A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a "picky eater." Which of the following instructions should the nurse include in the teaching?
Emphasize the quantity, rather than the quality, of food consumed
Add fruit juice to the child's diet to increase vitamin intake
Expect that food consumption might not decrease significantly
Have the child remain at the table after meals to increase food intake
The Correct Answer is C
It is important to recognize that picky eating is a common behavior among preschool-age children and may be a normal part of their development. Children at this age often exhibit preferences for certain foods and may be resistant to trying new foods or eating a wide variety of foods. It is important for parents to understand that this behavior is generally temporary and will likely improve over time.
The nurse should reassure the mother that it is normal for young children to have fluctuations in their appetite and food preferences. Encouraging a positive mealtime environment and offering a variety of healthy foods is important, but pressuring or forcing the child to eat can lead to negative associations with food and mealtime.
Emphasizing the quantity of food consumed over the quality is not recommended, as it may promote unhealthy eating habits. It is important to prioritize offering a balanced diet with a variety of nutrient-rich foods.
Adding fruit juice to the child's diet to increase vitamin intake is not recommended as the primary strategy. Fruit juice is often high in sugar and low in fiber, and excessive consumption can contribute to poor eating habits and dental caries. It is better to focus on offering whole fruits and vegetables for their nutritional benefits.
Having the child remain at the table after meals to increase food intake is not recommended either. It is important to respect the child's appetite and avoid creating negative associations with mealtime. Forcing a child to stay at the table can increase mealtime stress and may further reinforce picky eating behaviors.
Overall, the nurse should provide reassurance to the mother, promote a positive mealtime environment, offer a variety of healthy foods, and allow the child to regulate their own food intake.
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Correct Answer is C
Explanation
Hospitalization can be a challenging and unfamiliar experience for children, especially when they are separated from their family and siblings. Providing clear information about visitation policies and explaining the reasons for restrictions can help the child understand and cope better with the situation.
While orienting her parents and explaining hospital schedules can be beneficial, the focus should be on directly addressing the needs and concerns of the child to support her adjustment. Using caring and comforting language is important, but it should be combined with age-appropriate explanations and addressing specific concerns related to the child's situation.
Correct Answer is C
Explanation
By 15 months of age, toddlers typically develop the ability to stand and maintain balance without support. This milestone is an important indicator of gross motor development. Not being able to stand upright without support at this age may suggest a delay or impairment in motor skills, and further evaluation may be needed to determine the underlying cause.
The other findings mentioned—difficulty jumping with both feet, inability to build a tower of six to seven cubes, and inability to turn a doorknob—are within the expected range of development for a 15-month-old toddler. While some children may already demonstrate these skills, others may acquire them later in their developmental journey. It is important to consider individual variations in development, but the inability to stand without support should be further assessed.
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