The primary health care assessment

The primary health care assessment
A nurse in a day-care center is observing a 2-yearold child during recess. Which of the following
actions would the nurse expect the child to perform?
1. Ride a tricycle
2. Kick a ball
3. Climb the rungs of a ladder
4. Build a sand castle
6. A mother asks which toy the nurse would suggest
she purchase for her 15-month-old child. Which of
the following would be appropriate for the nurse to
1. Model kit
2. Rattle
3. Toy shopping cart
4. Board game
7. A mother asks the nursery school nurse, “Whenever
she is playing with other children in the playground,
my 2½-year-old keeps throwing sand in other kids’
faces. What am I to do?” Which of the following
disciplinary methods would be most appropriate for
the nurse to recommend?
1. Inform the child that she will be grounded from
going to the playground for 7 days.
2. Spank the child on her buttocks.
3. Th row sand in the child’s face.
4. Make the child sit on a bench away from the
playground for 2 to 3 minutes.
8. A 2½-year-old boy is being seen by the primary
health-care provider for a well-child checkup. Which
of the following statements by the mother would
indicate a need for teaching?
1. “I bought a potty seat and put it into the
bathroom next to the toilet. Johnny sits in it
2. “I worry that Johnny will get too close to the hot
oven, so I put him in his playroom and have him
play by himself with his toys while I’m making
3. “When Johnny has a bottle with him in his crib,
he goes to bed so much more easily. He drinks the
water, and it helps him to go to sleep.”
4. “My husband and I converted Johnny’s crib into a
toddler bed because he climbed out of the crib
twice last week.”
9. An 18-month-old boy is being seen by the primary
health-care provider for a well-child checkup. Refer
to the growth charts in Appendix A. Which of the
following assessments would indicate a need for
further investigation?
1. Head circumference of 18¾ in.
2. Height of 32¼ in.
3. Weight of 31¼ lb.

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