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MHVide beck Ch22 NCLEX

NCLEX Chapter 22: Autism spectrum disorder signs in toddlers & vaccine safety concerns. Includes key behaviors, nurse response strategies, and evidence-based practice for pediatric care.

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1. Chapter 22The nurse is assessing a 16 -month-old child during a well-baby checkup. Which of the following behaviors would be consistent withautism spectrum disorder? Select all that apply.1.A) The child displays little eye contact with others.2.B) The child thrives on changes in routine.3. C) The child makes few facial expressions toward others.4. D) The child does not like repetition.5. E) The child answers questions verbally.Ans: A, C, DFeedback:Children with autism display little eye contact with and make few facialexpressions toward others; they use limited gestures to communicate. Theyhave limited capacity to relate to peers or parents. They lack spontaneousenjoyment express no moods or emotional affect and cannot engage in playor make-believe with toys. There is little intelligible speech. These childrenengage in stereotyped motor behaviors such as hand flapping, body twisting,or head banging.2. A mother expresses concern to the nurse that the child's regularlyscheduled vaccines may not be safe. The mother states that she has heardreports that they cause autism. The most appropriate response by the nurseis,1.A) ilt is recommended that you wait until the child is older tovaccinate.!2.B) iThere are safer alternative immunizations available now.i3. C) iThere has been no research to establish a relationship betweenvaccines andautism.i4.D) iThe risks do not outweigh the benefits of immunization againstchildhooddiseases!Ans: C

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National Council Licensure Examination

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