A nurse in a clinic is teaching a group of parents about scoliosis screening.
Which of the following statements by a parent indicates an understanding of the teaching?
"Boys should be screened for scoliosis at a younger age than girls.”.
"Scoliosis is associated with some form of childhood trauma.”.
"Children who have scoliosis will often report back pain.”.
"During the screening, the child is asked to stand and bend forward at the waist with his arms hanging.”.
The Correct Answer is D
Choice A rationale
Boys are generally screened for scoliosis at a later age than girls due to different growth patterns and timelines in puberty. Girls typically go through growth spurts earlier, which can reveal scoliosis sooner.
Choice B rationale
Scoliosis is not associated with childhood trauma. It's primarily idiopathic, meaning its cause is unknown, though genetics and growth factors are considered.
Choice C rationale
Children with scoliosis often do not report back pain. The condition is usually detected through physical exams or screenings rather than symptoms like pain.
Choice D rationale
The Adam's forward bend test is a common method for screening scoliosis, which involves the child bending forward at the waist with arms hanging down. This position highlights any abnormal curvature of the spine.
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Correct Answer is D
Explanation
Choice A rationale
Introducing well-cooked table foods should begin around 8-10 months of age when the baby is ready for finger foods and has developed better chewing skills.
Choice B rationale
Starting solid foods at 3 months old is too early and can interfere with breastfeeding or formula feeding, increasing the risk of allergies and digestive issues.
Choice C rationale
Cow's milk should not be introduced until 12 months of age, as infants need the nutrients from breast milk or formula during their first year for optimal growth.
Choice D rationale
It is recommended to wait until the baby is at least 6 months old before introducing fruit juice, and even then, it should be given in limited quantities to avoid excessive sugar intake.
Correct Answer is C
Explanation
Choice A rationale
A properly fastened harness and securely anchored car seat are essential for infant safety. This statement indicates correct practice and does not require further teaching.
Choice B rationale
Using an infant model car seat that is securely anchored is appropriate for a 6-month-old infant. This statement is correct and does not indicate a need for further teaching.
Choice C rationale
A front-facing car seat is inappropriate for a 6-month-old infant. Infants should ride in a rear-facing car seat until at least the age of 2 or until they reach the highest weight or height allowed by the car seat manufacturer. This statement indicates a need for further teaching.
Choice D rationale
A rear-facing car seat in the back passenger seat is the safest position for a 6-month-old infant. This statement is correct and does not indicate a need for further teaching.