A nurse is collecting data from a 10-year-old child during a well-child visit.
Which of the following statements by the child indicates he is meeting the psychosocial development expectations of a school-age child?
"I like to collect rocks.”.
"I really want to do well in school.”.
"I can do simple math problems in my head.”.
"My parents set rules that I need to follow.”. .
The Correct Answer is A
Choice A rationale
Collecting objects like rocks reflects the interest in categorizing and organizing, which aligns with the industry vs. inferiority stage for school-age children.
Choice B rationale
Wanting to do well in school also fits with the industry vs. inferiority stage, where children gain pride from achieving tasks and being competent.
Choice C rationale
Doing simple math problems in one's head indicates cognitive development but doesn't directly align with the psychosocial development focus.
Choice D rationale
Following rules set by parents is important, but it's more about conforming to authority rather than indicating psychosocial development specific to industry vs. inferiority.
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Correct Answer is B
Explanation
Choice A rationale
Capillary refill less than 2 seconds is a normal finding and suggests adequate perfusion. It is not indicative of a priority concern in this context.
Choice B rationale
Tingling in the right foot can indicate nerve damage or compromised circulation, which is critical to address in a patient with a fracture. This symptom could suggest complications like compartment syndrome, requiring immediate medical attention.
Choice C rationale
Respiratory rate of 24/min is slightly elevated but not directly related to the fracture's immediate complications. It requires monitoring but is not the priority.
Choice D rationale
A 2+ right pedal pulse indicates a normal pulse and adequate circulation in the foot. While important, it does not represent an immediate concern in this context.
Correct Answer is A
Explanation
Choice A rationale
The hepatitis B vaccine is recommended for all newborns within 24 hours of birth to provide early protection against the hepatitis B virus.
Choice B rationale
The PCV (Pneumococcal Conjugate Vaccine) is administered as a series of four doses, typically at 2, 4, 6, and 12-15 months of age.
Choice C rationale
The first dose of the DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is typically given at 2 months of age, not during the initial well-baby visit after birth.
Choice D rationale
The MMR (Measles, Mumps, and Rubella) vaccine is recommended at 12-15 months of age and again at 4-6 years, not at 6 months.