What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?

Choice A rationale:

When providing anticipatory guidance for parents of a toddler, it's important to emphasize positive discipline strategies. Setting limits and boundaries for a toddler's behavior is essential for their development, but it should be done in a positive and constructive way. Praise is an effective tool to reinforce good behavior and encourage positive actions. By praising a toddler when they follow the rules or display desirable behavior, parents can reinforce these behaviors and encourage them to continue. This positive reinforcement helps in shaping the child's behavior in a more effective way. It's important for parents to remember that praise should be specific and genuine to have the desired impact.

Choice B rationale:

Adhering to a rigid schedule because the toddler is ritualistic is not the best approach. While it's true that some toddlers may exhibit ritualistic behavior, imposing a rigid schedule may not always be necessary or beneficial. Each child is unique, and their needs and routines may vary. It's essential for parents to be flexible and responsive to their toddler's individual needs while still providing structure and boundaries.

Choice C rationale:

Dressing the toddler in pants with a zipper is not directly related to anticipatory guidance for parents. While it's important for toddlers to learn self-help skills like zipping and unzipping clothes, this is not the primary focus of anticipatory guidance. Anticipatory guidance should center on broader topics such as discipline, safety, and developmental milestones.

Choice D rationale:

The statement about shoes fitting snugly at the toe and arch is unrelated to anticipatory guidance for parents of toddlers. While proper-fitting shoes are important for a child's comfort and foot health, this is not a central topic when discussing guidance for parents of toddlers. Anticipatory guidance for this age group should focus on developmental milestones, safety, nutrition, and positive discipline strategies.

Choice A rationale:

Speaking in 2-word sentences is not a developmental milestone expected in a 9-month-old infant. Language development typically involves babbling, imitating sounds, and understanding simple commands at this age.

Choice B rationale:

Beginning to use a spoon rather sloppily is also not a typical milestone for a 9-month-old. Infants at this age are just starting to explore solid foods and are more likely to use their hands for self-feeding.

Choice C rationale:

Creeping along the floor is an appropriate developmental milestone for a 9-month-old. This crawling or creeping motion is a precursor to crawling and walking. It's a sign of motor development and exploration.

Choice D rationale:

Grasping objects with a palmar grasp is a skill that infants typically develop at a much younger age, usually within the first few months of life. By 9 months, they should have progressed to a more refined pincer grasp.