A first-time mother calls the pediatrician’s office to ask the nurse about her baby’s tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby’s dentition?
Look for the baby to start running a fever and develop a stuffy nose and that will indicate his teeth are coming in.
If the baby does not have any teeth come in by next month, the mother needs to bring him back for x-rays.
Tooth eruption is often genetically based, with some families having babies with early tooth eruption, while others have late tooth eruption.
A baby’s first teeth should erupt by 8 to 10 months of age and are the two lower front teeth.
The Correct Answer is C
Choice A reason: Fever and stuffy nose are not reliable indicators of teething and may signal illness. Genetic variation explains delayed eruption in an 8-month-old, making this misleading and incorrect for addressing the mother’s anxiety about her baby’s lack of teeth in the phone consultation.
Choice B reason: Requiring x-rays if no teeth erupt by 9 months is premature, as teeth can appear up to 12 months normally. Genetic factors reassure without unnecessary tests, making this alarmist and incorrect for responding to the mother’s dentition concerns about her 8-month-old baby.
Choice C reason: Tooth eruption varies genetically, with some babies teething later (up to 12 months) without issue. This explanation reassures the mother about her 8-month-old’s delayed dentition, aligning with pediatric dental norms, making it the correct information to alleviate her anxiety effectively.
Choice D reason: Stating teeth should erupt by 8-10 months is inaccurate, as normal eruption can occur up to 12 months. Genetic variability better addresses the mother’s concern, making this incorrect, as it risks heightening anxiety with a rigid timeline for the baby’s tooth eruption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Lack of eye contact and developmental delay don’t directly indicate physical abuse, which typically shows fear or physical signs. Autistic behaviors like poor eye contact are more likely, making this incorrect, as the toddler’s behaviors align better with autism in the well-child assessment.
Choice B reason: Cocaine abuse by the caregiver might affect development but isn’t linked to specific behaviors like poor eye contact. Autistic traits better explain the toddler’s symptoms, making this speculative and incorrect compared to the nurse’s assessment of developmental concerns in the child.
Choice C reason: Poor eye contact and slower development at 23 months suggest autistic behaviors, common in autism spectrum disorder. This aligns with pediatric developmental screening, making it the correct additional assessment for the nurse to consider based on the toddler’s observed behaviors during the check.
Choice D reason: ADHD typically presents later with hyperactivity and inattention, not poor eye contact or developmental delay at 23 months. Autistic behaviors are more fitting, making this incorrect, as the toddler’s symptoms align better with autism than ADHD in the well-child evaluation.
Correct Answer is A
Explanation
Choice A reason: Cooking low-fat foods demonstrates a proactive approach to healthy eating, reducing calorie-dense intake and preventing obesity. This aligns with pediatric nutrition guidelines for obesity prevention, making it the best statement indicating caregivers’ preparedness to promote healthy weight in their child during discussions.
Choice B reason: Keeping many snacks encourages frequent eating, potentially high-calorie intake, increasing obesity risk. Low-fat cooking directly addresses dietary quality, making this counterproductive and incorrect compared to a strategy focused on reducing fat content to prevent obesity in school-aged children.
Choice C reason: Limiting fast food to weekends reduces unhealthy intake but does not proactively promote healthy eating like low-fat cooking. Fast food, even occasionally, is high in calories, making this less effective and incorrect for demonstrating optimal preparedness to prevent childhood obesity among caregivers.
Choice D reason: Parental weight history is irrelevant to current actions preventing child obesity. Cooking low-fat foods actively addresses dietary habits, while personal weight concerns do not ensure healthy practices, making this incorrect for illustrating caregivers’ readiness to prevent obesity in their child.
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