Question

question 16
1 pts
the primary care nurse practitioner is evaluating a 2 - year - old with a documented speech delay. screenings to assess motor skills and cognition are normal, and the child passed a recent hearing test. what will the nurse practitioner do next?

• refer the child to an early intervention program.
• suggest that they purchase age - appropriate music videos.
• give parents educational materials to encourage speech.
• ask the child’s parents whether they read to the child.

question 17
1 pts
the primary care nurse practitioner is examining a school - age child who reports frequent stomach pain and headaches. the parent reports that the child misses several days of school each month. the child has a normal exam. before proceeding with further diagnostic tests, what will the nurse practitioner initially ask the parents?

• about the timing of the symptoms each day and during the week
• whether there are any changes in circumstances at home
• how well the child performs in school and in extracurricular activities
• if the parent has been calling to check on the child from work

Explanation:

Question 16

For a 2 - year - old with speech delay, normal motor skills, cognition, and hearing, early intervention programs are appropriate to address the speech delay. Purchasing music videos is not a targeted intervention. Giving educational materials or asking about reading to the child are less urgent or less targeted compared to early intervention.

When a child has stomach pain and headaches with normal exam, exploring psychosocial factors like conflicts or stressors at home is a key initial step. Asking about timing of symptoms or school/activity participation is less focused on psychosocial causes, and asking about calling to remove the child is not an initial diagnostic step.

Answer:

A. Refer the child to an early intervention program.

Question 17