A nurse is caring for a client who is 30 weeks pregnant at a prenatal visit. Which of the following statements made by the client would be of concern to the nurse and warrant further explanation and close follow-up?

Correct Answer: B

Rationale: In this scenario, option B, "My husband complains every time I ask him to do something for me," would be of concern to the nurse and warrant further explanation and close follow-up. This statement raises red flags for potential emotional or psychological stress in the client's interpersonal relationships, which can impact her overall well-being and pregnancy outcomes. Option A, feeling more tired, is common during pregnancy due to increased metabolic demands and hormonal changes. Option C, being nauseous from food smells, is a typical pregnancy symptom related to hormonal fluctuations. Option D, needing to urinate frequently, is a normal physiological change in pregnancy due to pressure on the bladder from the growing uterus. Educationally, this question highlights the importance of assessing not only physical but also emotional well-being during prenatal care. Nurses need to address stressors and provide support to pregnant individuals to ensure a healthy pregnancy experience. Identifying and addressing emotional stressors can contribute to better maternal and fetal outcomes.

Correct Answer: C

Rationale: In pediatric assessments, it is crucial to use age-appropriate growth standards to accurately monitor a child's development. The correct answer, option C, recommends using WHO growth standards for infants and young children. These standards are based on optimal growth patterns of healthy breastfed infants and are considered more universally applicable than other charts. Option A (CDC growth charts) are commonly used in the United States, but they may not be as sensitive in detecting growth deviations in breastfed infants compared to WHO standards. Option B (CDC BMI charts) are not suitable for infants as BMI is not a reliable indicator of growth in this age group. Option D (Denver Developmental Screening) is used to assess developmental milestones, not height and weight. Educationally, understanding the importance of using appropriate growth standards ensures accurate assessment and early detection of growth deviations, leading to timely interventions to support a child's healthy development. It is essential for nurses and healthcare providers to be familiar with and utilize the most suitable growth standards for pediatric assessments to promote optimal health outcomes in children.

Correct Answer: C

Rationale: In this scenario, the correct answer is option C: Rock the infant in a rocking chair. This option is the most appropriate suggestion for a 3-month-old infant as rocking provides a soothing and comforting motion that can help calm the baby and promote bonding between the mother and the child. Rocking also aids in regulating the baby's sleep patterns and can be a relaxing activity for both the infant and the caregiver. Option A, taking the infant for a walk outside, may not be suitable for a 3-month-old due to their fragile immune system and susceptibility to environmental factors. Exposure to outdoor elements like allergens or extreme weather can pose risks to the infant's health. Option B, placing toys around the infant when lying on the floor, may not be developmentally appropriate for a 3-month-old as they are still in the early stages of visual and motor skill development. At this age, infants are more responsive to human interaction and sensory stimulation rather than playing with toys. Option D, searching the Internet for toys highly recommended for infants, may lead to overwhelming and conflicting information for the new mother. It is important to provide simple and practical suggestions that are developmentally appropriate and promote bonding and interaction between the mother and the infant. In an educational context, understanding age-appropriate play activities is crucial for promoting optimal development and bonding between caregivers and infants. By providing evidence-based recommendations like rocking the infant in a rocking chair, nurses can empower parents with the knowledge and skills to engage in meaningful interactions that support their child's growth and well-being.

Correct Answer: D

Rationale: The correct answer to the question regarding the most common poison ingested by infants is option D) Aspirin. This is due to the fact that aspirin is often found in homes, easily accessible, and sometimes mistaken for candy by young children. Aspirin poisoning in infants can lead to serious health complications and requires immediate medical attention. Houseplants (option A) are generally not ingested by infants in large quantities to cause poisoning. Lead (option B) poisoning is more common in older homes with lead-based paint or contaminated water sources, rather than being directly ingested by infants. Cleaning agents (option C) can pose a poisoning risk, but they are usually stored out of reach of children or have childproof caps. For educational context, it is crucial for caregivers and parents to be aware of potential poisoning risks in the home, especially for infants and young children who are prone to exploring and putting objects in their mouths. Keeping medications, cleaning agents, and potentially toxic substances out of reach and in childproof containers is essential in preventing accidental poisoning incidents. Educating families about the dangers of certain household items and providing guidance on safe storage practices can help reduce the risk of poisoning in young children.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) The infant is exploring his environment. This behavior is characteristic of the sensorimotor stage of development, according to Piaget's theory. Infants at this stage learn through their senses and actions, exploring their surroundings to understand the world around them. By interacting with different toys and objects, the infant is engaging in exploratory play, which is essential for cognitive and sensory-motor development. Option A) The infant is testing his limits, is incorrect because the behavior described does not suggest the infant is purposely pushing boundaries or testing limits. Option C) The infant is expressing his emotions, is incorrect because the behavior described is more focused on exploration and sensory-motor development rather than emotional expression. Option D) The infant is developing fine motor skills, is incorrect because while the infant is indeed engaging in fine motor activities by handling toys, the primary focus of the behavior described is on exploration rather than skill development. Understanding infant development stages and behaviors is crucial for nurses working with pediatric patients. By recognizing and interpreting these behaviors, nurses can provide appropriate care and support to promote optimal growth and development in infants.