Exam 21: The Child With Cognitive, sensory, or Communication Impairment

What condition is defined as reduced visual acuity in one eye despite appropriate optical correction?

What intervention should be included in the nursing care of a child with autism spectrum disorder (ASD)?

A father calls the emergency department nurse saying that his daughter's eyes burn after getting some dishwasher detergent in them.The nurse recommends that the child be seen in the emergency department or by an ophthalmologist.The nurse also should recommend which action before the child is transported?

Match the type of visual impairment to its definition. -Ability to see objects clearly at close range but not at a distance

A 2-week-old infant with Down syndrome is being seen in the clinic.His mother tells the nurse that he is difficult to hold,that "he's like a rag doll.He doesn't cuddle up to me like my other babies did." What is the nurse's best interpretation of this lack of clinging or molding?

A child has a slight (26-40 dB)degree of hearing loss.The nurse recognizes this amount of hearing loss can have what effect?

The nurse is performing a physical assessment on a 3-year-old child.The parents state that the child excessively rubs the eyes and often tilts the head to one side.What visual impairment should the nurse suspect?

Autism is a complex developmental disorder.The diagnostic criteria for autism include delayed or abnormal functioning in which area with onset before age 3 years?

The nurse should plan which actions to facilitate lipreading for a child with a hearing impairment?

The nurse is discussing sexuality with the parents of an adolescent girl who has a moderate cognitive impairment.What factor should the nurse consider when dealing with this issue?

What risk factors can cause a sensorineural hearing impairment in an infant?

What intervention is most appropriate to facilitate social development of a child with a cognitive impairment?

The nurse is counseling a pregnant 35-year-old woman about estimated risk of Down syndrome.What is the estimated risk for a woman who is 35 years of age?

The community nurse is planning prevention measures designed to avoid conditions that can cause cognitive impairment.Taking folic acid supplements during pregnancy to prevent neural tube defects is which type of prevention strategy?

Many of the clinical features of Down syndrome present challenges to caregivers.Based on these features,what intervention should be included in the child's care?

What suggestion by the nurse for parents regarding stuttering in children is most helpful?

Match the type of visual impairment to its definition. -Ability to see objects at a distance but not at a close range

The camp nurse is choosing a toy for a child with cognitive impairment to play with during swimming time.What toy should the nurse choose to encourage improvement of developmental skills?

Match the type of visual impairment to its definition. -Unequal curvatures in refractive apparatus

The mother of a young child with cognitive impairment asks for suggestions about how to teach her child to use a spoon for eating.The nurse should make which recommendation?