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A single mother of an infant worries that living in a
household with only one parent will cause her child to be
maladjusted. To help address the mother's concerns, the
primary care pediatric nurse practitioner will suggest
A. developing consistent daily routines for the child.
B. exposing her child to extended family members when
possible.
,C. not working outside the home during the first few years.
D. taking her child to regular play date activities with other
children. - ANSWER-A. developing consistent daily
routines for the child.
During a well child exam, the primary care pediatric nurse
practitioner learns that the parents of a young child fight
frequently about finances. The parents state that they do
not fight in front of the child and feel that the situation is
temporary and related to the father's job layoff. What will
the nurse practitioner do? - ANSWER-Suggest counseling
to learn ways to handle stress
The primary care pediatric nurse practitioner conducts a
well baby exam on an infant and notes mild gross motor
,delays but no delays in other areas. Which initial course of
action will the nurse practitioner recommend? - ANSWER-
Teach the parents to provide exercises to encourage
motor development
1. During a well child exam, the primary care pediatric
nurse practitioner learns that the parents of a young child
fight frequently about finances. The parents state that they
do not fight in front of the child and feel that the situation is
temporary and related to the father's job layoff. What will
the nurse practitioner do?
a. Reassure them that the child is too young to
understand.
b. Recommend that they continue to not argue in front of
the child.
c. Suggest counseling to learn ways to handle stress.
, d. Tell them that the conflict will resolve when the situation
changes. - ANSWER-ANS: C
Marital problems can result in child behavior difficulties
and anxieties, and conflict can be picked up by the child.
The parents should try to learn to modify unhealthy
behaviors, such as increased conflict during stressful
situations. Even when children do not understand, they
pick up on cues from the parents about anxiety and stress
and can internalize these feelings. Avoiding arguments in
front of the child does not alleviate the underlying conflict
and stress. The behavior of fighting during this stressful
situation may indicate a pattern of response to stress and
will only recur with each subsequent stressful period.