A nurse is speaking with the parent of a 6-year-old child. Which of the following statements made by the parent should concern the nurse?

"My child fell off the swing at the playground but did not cry or complain of pain."

"My child has been experiencing occasional nightmares and has trouble falling asleep."

"My child has been having a low-grade fever for the past day."

"My child has started a new hobby of painting and spends a lot of time drawing."

Answer and Explanation

The Correct Answer is A

A.   A child falling from a swing and not crying or complaining of pain could be a sign of an underlying injury or a serious condition like a head injury or internal bleeding. Immediate evaluation is needed.
B.   Occasional nightmares and trouble falling asleep are common in young children and are typically not
a cause for concern unless they are persistent or interfere with the child’s daily functioning.
C.   A low-grade fever for a day is common and might be a mild viral illness, but should be monitored to see if it resolves or worsens.
D.   Engaging in a new hobby like painting is a positive sign of the child’s social and emotional
development, not a cause for concern.

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Correct Answer is C

Explanation

A. Rotavirus is given earlier in infancy, typically before 8 months of age, and is not a priority at 18 months.
B. Influenza is important but is given seasonally, and the child is not necessarily due for this vaccine at 18 months unless indicated.
C. DTaP is a routine vaccine administered at 18 months as part of the series of childhood immunizations.
D. MMR is given at 12-15 months and again at 4-6 years, so it is not typically prioritized at 18 months if the child has already received it.

A. "I always give my toddler fruit juice instead of water to keep them hydrated throughout the day." B. "I let my toddler eat as many sweets and snacks as they want because they are a picky eater." C. "I make sure to offer a variety of foods from different food groups to my toddler each day." D. "I avoid giving my toddler any dairy products as they are not necessary for their diet."

Correct Answer is C

Explanation

A. Fruit juice is high in sugar and does not provide the same hydration as water. It is important to limit juice intake to avoid overconsumption of sugars and to encourage water as the primary fluid.
B. Allowing a toddler unlimited sweets and snacks is not advisable, as it can lead to poor nutritional habits and imbalanced diet. Picky eating should be addressed with nutritious alternatives, not by offering sweets.
C. Offering a variety of foods from different food groups ensures a balanced diet that includes essential nutrients for growth and development. This is the correct approach for toddler nutrition.
D. Dairy products are an important source of calcium and vitamin D for toddlers. Avoiding them without a medical reason can result in nutritional deficiencies.

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A nurse is speaking with the parent of a 6-year-old child. Which of the following statements made by the parent should concern the nurse?

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