The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.
Use of car seats and other safety measures
Use of supplements and vitamins
Prenatal and perinatal histories
The child's race and ethnicity
The child's toileting habits
Correct Answer : A,B,E
A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.
B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.
C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.
D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.
E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.
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Related Questions
Correct Answer is C
Explanation
A. The child performs his bedtime preparations autonomously: While autonomy is a key aspect of development, it doesn't directly align with Erikson's stage of industry versus inferiority, which focuses more on the child's sense of competence and mastery of tasks.
B. The child is developing a consciencE. Conscience development is more closely associated with Erikson's previous stage of initiative versus guilt, where children begin to internalize societal standards and expectations.
C. The child signs up for after-school activities: Engaging in after-school activities involves
actively seeking out opportunities for skill development and social interaction, demonstrating the child's initiative and industry.
D. The child becomes aware of the opposite sex: Awareness of gender differences typically
emerges during middle childhood but is not directly related to Erikson's stage of industry versus inferiority, which emphasizes the development of a sense of competence and productivity in
mastering tasks.
Correct Answer is B
Explanation
A. Epiglottitis
Epiglottitis typically presents with rapid onset of severe sore throat, high fever, difficulty swallowing, and drooling due to inflammation and swelling of the epiglottis. It is a medical emergency requiring immediate intervention but is less likely to present with the described symptoms.
B. Bronchiolitis
Bronchiolitis commonly occurs in infants and young children, often during the winter months. It is characterized by symptoms such as coughing, wheezing, nasal congestion, fever, and
respiratory distress. The described symptoms, including coughing, nasal congestion, and intermittent fever, align with bronchiolitis.
C. Influenza
Influenza typically presents with symptoms such as fever, cough, sore throat, body aches, and fatigue. While coughing and fever are common symptoms of influenza, the presence of apneic spells is less typical of influenza and more indicative of lower respiratory tract infections like bronchiolitis.
D. Croup
Croup is characterized by a barking cough, hoarseness, and respiratory distress often accompanied by stridor. While croup shares some symptoms with bronchiolitis, such as coughing, the absence of stridor in the description suggests bronchiolitis as a more likely diagnosis.
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