks described. Educationally, understanding developmental milestones is crucial for healthcare professionals working with pediatric populations. By recognizing typical developmental patterns, healthcare providers can identify potential delays or concerns early on, allowing for timely interventions and support. This question assesses the test-taker's knowledge of pediatric developmental milestones and their ability to apply that knowledge to a clinical scenario.

Correct Answer: C

Rationale: In this question, the correct answer is C) Injected sclerae. This is not a typical feature of upper respiratory infections (URI) in children. Fever (option A) is a common symptom of URI in children due to the body's immune response to the infection. Clear rhinorrhea (option B) is also a characteristic feature of URI, indicating nasal discharge without pus or blood. Productive cough (option D) is another common symptom of URI, where the child may cough up mucus or phlegm. Injected sclerae, which refers to redness in the white part of the eyes, is not a typical feature of URI. This symptom is more commonly associated with conditions like conjunctivitis or eye strain rather than upper respiratory infections. Educationally, understanding the typical features of URI in children is crucial for healthcare providers to accurately diagnose and manage these common childhood illnesses. By differentiating between typical and atypical symptoms, healthcare professionals can provide appropriate care and treatment to pediatric patients.

Correct Answer: B

Rationale: The correct answer to the question is option B) Her behavior is common among school-age children. This response is accurate because at around 9 years old, children often start to develop a stronger sense of identity and may show preferences for same-gender peer groups. Building a clubhouse and excluding boys is a typical behavior seen in children of this age as they explore their interests and social dynamics. It is important for the school nurse to reassure the parents that this behavior is within the normal range of development for a 9-year-old. Option A) Her behavior is concerning and should be addressed is incorrect because in this context, the behavior displayed by the girl is not a cause for concern. It is a normal part of her social and emotional development. Option C) Her feelings about boys will subside within a year is incorrect as it simplifies the complexity of social development in children. While her attitudes may change over time, it is not accurate to predict a specific timeline for this. Option D) They should have her speak with a school counselor is also not the best course of action in this scenario. Consulting a school counselor for this behavior may be unnecessary and could potentially pathologize a normal aspect of childhood development. In an educational context, understanding the typical behaviors and development stages of children is crucial for educators and healthcare professionals. Recognizing and normalizing age-appropriate behaviors helps in providing appropriate support and guidance to children and their families. It is essential to differentiate between normal developmental variations and behaviors that may require intervention to promote children's healthy growth and well-being.

Correct Answer: A

Rationale: In this question on pediatric Nclex practice, the child at risk for developing glomerulonephritis is option A) A 3-year-old who had impetigo 1 week ago. Glomerulonephritis is commonly caused by a preceding streptococcal infection such as impetigo. The infection triggers an immune response that affects the glomeruli in the kidneys, leading to inflammation and potential kidney damage. Option B) A 5-year-old with five UTIs in the previous year is at risk for urinary tract infections but not specifically for glomerulonephritis unless the UTIs are recurrent and severe. Option C) A 6-year-old with new-onset type 1 diabetes is at risk for diabetic nephropathy, a different kidney condition associated with diabetes. Option D) A 10-year-old recovering from viral pneumonia is not necessarily at increased risk for glomerulonephritis unless there were complications during the pneumonia episode affecting the kidneys. Educationally, understanding the link between certain infections like impetigo and glomerulonephritis is crucial for nurses caring for pediatric patients. Recognizing risk factors and early signs of kidney complications can lead to prompt intervention and prevention of long-term kidney damage in children.

Correct Answer: D

Rationale: In the context of pediatric nursing and birth-related injuries, understanding risk factors for birth brachial plexus injury is crucial. The correct answer, option D, diabetic mother, is the exception among the listed risk factors. Option A, shoulder dystocia, is a known risk factor for birth brachial plexus injury due to the difficulty in delivering the baby's shoulder after the head has emerged. This can put excessive traction on the baby's brachial plexus nerves. Option B, birthweight greater than 4 kg, is another risk factor because larger babies may have a harder time passing through the birth canal, leading to increased risk of nerve injury during delivery. Option C, primiparous mothers, are also at higher risk as they have not given birth before and may have a higher likelihood of experiencing complications during delivery that could result in brachial plexus injury. Educationally, knowing these risk factors is essential for nurses caring for newborns and mothers during labor and delivery. By recognizing these factors, healthcare providers can take preventive measures or be prepared to manage potential complications to reduce the incidence of birth brachial plexus injuries and improve overall maternal and neonatal outcomes.