The nurse discusses child-proofing the home for safety with the mother of a 9-month-old infant.
Which statement made by the mother would indicate an unsafe behavior?

Choice A rationale:

If a 16-month-old child is unable to climb steps, it may not be a significant cause for concern at this age. Climbing steps is a complex motor skill that children typically develop later in toddlerhood.

Choice B rationale:

Preferring finger feeding at 16 months is not necessarily a cause for concern. Many children continue to use finger feeding even when they have started using utensils. This can be part of their developmental process.

Choice C rationale:

A 16-month-old child not walking independently is a significant concern. By this age, most children should be taking their first independent steps or showing signs of readiness to walk. Delayed independent walking can be a sign of developmental issues, and it is essential to address this with a healthcare provider.

Choice D rationale:

Limited to single words is also a developmental milestone concern, but it may not be as immediate a concern as not walking independently. Many children develop language skills at different rates, and limited vocabulary at 16 months may not be as alarming as a delay in motor skills like walking.

Choice A rationale:

It is essential to understand that children exploring their bodies, including touching their genitalia, is often a normal part of their development. However, suggesting that it is due to discomfort from a penile rash or irritation (Choice A) may pathologize typical behavior and cause unnecessary concern. It's important for healthcare providers and parents to differentiate between normal curiosity and potential signs of discomfort or distress.

Choice B rationale:

Masturbation in young children is not a sign of an excessive fear of castration (Choice B). Such interpretations are based on outdated psychoanalytic theories and are not considered valid explanations for this behavior. It's crucial to avoid making unwarranted psychological assumptions about children's actions.

Choice C rationale:

Choice C is the correct answer because, in most cases, frequent genital touching in young children is a manifestation of normal curiosity about their bodies and sexuality. It is an opportunity for parents and caregivers to educate children about privacy, appropriate behavior, and boundaries in a developmentally appropriate manner. This response reflects a current and evidence-based understanding of child development.

Choice D rationale:

Labeling this behavior as abnormal and suggesting the child should be referred for counseling (Choice D) is not appropriate unless there are specific signs of distress, compulsivity, or other concerning factors. Jumping to counseling without a valid reason can create unnecessary anxiety for the child and parents.