During a clinic visit, the parents of a 15-month-old ask what ...

[jrubin]

During a clinic visit, the parents of a 15-month-old ask what disease and injury prevention topics would be appropriate to discuss at this age. Which response by the nurse is the most appropriate?
 
  1. It's never too early to teach a child to wear a helmet when riding a bicycle.
  2. Teaching simple handwashing is a good topic at this age.
  3. Tell the child over and over to stay away from water unless you are with him.
  4. Tell him firmly no' when he tries to cross the street.

Question 2

The nurse is evaluating the car seat of a 3-year-old who weighs 42 pounds. Which recommendation should the nurse make about the car seat to the parents?
 
  1. Convertible, rear-facing seat
  2. Belt-positioning booster seat
  3. A car seat with a harness approved for higher weights and heights
  4. A regular seat with lap and shoulder strap

[millet]

Answer to Question 1

Correct Answer: 2
Rationale: Disease and injury prevention are ongoing topics at all ages. Simple handwashing is appropriate for a 15-month-old child. A 15-month-old is too young for bicycle riding, so this can be delayed. A 15-month-old is too young to understand water safety and crossing the street, and should never be left unattended in these situations.

Answer to Question 2

Correct Answer: 3
Rationale: The American Academy of Pediatrics and the National Highway Safety Administration recommend booster seats for children over 40 pounds and 4 years of age. A 3-year-old should be in a regular car seat with approved harness for higherweight/height children so that she is protected from injury. Rear-facing seats and regular seat with lap and shoulder strap are not appropriate for a 3-year-old.

[jrubin]

TYSM

[coreycathey]

Excellent