A nurse is teaching about crib safety with the parent of a newborn.
Which of the following statements by the client indicates understanding of the teaching?
I should place my baby’s crib next to the heater to keep him warm during the winter.
I should remove extra blankets from my baby’s crib.
I should pad the mattress in my baby’s crib so that he will be more comfortable when he sleeps.
I will place my baby on his stomach when he is sleeping.
The Correct Answer is B
Choice A rationale
Placing a baby’s crib next to a heater can pose a risk of overheating or burns. Newborns should be kept at a safe distance from heaters to prevent accidents.
Choice B rationale
Removing extra blankets from the crib is recommended to reduce the risk of suffocation and sudden infant death syndrome (SIDS). This choice reflects an understanding of crib safety.
Choice C rationale
Padding the mattress can pose suffocation risks and is not recommended. A firm mattress without any padding is the safest option for newborns.
Choice D rationale
Placing a baby on their stomach to sleep increases the risk of SIDS. The recommended sleeping position for newborns is on their back, as this significantly reduces the risk.
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Correct Answer is B
Explanation
Choice A rationale
Hanging crib toys are not suitable for a 12-month-old toddler as they are more appropriate for younger infants. Toddlers need toys that can stimulate their fine and gross motor skills, and hanging crib toys do not fulfill this need.
Choice B rationale
Large building blocks are ideal for a 12-month-old toddler as they help in developing fine motor skills, hand-eye coordination, and creativity. These blocks also encourage problem-solving and spatial awareness, which are crucial developmental milestones at this age.
Choice C rationale
Crayons and a coloring book are not the best choice for a toddler under contact precautions as they can be difficult to disinfect and might pose a risk of infection. Additionally, at 12 months, toddlers are still developing their pincer grasp and may not have the coordination for coloring.
Choice D rationale
Modeling clay is not suitable for a 12-month-old due to the potential choking hazard. Toddlers at this age tend to put objects in their mouths, and modeling clay can be difficult to keep clean under contact precautions.
Correct Answer is A
Explanation
Choice A rationale
Giving the toddler a choice between two cups helps to decrease negativism by providing options that still achieve the desired outcome, thereby reducing the likelihood of refusal.
Choice B rationale
Asking the child to take medicine now offers no real choice and is likely to be met with resistance, which is characteristic of negativism in toddlers.
Choice C rationale
This question is too open-ended and can easily be refused, as it does not provide a sense of control or choice for the toddler.
Choice D rationale
Telling the child they "need" to take medicine is directive and authoritarian, which often triggers negativism and a refusal.