Which statement is not part of the developmental care approach?

Correct Answer: B

Rationale: In pediatric nursing, the developmental care approach focuses on creating a supportive environment that meets the unique developmental needs of children. The correct answer, option B, "Care on a sliding payment scale," is not part of developmental care principles. This answer is incorrect because developmental care does not relate to the financial aspect of care delivery, but rather to the holistic and individualized approach to meeting the developmental needs of children. Option A, "Family-centered care," is a fundamental aspect of pediatric nursing and developmental care. In pediatrics, involving families in the care process is essential for positive outcomes and child well-being. Option C, "Healing environment," is also a key component of developmental care as it emphasizes creating a safe and calming space to promote healing and development. Option D, "Protected sleep," is crucial in pediatric care as adequate sleep is vital for children's growth and recovery, aligning with developmental care principles that prioritize the child's overall well-being. Educationally, understanding the principles of developmental care in pediatric nursing is essential for providing high-quality, patient-centered care to children and their families. By implementing these principles, nurses can enhance the quality of care, promote positive outcomes, and support the holistic development of children in healthcare settings.

Correct Answer: A

Rationale: The correct answer is A) Using the child's actual materials will give the therapist an accurate picture. This is essential in pediatric nursing as it allows the therapist to assess the child's feeding environment accurately. By using the child's own utensils, food, and high chair, the therapist can observe the child's feeding routine, behavior, and interactions within a familiar context. This helps in identifying any potential issues or challenges that the child may be facing during meal times. Option B) The therapist wants to be sensitive to the child's culture is incorrect because while cultural sensitivity is important in healthcare, the primary reason for using the child's actual materials is to assess the feeding situation accurately. Option C) The center has limited funds for food and materials is incorrect as it is not relevant to the rationale behind using the child's own materials for the evaluation. Option D) The therapist would like to know if the caregiver can follow directions is incorrect as the main focus of the evaluation is to understand the child's feeding habits and environment, not the caregiver's ability to follow directions. In pediatric nursing, conducting assessments in a child's familiar environment is crucial for making informed decisions about their care. By using the child's actual materials during feeding evaluations, healthcare providers can tailor interventions and recommendations to better support the child's feeding needs and promote positive outcomes.

Correct Answer: C

Rationale: Improving the child's competence and creating a positive environment is the most effective strategy to promote positive behavior in children. This approach focuses on enhancing the child's skills and abilities while fostering a supportive and encouraging atmosphere. By empowering the child and surrounding them with positivity, they are more likely to exhibit positive behaviors as they feel competent, valued, and motivated. This strategy emphasizes support and reinforcement over punitive measures, leading to long-lasting behavioral improvements.

Correct Answer: C

Rationale: Families of children with ASD commonly experience challenges in accessing needed services. This can include difficulties in obtaining appropriate therapies, educational support, and specialized interventions. While financial limitations and social isolation are also significant issues faced by these families, the primary concern often revolves around the challenges in accessing essential services for their children.

Correct Answer: B

Rationale: Neonates born to mothers with diabetes are at risk for hypoglycemia due to their exposure to high blood glucose levels in the womb. During pregnancy, the baby's pancreas produces extra insulin to handle the excess glucose from the mother, but after birth, there may be a sudden drop in blood glucose levels in the baby, leading to hypoglycemia. It is important to monitor blood glucose levels closely in these neonates and provide appropriate interventions to prevent and manage hypoglycemia. Anemia, nitrogen loss, and thrombosis are not typically associated with neonates of mothers with diabetes.