The nurse is educating the parents of an 18-month-old toddler about safety and injury prevention. Which action by the parents best demonstrates their understanding of the child’s safety needs?
Supervising the child in outdoor, fenced play areas.
Allowing the child to cross the street with a 6-year-old sibling.
Using an automobile booster seat with a lap belt.
Teaching the child about swimming and water safety.
The Correct Answer is A
Choice A rationale
Supervising the child in outdoor, fenced play areas is a key safety measure for toddlers. At this age, children are exploring their environment and may not be aware of potential dangers.
Fenced play areas provide a safe space for the child to play while still being under the watchful eye of the parents. This demonstrates an understanding of the child’s safety needs.
Choice B rationale
Allowing a toddler to cross the street with a 6-year-old sibling is not a safe practice. Children at this age do not have the cognitive ability to understand the dangers of traffic and cannot make safe decisions about when to cross the street. Therefore, this action does not demonstrate an understanding of the child’s safety needs.
Choice C rationale
Using an automobile booster seat with a lap belt is not appropriate for an 18-month-old toddler. According to safety guidelines, children under the age of 2 should be in a rear-facing car seat, and children between the ages of 2 and 4 should be in a forward-facing car seat with a harness. Booster seats are typically used for older children who have outgrown their forward- facing car seats. Therefore, this action does not demonstrate an understanding of the child’s safety needs.
Choice D rationale
Teaching a toddler about swimming and water safety is important, but it is not enough to ensure the child’s safety. Toddlers should always be supervised around water, even if they have had swimming lessons. Drowning is a leading cause of death in toddlers, and it can happen quickly and silently. Therefore, while teaching water safety is a good step, it needs to be combined with other safety measures.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
Working on catching a bounced ball is an age-appropriate activity for a 7-year-old child. This activity helps develop motor skills and hand-eye coordination.
Choice B rationale
Purchasing a jumping rope is an age-appropriate activity for a 7-year-old child. Jumping rope helps improve physical fitness, coordination, and timing.
Choice C rationale
Encouraging a 7-year-old child to ride his tricycle indicates a need for further teaching. At this age, most children have the balance and coordination necessary to ride a two-wheeler bike.
Continuing to ride a tricycle may limit the development of these skills.
Choice D rationale
Running is a great activity for a 7-year-old child. It helps improve cardiovascular fitness and physical strength. Playing chase adds an element of fun and can also help develop social skills.
Correct Answer is D
Explanation
Choice A rationale
Rocking the baby to sleep and then laying the baby in the crib might not alleviate the baby’s shortness of breath and irritability. While rocking can be soothing, it does not address the underlying issue of respiratory difficulty.
Choice B rationale
Taking the baby from the mother and laying the baby in the crib might not be the best advice. Separation from the mother might increase the baby’s distress and does not address the baby’s respiratory difficulty.
Choice C rationale
Feeding the baby and then laying the baby down might not be the best advice. Feeding can be difficult for a baby who is tachypneic and might increase the risk of aspiration.
Choice D rationale
Advising swaddling the baby and placing the baby on its back at a 30-degree angle in the crib is the best advice. This position can help to decrease work of breathing and increase comfort, which might help the baby to rest better.
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