Which of these aspects of developmental health supervision should ...

[maegan_martin]

Which of these aspects of developmental health supervision should be included in each healthcare visit of young children? (Select all that apply.)
 
  1. Assessment
  2. Discipline
  3. Education
  4. Intervention
  5. Toilet training

Question 2

A 27-month-old toddler who is in the pediatric office for a well-child visit begins to cry the moment he is placed on the examination table. The parent attempts to comfort the toddler;however,nothing is effective.
 
  Which of these actions by the nurse takes priority?
  1. Instruct the father to hold thetoddler down tightly to complete the examination.
  2. Allow the toddler to sit on theparent's lap and begin the assessment.Allow the toddler to stand on thefloor until the crying stops.
  4. Ask another nurse in the office tohold the toddler,since the parent is not able to control the toddler's behavior.

[IRincones]

Answer to Question 1

Answer:1,3,4
Rationale: The main recommendations for developmental health supervision of young children include assessment,education,intervention, and care coordination. This standard framework should be used as guidelines for each healthcare visit.Discipline and toilet training,while important to the care of children are age specific and not part of the main developmental plans.

Answer to Question 2

Answer:2
Rationale: Toddlers are most comfortable when sitting with the parents.Much of the examination can be completed in this way. Allowing the toddler to stand on the floor is inappropriate. A nurse can assist if the parent is unable to hold the child during the examination of the throat and ears to prevent injury from movement.