The nurse recognizes what statement by the parent of a 10-month old as an understanding of safety?

Choice A reason: This is not a statement that indicates an issue with self-concept. The client acknowledges their difficulty with the colostomy appliance, but also shows that they have family support and assistance. This suggests that the client has a positive self-concept and coping skills.

Choice B reason: This is not a statement that indicates an issue with self-concept. The client expresses their willingness to communicate with their relative who has a colostomy. This indicates that the client has a positive self-concept and social support.

Choice C reason: This is not a statement that indicates an issue with self-concept. The client recognizes that learning to manage the colostomy may take some time and practice. This implies that the client has a positive self-concept and realistic expectations.

Choice D reason: This is the statement that indicates an issue with self-concept. The client expresses a negative and hopeless attitude towards the colostomy. This suggests that the client has a poor self-concept and low self-efficacy.

Choice A reason: This is not a statement that shows an understanding of safety. A fluffy pillow can pose a suffocation risk for a 10-month old baby, who may not be able to move their head away from it. The nurse should educate the parent on the safe sleep practices for infants, such as placing the baby on their back, using a firm and flat surface, and avoiding soft bedding and toys in the crib.

Choice B reason: This is not a statement that shows an understanding of safety. A car seat on the table can be unstable and fall off, causing injury to the baby. The nurse should instruct the parent on the proper use and installation of the car seat, such as securing it in the back seat of the car, facing the rear, and using the harness straps and clips correctly.

Choice C reason: This is not a statement that shows an understanding of safety. Whole milk is not recommended for a 10-month old baby, who may not be able to digest it well and may develop an allergy or intolerance. The nurse should advise the parent on the appropriate nutrition for infants, such as breastfeeding or formula feeding until 12 months, and introducing solid foods gradually and with caution.

Choice D reason: This is the best answer. A crib mattress in the low position is safer for a 10-month old baby, who may be able to pull themselves up and try to climb out of the crib. The nurse should commend the parent on this action and remind them to check the crib for any hazards, such as loose screws, gaps, or sharp edges.