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

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The parents of a 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide?
 
  A) Tell the parents to limit the child's eating to meal and snack times.
  B) Urge the parents to take the child to a dentist for a check-up.
  C) Advise the parents to reduce carbohydrates in the child's diet.
  D) Advise the parents to use fluoride toothpaste.

Question 2

The nurse is assessing a 3-year-old boy's development during a well-child visit. Which response by the child indicates the need for further assessment?
 
  A) He says a swear word when he hurts himself playing.
  B) He says pew when his sister has soiled her diaper.
  C) He laughs when his brother cries getting vaccinated.
  D) He constantly asks why? whenever he is told a fact.

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Answer to Question 1

Ans: A
Telling the parents to limit eating to meal and snack times is the best advice for preventing dental caries. 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 they should not be reduced from the diet. Avoiding fluoridated toothpaste may help prevent fluorosis.

Answer to Question 2

Ans: C
Laughing when his brother cries when being vaccinated indicates that the child hasn't yet developed a sense of empathy or that there may be psychosocial issues, such as sibling rivalry, that should be assessed. The child may repeat a word even if it is out of context. This is called echolalia. Older toddlers have a well-developed sense of smell and will comment if they don't like a smell. The incessant why is very common to toddlers' speech.

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Excellent

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Gracias!