The mother of a 3-month-old is concerned because her infant usually falls asleep halfway through his bottle. Which of the following would be the most therapeutic response by the nurse?

Correct Answer: A

Rationale: The most therapeutic response by the nurse in this scenario is option A) Ask the mother about the infant’s feeding schedule. This response is correct because it addresses the issue by gathering more information to understand the situation fully. By asking about the feeding schedule, the nurse can assess if the infant is getting adequate nutrition, if the feeding times align with the infant's natural sleep patterns, and if there are any underlying concerns such as reflux or other feeding issues. Option B) Assure the mother that he is growing fine is incorrect because it dismisses the mother's concerns without addressing the root of the problem. While growth is important, addressing feeding and sleep patterns is crucial for overall infant health. Option C) Tell the mother that half a bottle is probably enough for him is incorrect as it assumes without assessment that the infant's intake is adequate, which may not be the case. It is essential to individualize feeding recommendations based on the infant's needs. Option D) Tell the mother she should start to add solids to his diet is incorrect at 3 months of age. The introduction of solids should be based on developmental readiness, typically around 6 months of age, as recommended by health organizations. In an educational context, this question highlights the importance of holistic assessment and individualized care in pediatric nursing. Understanding infant feeding patterns, growth, and development are crucial aspects of providing effective nursing care to both infants and their caregivers. By addressing the underlying concerns and providing appropriate guidance, nurses can support optimal infant health and development.

Correct Answer: A

Rationale: In this scenario, the correct recommendation by the nurse for the 2-month-old infant would be option A) Colorful mobile with music. This recommendation aligns with the infant's stage of development. At 2 months old, infants are in the stage of early sensory and cognitive development. They are starting to track objects with their eyes, listen to sounds, and are becoming more aware of their surroundings. A colorful mobile with music is a suitable choice because it provides visual stimulation with its bright colors and moving parts, which can help in the development of the infant's visual tracking skills. The addition of music can also engage the infant's auditory senses, promoting cognitive development and sensory integration. The other options (B) Rattle, (C) Stuffed teddy bear, and (D) Play telephone are not as developmentally appropriate for a 2-month-old infant. While a rattle may provide some auditory stimulation, it lacks the visual engagement that a colorful mobile offers. Stuffed animals and play telephones are more suitable for older infants who have developed object permanence and are more interactive in their play. In an educational context, it is crucial for nurses and healthcare professionals to understand the developmental stages of infants to provide appropriate recommendations for toys and activities that support their growth and learning. By recommending toys that align with the infant's developmental stage, healthcare professionals can promote healthy development and engagement in young children.

Correct Answer: A

Rationale: The correct answer is option A) Screens apparently healthy infants for developmental problems. The Denver Developmental Screening Test (DDST) II is specifically designed to screen apparently healthy infants for early detection of developmental delays or potential problems. It is a standardized tool used to assess a child's developmental progress across various domains such as social, motor, language, and cognitive skills. Early identification of developmental issues through screening tests like the DDST II is crucial for timely intervention and support, which can significantly impact a child's long-term outcomes. Option B) Allows the infant’s growth patterns to be compared with other infants is incorrect because the DDST II is not primarily used for comparing growth patterns but rather for identifying developmental delays. Option C) Validates intuitive concerns about an infant’s development using an objective test is incorrect because while the test is objective, its main purpose is to screen for potential developmental problems, not just validate concerns. Option D) Monitors high-risk children for developmental problems is incorrect as the DDST II is typically used for screening apparently healthy infants, not just high-risk children. High-risk children may require more specialized assessments and interventions beyond what the DDST II offers. In an educational context, understanding the purpose of developmental screening tools like the DDST II is essential for healthcare professionals working with infants and young children. It emphasizes the importance of early intervention and support for children who may be at risk for developmental delays, ultimately contributing to better outcomes and quality of life for these children.

Correct Answer: D

Rationale: In this scenario, the correct answer is option D: "Has a history of recurrent ear infections." This finding would be cause for concern for the nurse when assessing the cognitive-perceptual pattern of a toddler because ear infections can impact a child's hearing ability, which in turn can affect their cognitive and perceptual development. Hearing is crucial for language acquisition and overall cognitive development in young children. Recurrent ear infections can lead to temporary hearing loss or fluctuating hearing abilities, potentially hindering the child's cognitive-perceptual skills. Option A, using the word "blanky" to mean different things, is a common behavior in toddlers as they are still developing language skills. It is part of normal language development and not necessarily a cause for concern in this context. Option B, refusing to eat something enjoyed before, is a common behavior in toddlers due to their changing tastes and preferences. It does not directly relate to cognitive-perceptual patterns and is likely a normal part of a toddler's development. Option C, having visual acuity that is not 20/20, may be a concern but is not directly related to cognitive-perceptual patterns. Visual acuity issues would primarily impact the child's vision and may require intervention from an eye care specialist rather than directly affecting cognitive-perceptual development. Understanding these distinctions is essential for nurses and healthcare professionals working with children to appropriately assess and address developmental concerns in toddlers. By recognizing the impact of different health conditions on cognitive-perceptual patterns, healthcare providers can intervene early to support optimal development in young children.

Correct Answer: B

Rationale: In the context of pediatric pharmacology and health promotion, the correct answer is option B) Tell the child about the blood work right before leaving the house for the appointment. This option is the most appropriate because it allows the child to have some time to mentally prepare for the procedure without causing unnecessary anxiety or distress over an extended period. By informing the child just before leaving the house, the mother can provide a brief explanation and reassurance, helping the child understand what to expect without overwhelming them. Option A) Tell the child about the blood work on the day that the appointment is scheduled may not provide the child with enough time to process the information and may lead to increased anxiety throughout the day. Option C) Tell the child when they are in the office right before the phlebotomist enters the room can cause sudden stress and fear as the procedure is imminent, leading to a negative experience. Option D) Do not tell the child about the blood work is not recommended as transparency and communication are essential in building trust between the child, parent, and healthcare provider. Educationally, this scenario highlights the importance of age-appropriate communication in pediatric care. By involving the child in the process and providing information gradually and in a timely manner, healthcare professionals can help alleviate fear and anxiety, leading to a more positive healthcare experience for the child.