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A young child who has an intelligence quotient (IQ) of 45 would be described as:


A) Within the lower limits of the range of normal intelligence.
B) Mildly cognitively impaired but educable.
C) Moderately cognitively impaired but trainable.
D) Severely cognitively impaired and completely dependent on others for care.

E) A) and C)
F) All of the above

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The pediatric nurse understands that fragile X syndrome is:


A) A chromosome defect affecting only females.
B) A chromosome defect that follows the pattern of X-linked recessive disorders.
C) The second most common genetic cause of cognitive impairment.
D) The most common cause of noninherited cognitive impairment.

E) A) and B)
F) A) and C)

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Which action is contraindicated when a child with Down syndrome is hospitalized?


A) Determine the child's vocabulary for specific body functions.
B) Assess the child's hearing and visual capabilities.
C) Encourage parents to leave the child alone for extended periods of time.
D) Have meals served at the child's usual mealtimes.

E) None of the above
F) B) and C)

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The nurse is talking with a 10-year-old boy who wears bilateral hearing aids.The left hearing aid is making an annoying whistling sound that the child cannot hear.The most appropriate nursing action is to:


A) Ignore the sound.
B) Ask him to reverse the hearing aids in his ears.
C) Suggest that he reinsert the hearing aid.
D) Suggest that he raise the volume of the hearing aid.

E) A) and B)
F) A) and C)

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The teaching plan for the parents of a 3-year-old child with amblyopia ("lazy eye") should include what instruction?


A) Apply a patch to the child's eyeglass lenses.
B) Apply a patch only during waking hours.
C) Apply a patch over the "bad" eye to strengthen it.
D) Cover the "good" eye completely with a patch.

E) A) and B)
F) A) and C)

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