Which of the following fine motor skills should the nurse expect the infant to perform? All rights reserved. Therefore, it is essential to ensure adequate iron intake. Jason, age 14 years, who identified fewer than four out of six correct letters with his right eye and five out of six correct with his left eye during visual acuity testing. a nurse is providing teaching to the parent of a preschool-age child about methods to promote sleep. (Select all that apply. Based on the information provided in the case study, you can correctly record which of the following? Realistic expectation for nursing and instructions to ensure proper latching on and effective sucking by the infant should be reviewed before mother and infant are discharged home. a nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (aP). Ask questions, address concerns, and offer advice about how your child is: Eating. More than WebFocus anticipatory guidance on concerns identified by the child and parent/caregiver, health history, physical exam findings, and recommended age -appropriate health promotion and illness or injury prevention. Firearms should be kept unloaded and locked.41, Young children should be closely supervised at all times. Elsevier. a nurse is caring for a preschool- age child who says she needs to leave the hospital because her doll is scared to be at home alone. Latex balloons, round objects, and food can cause life-threatening airway obstruction.42 Long strings and cords can strangle children.37, Infants should never have a bottle in bed, and babies should be weaned to a cup by 12 months of age.44 Juices should be avoided in infants younger than 12 months.45 Fluoride use inhibits tooth demineralization and bacterial enzymes and also enhances remineralization.11 The AAP and USPSTF recommend fluoride supplementation and the application of fluoride varnish for teeth if the water supply is insufficient.11,12 Begin brushing teeth at tooth eruption with parents or caregivers supervising brushing until mastery. Dont put soft objects and loose bedding such as blankets, pillows, bumper pads, and toys in the crib.If you choose to use a mesh playpen, get one made after February 28, 2013. In addition, counsel should be given regarding seizure prevention strategies, such as medication adherence, maintaining adequate sleep, and avoidance of alcohol. Which one of the following best describes how these functions help children? Which of the following is not a capability the family can use to manage the crisis? (Select all that apply.). Talk with your baby by copying the sounds she makes. WebBright Futures Parent Handout 4 Month Visit How Your Family Is Doing Take time for yourself. allow the child to roleplay using miniature equipment. Based on the data collected, which one of the following nursing diagnoses would be most appropriate? Mode of delivery, past birth experience, and length of stay in maternity unit, particularly in obese parturient, further define postnatal care. After a child reaches the age of 1 year, the leading cause of death is from: Children 12 years of age and older who are victims of homicide tend to be killed by: The disease that continues to be a leading cause of death in all age-groups of children is: Fifty percent of all acute conditions of childhood can be accounted for by: Which one of the following statements about injuries in childhood is false? Early diagnosis is of value in the early initiation of monitoring, anticipatory guidance, and availing families opportunities to harness current trends of care. The completed nutritional assessment reflects that Mrs. Brown has little knowledge about proper nutrition and that Kenny has a large intake of junk foods high in fat and calories but low in nutrients. Longer usage can cause sleep problems and increases the risk of obesity and social-emotional delays.46, To decrease the risk of sudden infant death syndrome (SIDS), the AAP recommends that infants sleep on their backs on a firm mattress for the first year of life with no blankets or other soft objects in the crib.45 Breastfeeding, pacifier use, and room sharing without bed sharing protect against SIDS; infant exposure to tobacco, alcohol, drugs, and sleeping in bed with parents or caregivers increases the risk of SIDS.47, The USPSTF, AAFP, and AAP all recommend breastfeeding until at least six months of age and ideally for the first 12 months.48 Vitamin D 400 IU supplementation for the first year of life in exclusively breastfed infants is recommended to prevent vitamin D deficiency and rickets.49 Based on expert opinion, the AAP recommends the introduction of certain foods at specific ages. Choose a mature, trained, and (Select all that apply.). Check your baby's weight, length, and head circumference and plot the measurements on a growth chart. ), a nurse is planning care for an infant who is experiencing pain. Rewards for desirable behavior: For preschool children, the rewards should be given immediately because their concept of time is poor. A preschooler prefers something tangiblea hug, kiss, sticker, or small prize of some other natureand it is reinforcing to discuss several times why a reward was given and what a good job was done. A Postpartum Care Plan Template is available as part of the ACOG Pregnancy Record. You are the pediatric nurse practitioner at the local pediatric clinic. Original handout included as part of the Bright Futures Tool and Resource Kit, 2nd Edition. endobj Continue as long as you and your baby want. Behavior that signals the childs readiness to cooperate during the physical examination does not include: sitting on the parents lap or playing with a doll. a nurse is caring for a child who is dying. Tympanic artery thermometry for children older than 2 years of age and temporal artery thermometry in all age groups is recommended. Avoid raw honey or large chunks of food that could cause choking. Plans for feeding should be explored, and breastfeeding should be encouraged by emphasizing nutritional, immunologic, and psychological benefits. Primary Tooth Development The primary teeth will emerge in most children at the age of one. The nurse then identifies a possible human response pattern to further classify the data. Children may be breastfed beyond 1 year of age, if desired. Author disclosure: No relevant financial affiliations. ), a nurse is preparing a toddler for an intravenous catheter insertion using atraumatic care. Which one of the following characteristics is not found in small families? If screen time is used for children two to five years of age, the AAP recommends a maximum of one hour per day that occurs at least one hour before bedtime. Website addresses are as current as possible but may change at any time. Swimming pools and spas should be completely fenced with a self-closing, self-latching gate.38, Infants should not be left alone on any high surface, and stairs should be secured by gates.43 Infant walkers should be discouraged because they provide no benefit and they increase falls down stairs, even if stair gates are installed.39 Window locks, screens, or limited-opening windows decrease injury and death from falling.40 Parents or caregivers should also anchor furniture to a wall to prevent heavy pieces from toppling over. The Bright Futures Parent and Patient Educational Handoutshelp guide anticipatory guidance and reinforce key messages (organized around the 5 priorities in each visit) for the family. Use safety latches or locks on drawers and cupboards. You are the pediatric nurse practitioner at the local pediatric clinic. Webcapital and small. WebYour Daily Life Visit the dentist at least twice a year. 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Which of the following information should the nurse include in the course? Look for signs your baby is ready for solids. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. recognizing the urge to urinate, understanding what the toilet is for, being able to follow directions and communicate needs, expressing a desire, to be clean and dry, and expressing curiosity about the toilet (Maaks et, al., 2020). Spanking is not recommended. Play games such as peekaboo, patty-cake, and so big. Girls usually stop growing about 2 years after menarche., a nurse is providing anticipatory guidance to the parent of a 13yearold adolescent. Check your toddler's weight, length, and head circumference and plot the measurements on a growth chart. The information contained in this webpage should not be used as a substitute for the medical care and advice of your pediatrician. Evil eye is an example of an influence that is considered: believed to cause fatigue, low energy, and a variety of ailments. Medical, surgical, family, and social histories should be reviewed and updated. At the left midclavicular line and fourth intercostal space. Which one of the following is not considered important by parents when telling their children about the decision to divorce? the nurse hears one parent state, my son knows he better do what i say. Which of the following parenting styles is the parent exhibiting? As such, the infant with cyanosis may benefit from the addition of oxygen on a plane trip. They also can be very possessive and excited, over certain objects or people. a nurse is preparing to administer medication to a toddler. WebAnticipatory guidance is defined as proactive counseling that addresses the significant physical, emotional, psychological, and developmental changes that will occur in children during the interval between health supervision visits. Which of the following statements by the parent indicates an understanding of the teaching? Prenatal discussions also should address plans for long-term management of chronic health conditions, such as mental health, diabetes, hypertension, including identification of a primary healthcare provider who will care for the patient. As the nurse developing the plan for this new family, you choose which of the following as the priority intervention? 2 0 obj Having a relatively set mealtime and bedtime also provides an environment that minimizes stress for a young child. Remember, your child doesnt understand or remember no while exploring. Genetic counseling and diagnostic testing should be made available to all families of children with sickle cell disease. Topics such as nutrition, injury prevention, behavior management, developmental stimulation, sex education, and general health education all may be covered during every visit. Which one of the following findings should the nurse recognize as normal when measuring the vital signs of a 5-year-old child? Emphasis is placed more on the group and less on the individual. Which one of the following best describes the appropriate use of play as a communication technique with children? Examination of the abdomen is performed correctly by the nurse in what order? Usually at that point, the rewards can be phased out without any complaint from the child because performing the behavior has become rewarding in and of itself. i will keep a dim lamp on in my childs room during the night., a nurse is conducting a well-child visit with a 5-year-old child. The incidence of accidental drowning is highest in both boys and girls in what age-group? Finally, consideration should be given to the type of activity that the family and child will experience. "2y|5j ^DHo'NOq3E?NAmg. ANTICIPATORY GUIDANCE: Discussed. In an adult, unexplained pain should always be considered a sign of malignancy until proven otherwise. Which of the following characteristics of preoperational thought is the child exhibiting? is one of the leading causes of mortality at this age to stress the Which of the following statements should the nurse make? Maaks, D. L. G., Starr, N. B., Bradt, without abnormal findings. Which of the following would negatively affect the communication process between the nurse and the patient? a nurse is teaching a parent about parallel play in children. a nurse is teaching a course about safety during the school- age years to a group of parents.