The nurse is teaching the parents of a 2-year-old girl how to ...

[lak]

The nurse is teaching the parents of a 2-year-old girl how to deal with common toddler situations. Which is the best advice?
 
  A) Discipline the child for regressive behavior.
  B) Scold the child for public thumb sucking.
  C) Tell the older sibling to not act like a baby.
  D) Have the child help clean up a bowel accident.

Question 2

Which process should the nurse use to assess the heart rate of a school-age child?
 
  A) Apical pulse for 1 full minute
  B) Radial pulse for 1 full minute
  C) Femoral pulse for 1 full minute
  D) Brachial pulse for 1 full minute

[Jossy]

Answer to Question 1

D
Feedback:
Having the child help clean up a bowel accident is the best advice. Toddlers should never be punished for bowel or bladder accidents, but gently reminded about toileting. Regressive behavior is best ignored, while appropriate behavior should be praised. Telling the older sibling to not act like a baby is a negative approach. It would be better to have the child be mother's helper. Calmly telling the child that thumb sucking is something that is done at home is better than scolding the child.

Answer to Question 2

B
Feedback:
An apical pulse is taken in children younger than 1 year of age because their radial pulse is too faint to be palpated accurately. After 1 year of age, the radial pulse can be used and assessed for 1 minute. The femoral and brachial pulses are not used to determine heart rate of a school-age child.

[lak]

Excellent

[juliaf]

Gracias!