The parents of 1-year-old girl, both of whom have perfect teeth, ...

[lindiwe]

The parents of 1-year-old girl, both of whom have perfect teeth, are concerned that their daughter might get dental caries. Which is the best advice the nurse can provide?
 
  A) Allow the girl to eat only at meal and snack times.
  B) Take the child to a dentist for a check-up.
  C) Reduce carbohydrates in the child's diet.
  D) Do not use fluoride toothpaste.

Question 2

The nurse is counseling a couple who suspect that they could bear a child with a genetic abnormality. Which would be most important for the nurse when working with this family?
 
  A) Gather information for three generations.
  B) Inform the family of the need for information.
  C) Maintain the confidentiality of the information.
  D) Present the information in a nondirective manner.

[huda]

Answer to Question 1

A
Response:
Telling the parents to limit eating to meal and snack times is the best advice. This reduces the amount of exposure the child's teeth have to food. Urging them to take the child to see a dentist is sound advice but doesn't suggest actions they can take now to prevent caries. Carbohydrates react with oral bacteria to cause caries, but dietary intake should not be reduced. Avoiding fluoride toothpaste may help prevent fluorosis.

Answer to Question 2

D
Response:
It is essential to respect client autonomy and present information in a factual, nondirective manner. In these situations, the nurse needs to understand that the choice is the couple's to make. Gathering information for three generations obtains a broad overview of what has been seen in both sides of the family. Maintaining confidentiality of the information is as important as with any other client information gathered. Informing the family of the need for information in advance is necessary because of its personal nature.