When admitting a 2 1/2-year-old child, the nurse's priority ...

[gbarreiro]

When admitting a 2 1/2-year-old child, the nurse's priority intervention to reduce anxiety would be which of the following?
 
  1. Orienting her to the unit
  2. Bringing toys to the room to distract her
  3. Introducing the staff to the child
  4. Encouraging the mother to remain with the child

Question 2

The nurse working in a pediatric office finds that a child is below average in height and weight when assessed according to the standard growth chart.
 
  Which of the following would the nurse consider when determining the importance of this finding? 1. The child's cultural heritage
  2. The child's age
  3. How many siblings the child has
  4. The marital status of the mother

[jsm54321]

Answer to Question 1

4
Rationale: The 2-year-old is most concerned with separation from the parent. Encouraging the mother to stay will help decrease the child's level of anxiety. Offering toys, introducing staff, and orienting the girl to the unit are tactics that might be helpful once the initial anxiety is allayed but would not be the nurse's first actions.

Answer to Question 2

1
Rationale 1: Culture and genetics play a role in determining average height and weight for a child. Children with shorter, smaller parents are more likely to fall below the average height and weight, and would be appropriate. The child's age is taken into consideration when plotting height and weight on a graph that indicates what would be normal for that age child. Number of siblings and marital status of the mother would not be anticipated to play a role in growth.

[gbarreiro]

TYSM

[atrochim]

Excellent