What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?
Limit-setting should include praise.
Adhere to a rigid schedule because the toddler is ritualistic.
Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip clothes.
Shoes should fit snugly at the toe and arch.
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"The infant has ineffective digestive enzymes" (Choice A) is not the primary reason for offering iron-rich formula to a 6-month-old infant. While infants may have limited digestive enzymes, the primary reason for introducing iron-rich foods or formula at this age is related to their iron stores being depleted, not enzyme function.
Choice B rationale:
Choice B is the correct answer because at around 6 months of age, an infant's iron stores received from the mother during pregnancy start to deplete. Breast milk, which is often the sole source of nutrition for infants, may not provide sufficient iron to meet their growing needs. This is why it's important to introduce iron-rich foods or formula at this stage to ensure the infant continues to receive an adequate supply of this essential mineral.
Choice C rationale:
"The infant has a limited ability to produce red blood cells" (Choice C) is not the primary reason for introducing iron-rich formula. While iron is essential for red blood cell production, the primary concern at this stage is the depletion of iron stores from the mother.
Choice D rationale:
"The infant has a need for iron to support dentition" (Choice D) is not a valid explanation for introducing iron-rich formula to a 6-month-old infant. Iron is not primarily related to the development of teeth, and this statement does not address the key nutritional needs of the infant at this age.
Correct Answer is B
Explanation
Choice A rationale:
"Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.”. This response is not the most helpful because it can create unnecessary anxiety for the father and the child. While prolonged thumb-sucking can affect dental development, it's not an urgent concern in most cases.
Choice B rationale:
"Most children will stop thumb-sucking naturally by school age.”. This is the most helpful response. It reassures the father that thumb-sucking is a common behavior among preschool-age children and that many children naturally outgrow it as they enter school age. It encourages patience and avoids unnecessary intervention.
Choice C rationale:
"Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.”. This option suggests using a topical solution to discourage thumb-sucking. While it's a valid approach, it may not be necessary for most children, and a more conservative approach (choice B) is often preferable.
Choice D rationale:
"Consistently touching the child's fingers whenever he sucks his thumb is most effective.”. This response may not be as effective or practical as choice B, which advises patience. Constantly touching the child's fingers may disrupt their comfort without necessarily leading to a cessation of thumb-sucking.
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