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

Answer and Explanation

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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Correct Answer is C

Explanation

A. The child exhibits plantar grasp reflex: The presence of the plantar grasp reflex at 10 months

is appropriate and not cause for concern. This reflex typically diminishes by around 9 months but can persist slightly longer in premature infants.

B. The child has doubled his birth weight: Doubling birth weight by around 6 months is a normal developmental milestone, and achieving this by 10 months is appropriate, indicating healthy growth.

C. No primary teeth have erupted yet: The absence of primary teeth by 10 months, especially in a preterm infant, may indicate a delay in dental development and should prompt further evaluation by a healthcare provider.

D. The child's head circumference is 49.53 cm: The head circumference of 49.53 cm falls within the typical range for a 10-month-old infant and is not inherently concerning.

A. "This is normal behavior for infants unless the stool passed is black or green." B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system." C. "This is normal behavior for infants unless the stool passed is hard and dry." D. "This indicates a blockage in the intestine and must be reported to the health care provider."

Correct Answer is B

Explanation

A. "This is normal behavior for infants unless the stool passed is black or green.": While black or green stools may indicate potential issues, grunting and crying during bowel movements are common behaviors in infants and are not necessarily indicative of a problem.

B. "This is normal behavior for infants due to the immaturity of the gastrointestinal system.": Grunting and crying during bowel movements are typical behaviors in infants, especially during the first few months of life. This is because the infant's gastrointestinal system is still developing and they may have difficulty coordinating their muscles to pass stool smoothly.

C. "This is normal behavior for infants unless the stool passed is hard and dry.": While hard and dry stools may indicate constipation, grunting and crying during bowel movements can still be normal behaviors in infants, regardless of the consistency of the stool.

D. "This indicates a blockage in the intestine and must be reported to the health care provider.": Grunting and crying during bowel movements are not necessarily indicative of a blockage in the intestine. These behaviors are common in infants and usually resolve as the infant's gastrointestinal system matures.

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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.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is examining a 10-month-old boy who was born 10 weeks early. Which finding is cause for concern?

Correct Answer is C

Explanation

A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

Correct Answer is B

Explanation

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