A clinic nurse has provided instructions to the mother of a 6-year-old female with a urinary tract infection. Which statements by the mother indicate understanding of home care? (Select all that apply)

I will give my child high-fiber foods to prevent constipation

I will encourage my child to urinate at least every few hours

I will give my child daily bubble baths to maintain good hygiene

I should increase my child’s fluid intake

I will encourage my child to wipe back to front

Answer and Explanation

Correct Answer : A,B,D

Choice A reason: High-fiber foods prevent constipation, which can exacerbate urinary tract infections by causing urinary stasis. A diet rich in fiber promotes regular bowel movements, reducing pressure on the bladder and urethra, which helps flush bacteria from the urinary tract, making this a correct and essential home care strategy.

Choice B reason: Encouraging frequent urination (every few hours) helps flush bacteria from the urinary tract, reducing the risk of bacterial proliferation in the bladder. This practice prevents urine stasis, a key factor in recurrent urinary tract infections, making it an appropriate and effective home care instruction for the child.

Choice C reason: Daily bubble baths are not recommended for children with urinary tract infections, as they can irritate the urethra and introduce bacteria, worsening the infection. Plain water baths are preferred to maintain hygiene without causing irritation, making this statement incorrect for proper home care management.

Choice D reason: Increasing fluid intake promotes urine production, which helps flush bacteria from the urinary tract, reducing infection severity and recurrence risk. Adequate hydration dilutes urine, decreasing irritation and bacterial growth, making this a critical home care instruction for managing urinary tract infections effectively in children.

Choice E reason: Wiping back to front can introduce fecal bacteria into the urethra, increasing the risk of urinary tract infections, especially in females. Proper hygiene involves wiping front to back to prevent bacterial transfer, making this statement incorrect and harmful for home care management of the condition.

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Correct Answer is D

Explanation

Choice A reason: Sitting without support typically occurs around 7-8 months, not 6 months. At 6 months, infants may sit with minimal support, as trunk control is still developing. Expecting independent sitting at this age is premature, making this an incorrect finding for a 6-month-old well-child visit.

Choice B reason: Lateral incisors usually erupt between 9-13 months, not at 6 months. At 6 months, central incisors may begin to appear, but lateral incisors are not typically present, making this an incorrect expectation for a 6-month-old infant during a routine well-child assessment.

Choice C reason: The pincer grasp, using thumb and index finger, typically develops around 9-12 months. At 6 months, infants use a raking grasp with the whole hand, as fine motor skills are not yet refined, making this an incorrect expected finding for a 6-month-old infant.

Choice D reason: The posterior fontanel typically closes by 2-3 months of age due to cranial bone ossification. By 6 months, a closed posterior fontanel is an expected finding, as it reflects normal skull development, making this the correct expectation for a well-child visit at this age.

A. Keep the infant stimulated with many toys B. Respond to the infant consistently C. Talk to the infant at a special time each day D. Expose the infant to many caregivers to help the infant learn variability

Correct Answer is B

Explanation

Choice A reason: Overstimulation with many toys can overwhelm an infant, hindering Erikson’s trust vs. mistrust stage, which requires consistent caregiving to build trust. Excessive stimulation may cause stress, not security, making this an ineffective strategy for fostering the sense of reliability needed for developmental progress.

Choice B reason: Consistent parental responses to an infant’s needs (e.g., feeding, comforting) foster trust, the core of Erikson’s first developmental stage (trust vs. mistrust). Reliable caregiving builds a sense of security, enabling the infant to develop confidence in their environment, making this the correct and optimal approach.

Choice C reason: Talking to an infant at a special time daily supports language development but is insufficient for Erikson’s trust vs. mistrust stage. Trust requires consistent responses to physical and emotional needs, not just scheduled interactions, making this less effective for achieving the developmental task.

Choice D reason: Exposing an infant to many caregivers may cause inconsistency, undermining Erikson’s trust vs. mistrust stage. Infants need reliable, familiar caregivers to develop trust in their environment. Multiple caregivers can lead to mistrust if responses vary, making this an incorrect strategy for this developmental task.

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A clinic nurse has provided instructions to the mother of a 6-year-old female with a urinary tract infection. Which statements by the mother indicate understanding of home care? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

Correct Answer is D

Explanation

The best way for an infant’s parent to help the child complete Erikson’s developmental task of the first year is to:

Correct Answer is B

Explanation

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