The community health nurse is providing teaching to parents of a 10-month-old infant about home safety.
Which of the following statements, if made by the parent, would show the need for further teaching?
Firearm is located in the top drawer of the parent's dresser.
Cleaning products are in a locked cabinet under the sink.
Safety covers have been placed on electrical outlets.
Safety gates are located at the top and bottom of stairs.
The Correct Answer is A
Choice A rationale
Storing a firearm in a top drawer is unsafe, even if it is out of the child’s immediate reach. Firearms should be securely locked in a location inaccessible to children.
Choice B rationale
Locking cleaning products under the sink is a safe practice to prevent accidental poisoning, demonstrating correct safety precautions.
Choice C rationale
Placing safety covers on electrical outlets is a safe practice to prevent electrical shocks, indicating proper home safety measures.
Choice D rationale
Installing safety gates at the top and bottom of stairs is a recommended safety measure to prevent falls, showcasing awareness of proper childproofing.
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Correct Answer is C
Explanation
Choice A rationale
Encouraging play exercises in the evening can lead to overstimulation, which can make it harder for the toddler to fall asleep. Physical activity should generally be done earlier in the day to help with sleep later on.
Choice B rationale
Turning off the room light can create a dark environment conducive to sleep, but it doesn’t address the need for a calming routine, which is essential for young children’s sleep. Some children also feel safer with a nightlight.
Choice C rationale
Providing bedtime rituals can help signal to the toddler that it is time to wind down and sleep. Consistent rituals, such as reading a story or singing a lullaby, provide a sense of security and comfort.
Choice D rationale
Explaining the source of the toddler’s fears may be beyond the cognitive ability of a toddler and does not directly promote sleep. It’s better to provide comfort and reassurance through routine.
Correct Answer is C
Explanation
Choice A rationale
An APGAR score of 5 indicates significant distress and poor adjustment to extrauterine life, which is not consistent with the provided description of the infant's condition.
Choice B rationale
An APGAR score of 6 suggests moderate difficulty with extrauterine adaptation, which is still not entirely consistent with the overall assessment of the infant.
Choice C rationale
An APGAR score of 7 aligns with the described observations of the newborn: pink trunk and head, bluish extremities, active movement, heart rate of 130/min, and a response to
suctioning, which suggest the infant is in reasonably good condition with some minor issues that need monitoring.
Choice D rationale
An APGAR score of 8 would indicate that the newborn is in very good condition with only slight adjustments needed, which does not fully match the infant's description with the noted
issues like a weak cry and bluish extremities.