The nurse has completed an education program on normal communication abilities in the preschool-age child. Which statement by a participant indicates a need for further education?

Correct Answer: C

Rationale: The correct answer is C. By age 5, children should be able to state their name and address. If a child cannot do this, it may indicate a developmental delay that requires further assessment. Choices A, B, and D do not indicate a need for further education as they reflect typical developmental milestones for preschool-age children, such as gradually improving counting skills, asking many questions, and improving speech clarity over time.

Correct Answer: C

Rationale: In this scenario, option C, "We will be sure to give our infant at least 8 oz of juice every day," indicates a need for further teaching. Juice is not recommended for infants due to its high sugar content, which can contribute to further weight loss in a child with failure to thrive. It provides empty calories and can displace more nutrient-dense foods needed for growth. Option A is correct because using a 24-kcal/oz formula can help increase the caloric intake of the infant, which is crucial in managing failure to thrive. Option B is also correct as following formula preparation instructions ensures the infant receives the necessary nutrients. Option D is incorrect as feeding the infant according to a written schedule is important for establishing routine and ensuring adequate intake. However, the specific content of the schedule would need to align with the infant's nutritional needs. Educationally, this question highlights the importance of appropriate feeding practices in infants with failure to thrive. It emphasizes the significance of providing nutrient-dense foods, following guidelines for formula preparation, and avoiding sugary beverages like juice in this population.

Correct Answer: D

Rationale: In this scenario, the correct answer is D) All of the above. Failure to thrive (FTT) in infants is a serious condition characterized by inadequate weight gain and growth. Infants with FTT may exhibit signs such as fear of strangers, minimal smiling, and avoidance of eye contact. These behavioral and social cues can be indicative of underlying issues affecting the infant's growth and development. Option A) Fear of strangers is relevant because infants with FTT may display heightened anxiety and fear around unfamiliar individuals due to the lack of consistent nurturing and attachment. Option B) Minimal smiling is significant as infants typically smile in response to positive interactions and stimuli. In cases of FTT, the infant's limited engagement and lack of joy may signal underlying concerns impacting their emotional well-being. Option C) Avoidance of eye contact is also pertinent as it can indicate difficulties in forming secure attachments and bonding with caregivers, which are crucial for healthy social and emotional development in infants. Educationally, understanding the assessment findings associated with FTT is vital for nurses caring for pediatric patients. Recognizing these behavioral cues can prompt early intervention and appropriate support services to address the underlying factors contributing to FTT in infants. By identifying and addressing these signs early, healthcare providers can work towards promoting optimal growth, development, and well-being in infants at risk for FTT.

Correct Answer: C

Rationale: In this scenario, the correct answer is C) All are correct. When caring for a 10-month-old child diagnosed with failure to thrive, it is crucial for the nurse to implement a comprehensive approach. Being persistent (Option A) is important because feeding difficulties can be common in children with FTT, and the nurse needs to persevere in trying different feeding strategies to ensure adequate nutrition intake. Introducing new foods slowly (Option B) is essential to monitor for any adverse reactions or sensitivities the child may have to certain foods. Maintaining a calm, even temperament (Option D) is crucial in creating a positive feeding environment as stress and anxiety can negatively impact a child's feeding behavior. The incorrect options can be ruled out as they do not address the comprehensive care required for a child with FTT. Educational context here emphasizes the importance of a holistic approach in caring for children with specific health conditions, ensuring their safety, comfort, and optimal health outcomes.

Correct Answer: B

Rationale: In this question about potential causes of colic in infancy, the correct answer is B) All are applicable. The educational rationale behind this answer is that colic in infants can have multiple contributing factors, and it is often a multifactorial issue. Overeating can lead to digestive discomfort which can contribute to colic. Frequent burping helps release trapped gas which can alleviate colic symptoms. Parental smoking exposes infants to harmful chemicals that can irritate their sensitive systems and exacerbate colic. Option A, overeating, is a common misconception as infants typically have regulated feeding patterns. Option C, frequent burping, is important for relieving gas but is not the sole cause of colic. Option D, parental smoking, is a significant risk factor for colic due to exposure to secondhand smoke. Educationally, this question emphasizes the importance of understanding the various factors that can contribute to colic in infants. It highlights the need for comprehensive teaching to parents on how to address and prevent colic by considering multiple aspects of infant care, including feeding, burping techniques, and environmental factors like parental smoking.