Answer to Question 1
Correct Answer: 1
Rationale: The scenario reveals parental anxiety due to marital problems. The most appropriate nursing diagnosis is alteration in growth patterns related to parental anxiety. There is no data that indicates familial short stature. Since height and weight are at the 5th percentile, there is no indication of increased nutritional intake. This infant is not at risk for constitutional growth delay.
Answer to Question 2
Correct Answer: 3
Rationale: In this scenario, the mother has overdressed the infant. The nurse needs to gently inform the mother of this problem and to provide information to the mother on why it is a problem. Just making a statement on how warmly the child is dressed will not accomplish this goal or just telling the mother to only put one layer of clothing on the child does not provide a rationale for the mother to make a better decision the next time, so this statement also is not helpful to the mother.
A nurse shows empathy to a client.
Assessing skin turgor.
Nurse examining and measuring hematuria sample from client with a UTI
The gas cap on a Ford vehicle notes that BP fuel is recommended.
Three Pieces of the Long-Term Weight-Loss Puzzle Diet
7-month-old Leslie —an example of cross-modal transfer