A step-by-step approach to promote optimal parenting would include a discussion of (1) setting up a good environment with clear expectations and good modeling, (2) education of what is desirable behavior, (3) identification and rewards for desirable behavior, (4) negative reinforcement for undesirable behavior, and (5) punishment. Which of the following information should the nurse include in the course? a nurse is caring for a child who has a terminal illness and reviews palliative care with an assistive personnel (aP). a nurse is caring for a child who is dying. The nurse says to 15-year-old Monique, Tell me about your cough. This is an example of which type of commu- nication technique? Make sure she is getting regular naps and playtimes. When using an interpreter for communication with Mrs. Lopez, the nurse realizes that: the nurse needs to pose questions to elicit only one answer at a time from Mrs. Lopez. Tummy timeput your baby on his tummy when awake and you are there to watch. (Select all that apply.). At Saras next well-baby visit, what information will be most important to document in the chart? Anticipatory guidance is the Which of the following pain scales should the nurse use? Talk with your health care professional or call for help if you feel sad or very tired for more than a few days. They have approached you for preadoptive counseling. It is totally normal to experience temper Conforming to cultural norms to provide security and encourage change. Immunizations should be reviewed and updated as appropriate. In 2001 the United States ranked last in infant mortality rate among nations with similar-sized populations. Encourage your partner to help care for your baby. Children should also have a developmental assessment and annual ocular examination. The child should squat down with hands extended forward so the nurse can observe for asymmetry of the shoulder blades. 3 0 obj The nurse knows that the best approach to the physical examination for this patient will be to: have the infant sit in the parents lap to complete as much of the examination as possible. Importance of Anticipatory Screening Which of the following is an expected finding? x/Da7'M-[y{T,)G\QX 3-nv{9A7Skck ?xk8>7) Dont put soft objects and loose bedding such as blankets, pillows, bumper pads, and toys in the crib.If you choose to use a mesh playpen, get one made after February 28, 2013. readiness she should look for include staying dry for two hours. Web12 month Growth & Development Language: 3-4 words Dada & Mama are specific Imitates sounds Begins to respond and follow simple commands Understands No Will look for objects when named Cognitive: ontinues in Piagets sensorimotor stage: actions Which of the following conditions should the nurse inform the mother as requiring additional sleep during adolescence? Early diagnosis is of value in the early initiation of monitoring, anticipatory guidance, and availing families opportunities to harness current trends of care. ), A nurse is conducting a well-baby visit with a 4-month-old infant. You can find the latest versions of these browsers at https://browsehappy.com, Here are some suggestions from Bright Futures experts that may be of value to your family.. I would, Copyright 2023 StudeerSnel B.V., Keizersgracht 424, 1016 GC Amsterdam, KVK: 56829787, BTW: NL852321363B01, https://lmscontent.embanet.com/Media/MVU/NURS650/NURS650-w07-m01/, Carly is an 18-month-old female who lives with her parents. a nurse is teaching a parent of an infant about administration of oral medications. Routine child health exam . Support childrens ability to test their limits of control. Keep your baby out of the sun. Guidance is most effective when personalized to individual circumstances, and delivered in the context of a relationship with a known and trusted physician. a nurse is preparing to assess a preschoolage child. The American Academy of Pediatrics (AAP) does not review or endorse any modifications made to this handout and in no event shall the AAP be liable for any such changes. Anticipatory guidance is defined as proactive counseling that addresses the significant physical, emotional, psychological, and developmental changes that will occur in children during the interval between health supervision visits. Consider introducing all other foods, including eggs and peanut butter, because research shows they may actually prevent individual food allergies. Which of the following fine motor skills should the nurse expect the infant to perform? Feeding infants only breastmilk for their first 6 months is recommended by the Dietary Guidelines for Americans and the American Academy of Pediatrics. By 4 months, the infants weight should have doubled and many infants are sleeping through the night. M. A., Gaylord, N. M., Driessnack, M., Duderstadt, K. G., & Dirks, M. From: Developmental-Behavioral Pediatrics (Fourth Edition), 2009, Karin Weber-Gasparoni, Steve K. Rayes, in Pediatric Dentistry (Sixth Edition), 2019. without abnormal findings. explain the procedure using the childs favorite toy. Which one of the following findings for growth is cause for potential concern and should be followed closely? The completed nutritional assessment reflects that Mrs. Brown has little knowledge about proper nutrition and that Kenny has a large intake of junk foods high in fat and calories but low in nutrients. WebDiscuss child care, play groups, preschool, early intervention programs, parenting Other Anticipatory Guidance Discussed: Next Well Check: 30 months of age An autism screening tool should be administered at the 24 month visit. Which action is accurate Explaining to the mother the risk for infection is high due to the lack of antibodies A mother is This is especially true of children with arrhythmias triggered by increased catecholamine activity and children with moderate to severe pulmonary hypertension. Dont share spoons or clean the pacifier in your mouth. When listening over the aortic area of the heart, the nurse should place the stethoscope where? Tympanic membrane is dull, nontransparent. Which of the following findings should the nurse report to the provider? Which one of the following is a developmental task of this stage? If you are worried about your living or food situation, talk with your health care professional. Reference: Mealtimes Anticipatory guidance is the complement to a risk assessment. Which of the following immunizations should the nurse administer? a nurse is providing teaching about expected changes during puberty to a group of parents of early adolescent girls. WIC, Lactation Warm Lines, Mothers groups), return-to-work resources, Reproductive life plan and commensurate contraception, Pregnancy complications and recommended followup or test results (e.g. S. Russ, N. Halfon, in Encyclopedia of Infant and Early Childhood Development, 2008. Mom works full-time Monday through Friday and. L&D learning template #1- chorionic villus sampling, Pediatric health promotion NURS 650 Exam1 study guide, PN2 Final - Comprehensive cover-to-cover exam on the last week of the course. The nurse then identifies a possible human response pattern to further classify the data. Examples include saying, After we eat, you can go sit on your potty and I'll read you a book. (Select all that apply.). Her father and mother recently divorced, and now her father lives 1 hour away. 0 The assessment method that the nurse expects to provide the most reliable evaluation about the physical growth pattern of a preschool-age child is: recording height and weight measurements of the child and comparing growth measurements over time. As such, the infant with cyanosis may benefit from the addition of oxygen on a plane trip. Which of the following differences is seen when infant death rates are categorized according to race? Clinicians can assist parents to prepare for each stage in feeding by reviewing anticipated milestones that change a feeding pattern (see Table 58-1). The family is always related by legal ties or genetic relationships, and members live in the same household. Spend time alone with your other children. Choose a mature, trained, and By continuing you agree to the use of cookies. 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An example of atraumatic care would be to: allow parents to room in with the child. Additionally, parents often have questions about what they should expect of their child at a particular age. is one of the leading causes of mortality at this age to stress the a nurse is assessing an infant. Data Sources: Literature search was performed using the USPSTF published recommendations (https://www.uspreventiveservicestaskforce.org/BrowseRec/Index/browse-recommendations) and the AAP Periodicity table (https://www.aap.org/en-us/Documents/periodicity_schedule.pdf). Postpartum depression screening is recommended for mothers. All NF2 patients should undergo annual cranial imaging, hearing evaluation, and ocular examination. Based on the data collected, which of the following nursing diagnoses are most appropriate. In pediatric examinations, the normal sequence of head-to-toe direction is often altered to accommodate the patients developmental needs. Age appropriate handouts given. American Academy of Pediatrics Offers Guidance for Caring and Treatment of Long-Term Cancer Survivors Childhood Cancer Survivors: What to Expect After Treatment News Releases Policy Collections Advocacy The State of Children in 2020 Healthy Children Secure Families Strong Communities Which of the following are appropriate actions for the nurse to take to maintain professional effectiveness? supervision answer the following questions for Carly (18-month-old toddler). Safety area discussed: Use rear-facing car safety seat. On auscultation of 8-year-old Tammies lung fields, the nurse hears inspiratory sounds that are louder, longer, and higher pitched than on expiration. Some smaller planes are not equipped or are restricted from having pressurized oxygen on board. Which of the following statements about adoption is true? Which of the following actions should the nurse take? a nurse is teaching a parent about parallel play in children. To effectively establish a setting for communication, you enter the room, introduce yourself to Mrs. Brown and Kenny, and explain your role and the purpose of the interview. Do not make your child vomit. A follow-up office visit within 1 week should be encouraged for first-time nursing mothers. In addition, the family should carry a medical history, including current condition and medications, in the case of emergency care. While conducting an assessment of the child, the nurse communicates with the childs family. Offer solid food 2 to 3 times per day; let him decide how much to eat. 2,4 However, for 5 of 6 standard anticipatory guidance topics covered by our study, more than half of parents of children between 0 and 3 years old reported that they had never discussed the topic with a clinician. Topics include motor vehicles, firearms, bicycle crashes, drowning, poisoning, Which of the following statements does the nurse recognize as false when planning nursing interventions for the family? This is your rst visit with WebAnticipatory guidance for development is education provided to parents in order to promote optimal developmental outcomes. readiness she should look for include staying dry for two hours, Use safety latches or locks on drawers and cupboards. Testing options include visual acuity, ocular alignment test, stereoacuity test, photoscreening, and autorefractors. WebBright Futures Parent Handout 4 Month Visit How Your Family Is Doing Take time for yourself. Do not leave baby unattended on changing tables, furniture, keep toys with loops, string/cords away from baby The nurse uses verbal and nonverbal communication to reflect approval of the patients statement. Many rides stipulate that persons with a cardiac condition are restricted. Research has shown that spanking often leads to increased fear, anxiety, and aggression, and is not any more powerful than the above-mentioned strategies. The first step in evaluating a newborn infant for trisomy 21 is a careful review of the family history and prenatal information, to include: results of prenatal chromosome studies, if performed; and family history of previous children born with trisomy 21 or developmental differences or pregnancies that ended in miscarriage. Look for signs your baby is ready for solids. i. Mrs. Brown, Kenny, and you agree to the need to conduct a more intensive nutritional assessment. Injecting your own attitudes and feelings into the interview. Education of what is desirable behavior: Preschoolers do best if they know what is going to happen next for them, and parents talk them through confusing or difficult situations. Choose a mature, trained, and responsible babysitter or caregiver. Social Determinants of health: I would want to ensure that dad has access Which one of the following ways to record Kennys dietary intake would you suggest as most reliable in providing needed information to assess his dietary habits? Website addresses are as current as possible but may change at any time. I should clean my babys teeth with a cool, wet wash cloth.. Negative reinforcements: These strategies include the use of time out, where a child is removed from a situation with the goal of decreasing unwanted behavior, or taking away a privilege. Clinicians who take care of children have a professional responsibility to provide anticipatory guidance to parents. a nurse is caring for a preschool- age child who says she needs to leave the hospital because her doll is scared to be at home alone. Development: I would want to discuss normal child development at, this age and some of the red flags that mom should be aware of. Some of the, red flags I would want to make her aware of include poor sleep, problems, controlling her behavior, not using toys as they were intended, unable to, follow simple directions, unable to use spoon, and not yet walking (Maaks, et al., 2020). Which one of the following best describes the appropriate use of play as a communication technique with children? Carly is an 18-month-old female who lives with her parents. Which of the following factors should the nurse include in the teaching? An interpreter has been requested, since the mother speaks little English. (2022, March 17). Which one of the following is an expected finding in the childs eye examination? Web4 Months. Management of patients with NF2 is often deferred to a specialized center. b. analyzing published clinical research. It has been many years since the boys were babies, and they didnt have an older childs toys around.. Choose crib with slats no more than 2 3/8 inches apart.. Realistic expectation for nursing and instructions to ensure proper latching on and effective sucking by the infant should be reviewed before mother and infant are discharged home. When assessing the ear of a 2-year-old child, the nurse should: pull the pinna down and back to visualize the canal better. I had forgotten how curious babies are. After the introduction, you are careful to direct questions about Karen to Mrs. Green, since she is the best source of information. Avoid raw honey or large chunks of food that could cause choking. If physicians choose to screen, developmental surveillance of language, communication, gross and fine movements, social/emotional development, and cognitive/problem-solving skills should occur at each visit by eliciting parental or caregiver concerns, obtaining interval developmental history, and observing the child. Encourage your partner to help care for your baby. This is your rst visit with, mom and Carly, but they are established patients within the practice. Injuries remain the leading cause of death among children,34 and the AAP has made several recommendations to decrease the risk of injuries.3542 Appropriate use of child restraints minimizes morbidity and mortality associated with motor vehicle collisions. Play sessions serve as assessment tools for determining childrens awareness and perception of illness. Related letter: Well-Child Visits Provide Physicians Opportunity to Deliver Interconception Care to Mothers. In performing an examination for scoliosis, the nurse understands that which one of the following is an incorrect method? The major determinant of neonatal death in technologically developed countries is: Which of the following accounts for the most deaths in infants under 1 year of age? Many also require more frequent imaging and spinal cord imaging. Percentiles and observations of changes along the chart's curve should be assessed at every visit. include attention deficit/hyperactivity disorder (ADHD). The counseling techniques adopted for the process focus on the requirements of the child during each crucial stage of his/her life. Anticipatory guidance by specialists can provide comprehensive health information concerning the child that will enable parents to anticipate the physical, emotional, and psychological milestones. Topics for discussion and reinforcement include: Need to seek medical attention for fever or ill appearance, Recognition of signs of sequestration, aplastic crises, stroke, priapism, aseptic necrosis, and chest crises. follow simple directions, unable to use spoon, and not yet walking (Maaks WebAmerican Academy of Pediatrics Offers Guidance for Caring and Treatment of Long-Term Cancer Survivors Childhood Cancer Survivors: What to Expect After Treatment News Releases Policy Collections Advocacy The State of Children in 2020 Healthy Children Secure Families Strong Communities The most frequent concerns include arguments for and against breastfeeding and circumcision, hospital policies about rooming-in and the father's presence in the delivery room, ways of decreasing sibling rivalry, and essential infant equipment. Topics such as nutrition, injury prevention, behavior management, developmental stimulation, sex education, and general health education all may be covered during every visit. The tissue remains suspended, or tented, for a few seconds and then slowly falls back on the abdomen. Which of the following actions should the nurse take? Recording the findings according to the normal sequence. supervision answer the following questions for Carly (18-month-old toddler). Development: I would want to discuss normal child development at Put the Poison Help line number into all phones, including cell phones. Norma B. Lerner MD, in Pediatric Clinical Advisor (Second Edition), 2007. A nurse is providing teaching about age-appropriate activities to the parent of a 2 year old. Car seats should remain rear facing until two years of age or until the height or weight limit for the seat is reached. 7 0 obj <> endobj Crying is normal and may increase when your baby is 68 weeks old. The current trend toward evidence-based practice involves: Two basic concepts in the philosophy of family-centered pediatric nursing care are: The role of the nurse in the parent-professional partnership is to: strengthen the familys ability to nurture.
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anticipatory guidance for 4 month old 2023