A nurse is assessing a 2-year-old child at a well-child visit.
The child’s parent expresses concern about the child’s increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

“Discipline is an important aspect of parenting. How do you discipline the child when they act out?”

“Some children have more difficult personalities. There are great parenting books that can help you.”.

“Toddlers are beginning to develop a desire for autonomy. Temper tantrums are normal during this stage.”.

“Diets can play a part in behavioral concerns. What does your child typically eat during the day?”

Answer and Explanation

The Correct Answer is C

The correct answer is Choice C.

Choice A rationale

While discipline is an important aspect of parenting, the nurse’s response should focus on normalizing the child’s behavior and providing reassurance to the parent. Discussing discipline methods may not address the parent’s immediate concern about temper tantrums.

Choice B rationale

Suggesting that some children have more difficult personalities and recommending parenting books may not provide the immediate reassurance and understanding the parent needs. It is important to normalize the child’s behavior and explain that temper tantrums are a normal part of development.

Choice C rationale

Toddlers are beginning to develop a sense of autonomy and independence, which can lead to temper tantrums as they assert their desires and preferences. Explaining that temper tantrums are normal during this stage of development helps reassure the parent and provides a better understanding of their child’s behavior.

Choice D rationale

While diet can play a role in behavior, the nurse’s response should focus on normalizing the child’s behavior and providing reassurance. Discussing diet may not address the parent’s immediate concern about temper tantrums and difficult behaviors.

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Correct Answer is C

Explanation

The correct answer is Choice C.

Choice A rationale

Auscultating for a cardiac murmur can be helpful but is not the most specific assessment for coarctation of the aorta. Murmurs can be present in various cardiac conditions.

Choice B rationale

Recording blood pressure in the upper extremities alone is not sufficient. Coarctation of the aorta often presents with a discrepancy between upper and lower extremity blood pressures.

Choice C rationale

Assessing for the presence of femoral pulses is crucial. In coarctation of the aorta, there is decreased blood flow to the lower extremities, leading to weak or absent femoral pulses.

Choice D rationale

Observing for excessive crying is non-specific and can be associated with many conditions, not just coarctation of the aorta.

A. Do not palpate abdomen. B. No venipuncture or blood pressure in left arm. C. Collect all urine. D. Contact precautions.

Correct Answer is A

Explanation

The correct answer is Choice A.

Choice A rationale

Wilms tumor, also known as nephroblastoma, is a type of kidney cancer that primarily affects children. It is crucial not to palpate the abdomen of a child with a suspected Wilms tumor because this can cause the tumor to rupture and spread cancerous cells to other parts of the body.

Choice B rationale

This choice is incorrect because there is no specific restriction on venipuncture or blood pressure measurements in the left arm for children with Wilms tumor. This precaution is typically associated with conditions like lymphedema or after a mastectomy.

Choice C rationale

Collecting all urine is not a specific precaution for Wilms tumor. While monitoring urine output can be important in various conditions, it is not a primary concern for Wilms tumor.

Choice D rationale

Contact precautions are not necessary for Wilms tumor as it is not an infectious disease. Contact precautions are typically used for conditions that are contagious or spread through direct contact.

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A nurse is assessing a 2-year-old child at a well-child visit.The child’s parent expresses concern about the child’s increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?

Nursing Test Bank

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Coarctation of the aorta demonstrates few symptoms in newborns.What is an important assessment for the nurse to make on all newborns to help reveal this condition?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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A nurse is assessing a 2-year-old child at a well-child visit.
The child’s parent expresses concern about the child’s increasing temper tantrums and difficult behaviors. Which of the following statements should the nurse respond with?