A nurse is providing anticipatory guidance to new parents of an infant. Which information would be most important to stress with the parents to promote the infant’s development of trust?
Each day at a special time, talk to your baby.
Try to have many caregivers caring for the baby so they learn variability.
Stimulating your baby with many toys is key.
It is important to respond to the baby’s needs consistently.
The Correct Answer is D
Choice A rationale
Talking to the baby each day at a special time can help build a bond and promote language development. However, it is not the most important factor in promoting the infant’s development of trust. Consistent and responsive caregiving is more crucial in building trust.
Choice B rationale
Having many caregivers caring for the baby can lead to inconsistency in caregiving. According to Erikson’s theory of psychosocial development, infants need consistent and reliable caregiving to develop a sense of trust. Multiple caregivers can create confusion and insecurity for the baby.
Choice C rationale
Stimulating the baby with many toys can promote cognitive and motor development. However, it is not the most important factor in promoting the infant’s development of trust. Consistent and responsive caregiving is more crucial in building trust.
Choice D rationale
Responding to the baby’s needs consistently is the most important factor in promoting the infant’s development of trust. According to Erikson’s theory, infants develop trust when their caregivers are reliable and responsive to their needs. This consistent caregiving helps the baby feel secure and builds a foundation for healthy emotional development. .
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Correct Answer is C
Explanation
Choice A rationale
Distended neck veins are not a typical manifestation of pyloric stenosis. This condition primarily affects the gastrointestinal system, leading to symptoms related to feeding and digestion rather than cardiovascular symptoms like distended neck veins.
Choice B rationale
Red currant jelly stools are associated with intussusception, not pyloric stenosis. Intussusception involves the telescoping of one part of the intestine into another, leading to obstruction and the characteristic stool appearance.
Choice C rationale
Projectile vomiting is a hallmark symptom of pyloric stenosis. This occurs due to the obstruction at the pylorus, which prevents food from passing into the small intestine, leading to forceful expulsion of stomach contents.
Choice D rationale
A ridged abdomen is not a typical symptom of pyloric stenosis. While the abdomen may be distended due to the obstruction, the primary symptom is projectile vomiting.
Correct Answer is D
Explanation
Choice A rationale
A sputum culture can help identify respiratory infections but is not definitive for diagnosing cystic fibrosis.
Choice B rationale
Stool fat content analysis can indicate malabsorption issues but is not specific to cystic fibrosis.
Choice C rationale
Pulmonary function tests assess lung function but do not confirm a diagnosis of cystic fibrosis.
Choice D rationale
The sweat chloride test is the gold standard for diagnosing cystic fibrosis. It measures the concentration of chloride in sweat, which is elevated in individuals with cystic fibrosis due to defective chloride transport in sweat glands.