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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
While a period of play in the playroom can be a good distraction and provide a sense of normalcy for a child in a hospital setting, it may not specifically improve cooperation in a child distressed about a new diagnosis of diabetes mellitus.
Choice B rationale
A needleless syringe and a doll can be useful tools for explaining procedures and reducing fear in children. However, they might not directly address the distress caused by a new diagnosis of diabetes.
Choice C rationale
A storybook about a cat who has diabetes can be an effective therapeutic action. It can help the child understand their condition in a non-threatening way, see that they are not alone, and learn how to manage diabetes in daily life. This can improve their cooperation with their new routine of diabetes management.
Correct Answer is B
Explanation
Choice A rationale
Catching a bounced ball is a skill that typically develops around the age of 21. However, it’s not uncommon for 1-year-olds to start practicing this skill, especially if they show interest and are physically ready.
Choice B rationale
Jumping rope is a complex activity that requires advanced motor skills, coordination, and timing. These skills are usually not fully developed in a 1-year-old child. Therefore, purchasing a jumping rope for a 1-year-old child indicates a need for further teaching as it is not an age- appropriate activity.
Choice C rationale
Riding a tricycle is a skill that children typically start to develop around the age of 31. However, there are tricycles designed for younger children that come with push handles for parents. If the parents are referring to this type of tricycle and they are always present to supervise and assist, it could be an appropriate activity.
Choice D rationale
Running and playing chase can be great activities for a 1-year-old child. Around this age, many children start to walk independently and may even start to run. Playing chase can help them develop their gross motor skills and is a fun way for them to stay active.
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