The nurse determines Millie's parent understood the 2-year-old well child visit teaching when the parent states which of the following?
"I will only garden when Millie is napping"
"I will buy a toy slide since Millie should already know how to climb steps without help"
"I will limit Millie's milk to 2 cups per day"
"I will give Millie a 5-minute timeout when she is being negative and saying no to everything"
The Correct Answer is C
Rationale:
A. "I will only garden when Millie is napping": While supervision during activities is important for toddler safety, gardening during her nap does not directly relate to developmental guidance. Safety strategies should focus on active supervision and safe play rather than timing chores around naps.
B. "I will buy a toy slide since Millie should already know how to climb steps without help": Encouraging physical activity and gross motor skills is important, but expecting a 2-year-old to climb steps independently may be premature. Introducing equipment like slides should be accompanied by supervision and recognition of age-appropriate skill development.
C. "I will limit Millie's milk to 2 cups per day": Limiting milk intake to 16 ounces daily aligns with recommendations for toddlers to prevent excessive calorie intake and ensure adequate iron absorption. This demonstrates understanding of nutritional guidance for a 2-year-old and supports balanced eating habits alongside table foods.
D. "I will give Millie a 5-minute timeout when she is being negative and saying no to everything": While timeouts can be part of behavior management, a 2-year-old’s negative behaviors and assertions of independence are developmentally typical. Using short, consistent discipline strategies is recommended.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. A 3-year-old child who was diagnosed with autism spectrum disorder last month: A diagnosis of autism does not increase physiological risk for lead exposure. Risk depends on environmental factors such as housing age, contaminated soil, or parental occupations. Without exposure-related details, this child does not represent the highest likelihood of ingesting or absorbing lead.
B. A 4-year-old child whose parents work in the textile industry making yarn and cloth: Textile work does not typically involve significant lead exposure, unlike industries such as battery manufacturing, construction, or smelting.
C. A 2-year-old child who has a history of eating dirt: Toddlers with pica or frequent soil ingestion are at high risk because soil around older homes or contaminated areas may contain lead. Children at this age also absorb lead more efficiently and often explore the environment orally, greatly increasing their exposure potential through contaminated dust or soil.
D. A 6-year-old child in the 25th percentile for height and weight: Being small for age does not inherently increase risk of lead poisoning. Risk is more closely linked to environmental sources such as old paint, soil, water, and household renovations.
Correct Answer is ["A","B","F"]
Explanation
Rationale:
A. You should increase your intake of fruits and vegetables: A diet rich in fruits and vegetables provides fiber, vitamins, and antioxidants that help lower LDL cholesterol and total cholesterol. Encouraging this dietary change is a cornerstone of managing pediatric hyperlipidemia and promoting long-term cardiovascular health.
B. You should participate in at least 1 hour of physical activity each day: Regular physical activity helps improve lipid profiles, manage weight, and support overall cardiovascular health. For school-aged children with elevated cholesterol, incorporating daily exercise is essential for both prevention and treatment of hyperlipidemia.
C. You should limit your screen time to less than six hours a day: Limiting sedentary behavior is important for cardiovascular and overall health; however, standard pediatric recommendations suggest less than 2 hours of recreational screen time per day, so “less than six hours” is not consistent with current guidelines.
D. You should decrease the fiber in your diet: Fiber intake helps reduce cholesterol absorption and supports cardiovascular health. Advising a decrease in fiber would worsen hyperlipidemia and is inappropriate for treatment education.
E. You should increase your intake of red meat: Red meat is high in saturated fats and cholesterol, which can worsen LDL levels. Increasing red meat consumption is contraindicated for children with hyperlipidemia.
F. You should limit your intake of fast food: Fast food is often high in saturated fat, trans fat, and sodium, contributing to elevated cholesterol levels and obesity. Limiting fast food intake is an important part of dietary modification for pediatric hyperlipidemia.
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