Author Question: A father brings his toddler to the clinic for well-child care. Which of the following would be most ... (Read 78 times)

newyorker26 · **on:** Jul 23, 2018

A father brings his toddler to the clinic for well-child care. Which of the following would be most important for the nurse to assess?

a. How successful the child is with potty training
b. How the child acts when you enter the room
c. Whether the child is using eating utensils
d. Whether the home is childproof

Question 2

A mother comes to the clinic with her 1-week-old infant for a newborn checkup. The mother tells the nurse, My baby looks yellow to me. The nurse's best response is which of the following?

a. What type of detergent are you using to wash the baby's clothes?
b. Is there a possibility you had hepatitis during your pregnancy?
c. The color is from the breakdown of maternal red blood cells.
d. There is a cream you can use to reduce the yellowing.

izzat · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
Although all of these areas address important developmental tasks during the toddler period, safety is the highest priority at this age because the child has increased dexterity, mobility, and determination, and is becoming more independent. Potty training is typically accomplished between 18 months and 3 years of age but is not a safety concern. It would be normal for a child at this age to be afraid of strangers. The child should be using utensils for most foods, but again it is not a safety concern.

Answer to Question 2

C
Jaundice results from the breakdown of the maternal red blood cells that are in the baby's system after birth, which elevates the bilirubin in the serum. If detergent caused a reaction, the reaction would commonly present as a rash. Although hepatitis B virus may pass through the placenta to the fetus, the infant does not typically show signs at 1 week of life. If treatment becomes necessary, the infant would receive phototherapy; there is no cream to reduce the yellow appearance related to newborn jaundice.