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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Tell me about the circumstances when this occurs.": This response allows the nurse to gather more information about the child's toileting habits and potential triggers for the accidents.
Understanding the context can help identify possible underlying causes and guide appropriate interventions.
B. "Is there a family history of diabetes?": While diabetes can be a cause of increased urination, asking about a family history of diabetes is premature and may unnecessarily alarm the parent before further assessment.
C. "Suddenly having accidents can be a sign of diabetes.": Jumping to conclusions about a serious medical condition like diabetes without further assessment or evidence can cause unnecessary anxiety for the parent. It's important to gather more information and consider other potential causes before suggesting a diagnosis.
D. "That's normal: don't worry about it.": While occasional daytime wetting accidents can be common in young children, dismissing the concern without further assessment may overlook potential underlying issues that could benefit from intervention or support.
Correct Answer is A
Explanation
A. Myelination of the brain and spinal cord is a continuous process that begins during fetal development and continues through childhood and adolescence. While significant myelination
occurs during infancy and toddlerhood, it is not complete by 24 months. However, substantial progress in myelination does occur during the toddler years, contributing to the development of motor and cognitive skills.
B. Alveoli reach adult numbers by 3 years of age. This statement is incorrect. Alveoli continue to develop and increase in number after birth, reaching adult numbers around adolescence, not by 3 years of age.
C. Urine output in a toddler typically averages approximately 30 mL/hour. This statement is incorrect. Toddlers typically have higher urine output rates than adults due to their smaller
bladder capacity and higher metabolic rate. The average urine output for a toddler is around 1-2 mL/kg/hour, which varies depending on factors such as hydration status and activity level.
D. Toddlers typically have strong abdominal muscles by the age of 2. This statement is incorrect. While toddlers may develop some abdominal muscle strength through activities such as walking and climbing, their muscle tone and strength are still developing and may not be as strong as in older children or adults.
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