The nurse reviews the client's test results.

For each potential provider's prescription, click to specify if the potential prescription is anticipated or contraindicated for the client. There must be at least 1 selection in every row. There does not need to be a selection in every column.

A. A toddler who has atopic dermatitis: Atopic dermatitis is a common chronic skin condition and does not increase the risk of child maltreatment. While it may require ongoing care, it is not associated with higher rates of abuse or neglect.

B. An only child: Being an only child is not a recognized risk factor for child maltreatment. Maltreatment risk is more closely related to caregiver stress, child vulnerability, and family dynamics rather than sibling status.

C. A school-age child who has cerebral palsy: Children with physical or developmental disabilities are at increased risk for maltreatment due to caregiver stress, dependency, and communication barriers. These children may be less able to protect themselves or report abuse, making them more vulnerable.

D. A child who was conceived by in vitro fertilization: Conception through assisted reproductive technology does not increase the risk of child maltreatment. These children are often highly desired and planned, which does not align with known risk factors for abuse or neglect.

A. “I will decrease my fluid intake to reduce incontinence.”: Reducing fluid intake can lead to concentrated urine and bladder irritation, which may worsen urinary urgency and incontinence. Adequate hydration is encouraged rather than fluid restriction for managing cystocele symptoms.

B. “I will experience less urinary incontinence if I use artificial sweeteners.”: Artificial sweeteners can irritate the bladder and increase urinary frequency or urgency. Their use may exacerbate urinary incontinence rather than improve symptoms.

C. “I will practice perineal exercises to decrease urinary leakage.”: Perineal (Kegel) exercises strengthen the pelvic floor muscles that support the bladder and urethra. Regular practice can improve muscle tone and reduce urinary leakage associated with a cystocele.

D. “I should use a perineal spray to reduce odor from urinary leakage.”: Perineal sprays may mask odor but do not address the underlying pelvic floor weakness. Some products can also irritate the perineal area, potentially worsening discomfort or skin breakdown.