The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.
Use of car seats and other safety measures
Use of supplements and vitamins
Prenatal and perinatal histories
The child's race and ethnicity
The child's toileting habits
Correct Answer : A,B,E
A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.
B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.
C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.
D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.
E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.
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Related Questions
Correct Answer is C
Explanation
A. The child does not vocally respond to voices: While vocal responsiveness is an important aspect of development, it may vary among infants and is not necessarily indicative of a developmental problem at 4 months.
B. The child never squeals or yells: Squealing and yelling are vocalizations that infants may or may not exhibit at this age, and their absence alone may not necessarily indicate a developmental problem.
C. The child does not babblE. Babbling, which typically begins around 4 to 6 months of age, involves the repetition of consonant-vowel combinations (e.g., "bababa"). The absence of babbling by 4 months may suggest a delay in language development and could be a potential sign of a developmental problem.
D. The child does not say dada or mamA. Infants may begin to associate "dada" or "mama" with specific caregivers, but this typically occurs later, closer to 6 to 9 months of age. The absence of this behavior at 4 months may not necessarily indicate a developmental problem.
Correct Answer is D
Explanation
A. "Do you enjoy reading a book?"
While reading preferences can provide some insight into the child's interests, it may not directly address the issue of trouble adjusting to school.
B. "Are you happy with your teacher?"
Asking about the child's satisfaction with the teacher may provide some information, but it may not uncover the underlying issues contributing to the trouble adjusting to school.
C. "Do you like your new school?"
This question addresses the general perception of the school environment but may not necessarily uncover specific issues related to adjusting to school.
D. “What are your new classmates like?"
Asking about the child's interactions with classmates can provide valuable information about social dynamics, peer relationships, and potential sources of stress or difficulty adjusting to school. It allows the nurse to explore the child's experiences and perceptions within the school setting, which can help identify areas of concern and potential interventions.
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