The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?
Advising about increased caloric needs
Explaining how to prepare table foods
Discussing the type of sippy cup to use
Describing the tongue extrusion reflex
The Correct Answer is C
A. Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B. At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C. Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D. Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.
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Correct Answer is D
Explanation
A. Turning off the room light might aid sleep, but providing specific bedtime rituals is more effective in establishing a sleep routine and signaling to the toddler that it's time to rest.
B. While addressing fears is important, it might not immediately resolve the toddler's difficulty sleeping; establishing bedtime rituals helps create a calming environment.
C. Evening play exercises might energize the toddler rather than promoting sleep, so they might not be conducive to improving sleep during hospitalization.
D. Bedtime rituals, like a soothing bath, reading a book, or soft music, can create a predictable routine that signals to the toddler it's time to wind down and sleep.
Correct Answer is B
Explanation
A. The ability to focus on near objects is a normal sensory development in newborns.
B. Lack of response to loud noise might indicate a hearing deficit or impairment in the newborn's sensory skills.
C. Occasional eye wandering and crossing are common in newborns as their eye muscles are still developing and might not indicate a sensory deficit.
D. Becoming more alert with stroking when drowsy is a normal response and does not necessarily indicate a sensory deficit.
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