A nurse is caring for a 24-month-old in a provider's office.
Which of the following information should the nurse include in the teaching? Select all that apply.
Use dental floss to clean between teeth after each cleaning.
Use a toothbrush with nylon bristles.
Encourage the child to drink milk at bedtime.
Use a pea-sized amount of toothpaste on a toothbrush.
Brush teeth once daily
Correct Answer : B,D
A. Flossing is not typically required for toddlers until teeth touch each other closely (around 3 years old).
B. A toothbrush with soft nylon bristles is recommended for toddlers to clean teeth effectively without damaging gums.
C. Drinking milk at bedtime exposes teeth to sugars overnight, increasing the risk for dental caries (early childhood caries or “baby bottle tooth decay”).
D. A pea-sized amount of fluoride toothpaste helps strengthen enamel and prevent decay; supervise to avoid swallowing.
E. Toddlers’ teeth should be brushed twice daily, especially before bedtime.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. The infant’s security bracelet should remain on at all times while in the hospital. Removing it compromises safety measures and tracking systems.
B. Parents should always verify the identity of staff members and ask about the purpose of removing the baby from the room. This promotes security awareness.
C. The baby should never be left unattended in the room; abduction can occur in seconds. The mother should call for assistance if she needs to leave the room.
D. Avoiding public announcements (e.g., on social media) reduces the risk of unauthorized individuals targeting the infant or attempting abduction.
Correct Answer is B
Explanation
A. Tenting of the skin suggests dehydration, not fluid overload.
B. A respiratory rate of 30/min indicates tachypnea, which can occur due to pulmonary congestion and decreased gas exchange from fluid overload. Other signs may include crackles, dyspnea, elevated blood pressure, and jugular vein distension.
C. A heart rate of 60/min is normal; fluid overload typically causes tachycardia as the body compensates for increased volume and decreased oxygenation.
D. Warm, dry skin is a normal finding and does not indicate excess fluid volume.
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