A nurse is preparing to assess a 3-year-old child. What communication technique should the nurse use for this child?

Correct Answer: A

Rationale: When assessing a young child, it is important for the nurse to focus communication on the child by using simple language, asking direct questions, and using play-based approaches to facilitate communication. By engaging the child directly and adapting communication techniques to their developmental level, the nurse can establish rapport, gain the child's trust, and obtain accurate information during the assessment process. This approach helps create a positive and supportive environment for the child, making them feel comfortable and understood.

Correct Answer: C

Rationale: Cheyne-Stokes respirations are characterized by alternating periods of deep, rapid breathing followed by periods of apnea. This cyclic pattern of respiration is often seen in critically ill patients and can be a sign of serious neurological or cardiac dysfunction. The nurse should document Cheyne-Stokes respirations when observing this specific breathing pattern in the child described in the scenario.

Correct Answer: A

Rationale: At 7 months old, infants are typically able to transfer objects from one hand to the other and bang cubes on a table. This demonstrates the development of their fine motor skills related to coordination, dexterity, and object manipulation. They are refining their hand-eye coordination and grasping abilities at this stage, preparing for more complex fine motor tasks in the future. The ability to purposefully transfer objects between hands and make intentional actions, like banging cubes on a table, shows the progression of their fine motor development at this age.

Correct Answer: B

Rationale: The American Academy of Pediatrics recommends introducing solid foods into an infant's diet between 4 to 6 months of age. At this stage, most infants have developed the necessary motor skills to start eating solid foods, such as being able to sit up and hold their head steady. Additionally, their digestive system has matured enough to handle solid foods. Introducing solid foods too early, such as at 2 to 3 months (Option A), can increase the risk of digestive issues and allergies. Waiting for tooth eruption (Option D) is not a reliable indicator as some infants may begin teething earlier or later than others. Waiting for the birth weight to triple (Option C) is not necessary as infants can start on solid foods once they reach the appropriate developmental stage around 4 to 6 months.

Correct Answer: A

Rationale: In teaching a parent about administering iron supplements to a 7-month-old infant, it is crucial to ensure the correct technique is used to maximize absorption and prevent aspiration. Option A, administering the supplement with a dropper toward the side and back of the mouth, is correct because it minimizes the risk of choking and allows for better absorption in the oral mucosa. Option B, administering with feedings, is incorrect as iron supplements should be given on an empty stomach to enhance absorption. Option C, stating that the infant's stools may look tarry green, is inaccurate as iron supplements typically cause dark or greenish stools, not tarry. Option D, suggesting the infant may have diarrhea initially, is incorrect as iron supplements more commonly cause constipation rather than diarrhea in infants. Educationally, understanding the correct administration of iron supplements in infants is vital to ensure therapeutic effectiveness and prevent adverse effects. Teaching parents the proper technique empowers them to care for their child effectively and promotes positive health outcomes.