The environment, both physical and psychosocial, is a significant determinate of growth and development outcomes before and after birth
Nurses can assist parents in preventing environmental injury for their 2-year-old toddler by teaching them to avoid the most common sources of exposure. This anticipatory guidance includes teaching related to a. Avoiding sun exposure, secondhand smoke, and lead
b. Socioeconomic status, primarily poverty
c. Maternal smoking and alcohol intake during pregnancy
d. The passing of environmental toxins through breast milk
A
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A Lead can be present in the home and in toys made overseas. Environmental
injury can also be the result of mercury, pesticides (flea and tick collars), radon,
and exposure to the sun and secondhand smoke. It is important for the nurse to
provide health teaching related to these factors.
B The nurse is unable to influence socioeconomic status.
C It is too late for the nurse to instruct the mother regarding smoking or alcohol
intake during pregnancy. This should have been included in prenatal teaching.
D It is unlikely that a 2-year-old child will still be breastfeeding.
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