Question

question 18
1 pts
the mother of a 2 - year - old child takes the child to a play group once a week. she expresses concern that the child plays with toys but does not interact with the other toddlers. what will the primary care nurse practitioner counsel the mother?

• the child probably is very shy but will outgrow this tendency with repeated exposure to other children.
• the toddler may have a language delay that interferes with socialization with other children.
• toddlers may be interested in other children but usually do not engage in interactive play.
• toddlers need more structured play to encourage interaction and socialization with others.

question 19
1 pts
the primary care nurse practitioner is performing a pre - surgical clearance. the child is scheduled for a dental exam under anesthesia in two weeks. medication history is pertinent for use of various complementary treatments and remedies for the child. what is the most appropriate next step in caring for this child?

• check coagulation factor levels at the office visit.
• recommend not using the products until the child is seen.
• instruct the parents to avoid any herbal supplements or complementary therapy for at least one week before the procedure

Explanation:

For Question 18: Toddlers (around 2 years old) typically engage in parallel play, where they play near others but not interactively. The option "Toddlers may be interested in other children but usually do not engage in interactive play" aligns with developmental norms. Other options: assuming shyness is incorrect (it's normal play behavior), language delay isn't indicated here, and structured play isn't needed as parallel play is normal.

For Question 19: When a child is having a dental exam under anesthesia and uses complementary treatments/remedies, discontinuing them at least a week before is important to avoid interactions or complications during anesthesia. Checking teeth at the office isn't the next step for pre - surgical clearance related to complementary therapies, and waiting until the child is calm isn't relevant here.

Answer:

Question 18: The option "Toddlers may be interested in other children but usually do not engage in interactive play" (the third option in Question 18's choices).
Question 19: The option "Instruct the parents to avoid any herbal supplements or complementary therapy for at least one week before the procedure" (the third option in Question 19's choices).