A mother notices that her 6-month-old child grasps things such as ...

[eruditmonkey@yahoo.com]

A mother notices that her 6-month-old child grasps things such as a spoon in her palms. This mother asks when her daughter will be able grasp a spoon between the thumb and fingers. She has been trying to teach the child this skill without success.
 
  The best response by the nurse would be: a. The pincer grasp will be mastered at about 8 months. It would be best to let the child grasp the spoon with the palm, as it is too early for the pincer grasp.
  b. Have your child play with an older child who uses the pincer grasp, and your baby will likely pick up the skill from the other child in a short while.
  c. Keep working and teaching. The baby will soon pick this skill up if you just keep pushing.
  d. Let's do some developmental testing to see in what other areas your baby is behind in development.

Question 2

A child has been diagnosed with a terminal illness. The child will need additional services and support after the discharge. Which health care delivery setting will provide the child with the most appropriate services?
 
  a. Home health care
  b. Hospice
  c. Parish nursing
  d. Clinic

[maya.nigrin17@yahoo.com]

Answer to Question 1

A

Feedback
A Correct. As the infant's fine motor development progresses, the palmar reflex is replaced with a thumb and finger pincer grasp at approximately 8 months of age.
B Incorrect. The development of the pincer grasp relies upon the infant's age and relies upon practice, not imitation to master.
C Incorrect. The development of the pincer grasp relies upon the infant's age and relies upon practice, not the mother's teaching.
D Incorrect. Developmental testing is not required at 6 months of age, and when the pincer grasp does not normally appear until 8 months of age.

Answer to Question 2

B
Home care focuses on delivering care to restore the child. Hospice provides care for the dying child. Parish nursing focuses on health promotion and may be able to provide the parents with support following the death of the child. The clinic setting provides preventive and curative care for the child.