The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

Warning about small objects left on the floor

Telling about safety procedures during baths

Advising how to create a toddler-safe home

Cautioning about putting the baby in a walker

Answer and Explanation

The Correct Answer is A

A.   At 9 months of age, babies are able to crawl and explore their environment. They may pick up and put anything in their mouth, which can cause choking or poisoning. Therefore, the nurse should warn the mother about keeping the floor clear of small objects, such as coins, buttons, beads, or toys with detachable parts.
B.   Safety procedures during baths are crucial, but this topic may have been covered in earlier visits or could be discussed alongside creating a toddler-safe home.
C.   This more relevant for older babies or toddlers who can stand, walk, or climb.
D.   Cautioning about putting the baby in a walker is important, but it may not be the most immediate concern at 9 months, as many babies start using walkers around 6-9 months. Creating a safe home environment encompasses a broader range of potential hazards.

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Correct Answer is C

Explanation

A. While screening for abuse is important in all children, it may not be the priority in this case without specific indications.
B. Screening for congenital defects may be relevant but may not be the priority unless indicated by the child's medical history or initial assessment.
C. Screening for infectious diseases is important, especially in internationally adopted children, to detect and manage any communicable diseases that may be prevalent in their country of origin.
D. Screening for childhood illnesses is important but may not be the priority compared to screening for infectious diseases given the child's international adoption status.

A. keeping the newborn in the supine position B. reducing the amount of fluid intake to 8 ounces daily C. ensuring that the newborn is covered or clothed D. covering the newborn's eyes while under the bililights

Correct Answer is D

Explanation

A. While positioning is important for phototherapy, the supine position may not always be necessary.
B. Restricting fluid intake may lead to dehydration, which is not appropriate, especially during phototherapy.
C. Ensuring the newborn is covered or clothed may interfere with the effectiveness of phototherapy.
D. Covering the newborn's eyes with protective shields or patches while under the bililights helps prevent damage to the eyes from the bright light.

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The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is D

Explanation

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