A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Focusing exclusively on the reported illness

Asking the mother to leave the room after obtaining their history

Obtaining a comprehensive history, including socio-economic data

Reviewing health promotion and maintenance activities

Answer and Explanation

The Correct Answer is C

a) Focusing exclusively on the reported illness: Given the regular visits and the gap since the last well-child visit, it's essential to consider a broader perspective beyond the reported illness.

b) Asking the mother to leave the room after obtaining their history: This situation doesn't suggest the need to exclude the mother from the discussion.

c) Obtaining a comprehensive history, including socio-economic data: This approach considers the child's health within a broader context, taking into account any changes or potential factors influencing the child's health.

d) Reviewing health promotion and maintenance activities: While important, this situation requires a broader assessment due to the gap between visits and a sick visit.

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Correct Answer is C

Explanation

a) Passive transplacental immunity from maternal immunoglobulin G: While this provides some initial immunity, it does not fully account for the susceptibility to infections in newborns and young infants.

b) Exposure to microorganisms during the birth process: Though exposure can occur during birth, it is not the primary reason for heightened susceptibility to infections.

c) Low levels of antibodies: Newborns and young infants have underdeveloped immune systems and fewer antibodies, making them more vulnerable to infections.

d) High level of maternal antibodies to diseases to which the mother has been exposed: Maternal antibodies initially provide some protection, but they gradually decline, contributing to the infant's susceptibility to infections.

A. Constant parental supervision is needed to avoid overexertion B. The child needs opportunities to play with others C. The parents can have the child make video calls with friends instead of playdates D. The child needs to understand that peers’ activities are too strenuous

Correct Answer is B

Explanation

a) Constant parental supervision is needed to avoid overexertion: While supervision is important, restricting all activities might limit the child's development.

b) The child needs opportunities to play with others: Encouraging social interaction and play with peers is crucial for the child's social and emotional development.

c) The parents can have the child make video calls with friends instead of playdates: Video calls can supplement but should not entirely replace physical play and interaction.

d) The child needs to understand that peers’ activities are too strenuous: This response might unnecessarily limit the child's participation in normal activities without considering their abilities and limitations.

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A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?

Nursing Test Bank

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A mother brings her 2-year-old child to the pediatric office for a sick visit. The child is seen regularly at the office and was last seen at her well-child visit two months ago. Based on this information, which is the most appropriate action by the nurse?