The nurse is providing anticipatory guidance to the mother of a ...

[Garrulous]

The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which of the following topics would be most appropriate?
 
  A) Advising how to create a toddler-safe home
  B) Warning about small objects left on the floor
  C) Cautioning about putting the baby in a walker
  D) Telling about safety procedures during baths

Question 2

A school-age child is newly diagnosed with type 1 diabetes mellitus. Which behavior indicates to the nurse that the child might be interested in learning how to self-administer insulin injections?
 
  A) The child cries and calls for the mother with every insulin injection.
  B) The child watches the nurse fill and asks to hold the insulin syringe.
  C) The child asks how many shots are needed before the illness is all better..
  D) The child tells the nurse that a parent will give the injection so the parent needs the teaching.

[gabrielle_lawrence]

Answer to Question 1

A
Feedback:
The most appropriate topic for this mother would be advising her on how to create a toddler-safe home. The child will very soon be pulling herself up to standing and cruising the house. This will give her access to areas yet unexplored. Warning about small objects left on the floor, telling about safety procedures during baths, and cautioning about using baby walkers would no longer be anticipatory guidance as the child has passed these stages.

Answer to Question 2

B
Feedback:
Designing a teaching plan begins with assessment of the individual child's needs and how the new knowledge will meld with the child's and family's lifestyle, the child's intellectual and language level, current knowledge level, physical/cognitive capabilities, sociocultural values, and attention span. Because the child is school-age and is a concrete thinker, the child who watches the nurse fill and asks to hold the syringe is the most ready for teaching about self-administration of insulin injections. The child who cries for the mother is not emotionally mature for this teaching. The child who asks how many shots are needed before the illness is all better is not intellectually prepared for this teaching. The child who expects the parent to provide the medication is also not intellectually prepared for this teaching.

[Garrulous]

Excellent

[cdmart10]

TYSM