For a 2-year-old girl with thumb sucking behavior, what is the best response?

Correct Answer: B

Rationale: In this scenario of a 2-year-old girl with thumb sucking behavior, the best response is to choose option B) Ignore the behavior. This is because thumb sucking is a common self-soothing behavior in young children and typically resolves on its own without intervention. By ignoring the behavior, the child is given the opportunity to outgrow it naturally without drawing attention to it or causing undue stress. Option A) Reassurance to the mother may not be the most appropriate response as it can inadvertently draw more attention to the behavior, potentially reinforcing it. It is important to educate parents about the normalcy of thumb sucking and provide reassurance that most children will stop on their own. Option C) Use of bitter ointments is not recommended for managing thumb sucking in young children as it may not be developmentally appropriate and could introduce unnecessary negative associations with the behavior. Option D) Encouraging resolution may not be necessary at this stage as most children will naturally stop thumb sucking as they grow older and find alternative coping mechanisms. It is essential to provide parents with guidance on when and how to intervene if the behavior persists or causes issues with dental development. In an educational context, understanding typical childhood behaviors like thumb sucking is vital for pediatric nurses. By recognizing the developmental aspects of behaviors, nurses can provide appropriate guidance to parents and caregivers, promoting healthy child development and minimizing unnecessary interventions. Ignoring harmless behaviors like thumb sucking can often be the most effective and least intrusive approach in supporting children's natural growth and development.

Correct Answer: C

Rationale: The most appropriate next action for a 24-month-old child diagnosed with ASD is to conduct a lead level test (Option C). Lead exposure can exacerbate symptoms of ASD and impact neurodevelopment. Identifying and addressing lead exposure early is crucial for the child's overall health and well-being. Physical examination (Option A) is a routine part of healthcare but may not provide specific information related to ASD or lead exposure in this case. Hearing tests (Option B) are important for children with ASD, but lead exposure should be ruled out first due to its immediate health risks. A Woods lamp (Option D) is used to detect fungal infections like tinea capitis and is not relevant in this scenario. Educationally, it is essential for pediatric nurses to understand the potential impacts of environmental factors like lead exposure on children with developmental disorders such as ASD. By prioritizing lead level testing in this case, nurses can ensure a comprehensive approach to the child's care and advocate for interventions to mitigate any harmful effects on their health.

Correct Answer: D

Rationale: In pediatric nursing, understanding stereotypic movements is crucial for assessing a child's development and behavior. In this question, the correct answer is D) head banging. Head banging is not a recognized stereotypic movement in children and may indicate other underlying issues such as pain, discomfort, or frustration. A) Hand shaking, B) eye blinking, and C) body rocking are all examples of recognized stereotypic movements in children. Hand shaking and eye blinking are common self-soothing behaviors, while body rocking is often seen in children with developmental disorders such as autism. Educationally, knowing the difference between stereotypic movements helps nurses differentiate normal behaviors from potential concerns. By recognizing these behaviors, nurses can provide appropriate interventions and support for children and their families. It is essential for pediatric nurses to have a comprehensive understanding of child development and behavior to deliver high-quality care.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) it indicates a potential for future lying behavior. This is incorrect because frequent lying behavior in a 3-year-old child is developmentally normal and not necessarily an indicator of future lying tendencies. Children at this age are often exploring their imagination, testing boundaries, and learning about cause and effect. Lying at this stage is more about experimentation and not fully understanding the concept of lying as deceit. Option A) it is a method of playing with language is correct because young children often engage in imaginative play and storytelling, which can involve exaggerations or fabrications that are not meant to deceive. Option B) it is a part of their magical thinking is also correct as young children may blend reality with fantasy and have difficulty distinguishing between the two. This can lead to exaggerated stories or statements that are not intended to deceive but rather reflect their vivid imagination. Option D) it is an approach to avoid unwanted confrontation with adults is correct as well because young children may lie to avoid punishment or conflict, not necessarily with the intention of deceiving but more as a way to navigate challenging situations. Educationally, it is crucial for parents and caregivers to understand the developmental stages of children and how they explore communication and problem-solving strategies. By recognizing that lying in young children is often a normal part of cognitive and social development, adults can respond with patience, guidance, and appropriate discipline techniques that focus on teaching honesty and integrity over punitive measures. This understanding can help foster a trusting relationship between adults and children, promoting healthy development and ethical behavior in the long term.

Correct Answer: C

Rationale: Routine screening for autistic spectrum disorders in children is crucial for early identification and intervention. The correct answer is C) 18 and 24 months. The American Academy of Pediatrics recommends autism-specific screening at 18 and 24 months as part of routine well-child visits. Option A) 06 and 12 months is too early for reliable autism screening as symptoms may not be fully manifest. Option B) 12 and 18 months is closer but still misses the recommended screening window. Option D) 24 and 30 months delays screening, potentially missing early signs and delaying intervention. Educationally, understanding the recommended screening timeline for autism in children is vital for healthcare providers working in pediatric settings. Early identification allows for timely intervention, leading to improved outcomes for children with autism. Regular screening practices help ensure no child falls through the cracks, promoting early access to appropriate services and support.