The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Warning about small objects left on the floor

Telling about safety procedures during baths

Advising how to create a toddler-safe home

Cautioning about putting the baby in a walker

Answer and Explanation

The Correct Answer is A

A.   At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B.   Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C.   This more relevant for older babies or toddlers who can stand, walk, or climb.
D.   Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.

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Correct Answer is D

Explanation

A. Hearing is not directly related to the risk of accidental ingestion.
B. Touch is not typically involved in the identification of substances for ingestion.
C. Visual acuity plays a role in identifying substances but may not directly influence the risk of accidental ingestion.
D. At the age of 3, children may have a less discriminating sense of taste, making them more likely to put potentially harmful substances in their mouths.

A. "The average height for a 5-year-old is 43 in tall (118.5 cm), so your son is within the normal range for height." B. "I am sure his height is a concern, but if you start choosing nutrient-dense foods, he will likely catch up to normal in height." C. "Are most of the adults in your family short? It may be hereditary that your child will be shorter than average." D. "Some children are short for their age during the preschool years but usually catch up during early childhood."

Correct Answer is D

Explanation

A. This response may cause unnecessary concern as it implies the child is below average height, which is not necessarily true.
B. While nutrition is important for growth, it's not appropriate to assume the child's height is solely due to nutritional factors without further assessment.
C. While heredity may play a role in height, assuming this without further evaluation may overlook other potential causes of short stature.
D. This response acknowledges the parents' concern while reassuring them that short stature during the preschool years is common and children often catch up in height during early childhood.

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The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

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Naxlex Comprehensive Predictor Exams

The nurse is providing teaching about accidental poisoning to the family of a 3-year-old. The nurse understands that a child of this age is at increased risk of accidental ingestion due to which sensory alteration?

Correct Answer is D

Explanation

The parents of a 5-year-old are concerned that their son is too short for his age. The nurse measures the child's height at 40 in (101.6 cm). How should the nurse respond?

Correct Answer is D

Explanation

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