The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?

Advising about increased caloric needs

Explaining how to prepare table foods

Discussing the type of sippy cup to use

Describing the tongue extrusion reflex

Answer and Explanation

The Correct Answer is C

A.   Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B.   At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C.   Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D.   Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.

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Correct Answer is A

Explanation

A. Offering the child a choice empowers them and provides a sense of control. It might increase cooperation as it involves the child in the decision-making process.
B. Threatening with a shot is coercive and can cause fear and anxiety, negatively impacting cooperation and trust.
C. Hiding medication in food without the child's knowledge might breach trust once discovered and doesn't address the child's autonomy.
D. Misrepresenting medication as candy can be dangerous and erode trust between the child and the healthcare provider.

A. The child does not point to named body parts. B. The child cannot say name, age, and gender. C. The child cannot follow a series of two independent commands. D. The child has a vocabulary of 40 to 50 words.

Correct Answer is A

Explanation

A. The child does not point to named body parts. By the age of 2, most children can point to at least two body parts when asked. This ability indicates that the child understands and can process verbal instructions, which is a key cognitive milestone.

B. The child cannot say name, age, and gender. While knowing their name, age, and gender is important, it is more typical for children to achieve this milestone closer to 3 years old. Therefore, this would not necessarily indicate a developmental delay at 2 years.

C. The child cannot follow a series of two independent commands. By 2 years old, children should be able to follow simple two-step commands, such as "Pick up the toy and give it to me." This ability demonstrates their understanding and processing of sequential instructions.

D. The child has a vocabulary of 40 to 50 words. A vocabulary of 40 to 50 words is within the normal range for a 2-year-old. Most children at this age are expected to have a vocabulary of at least 50 words and start combining them into simple sentences.

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