The nurse is conducting a nursing assessment of the parent and child with severe cerebral palsy during a routine clinic visit. Which nursing action is appropriate based on the current data?
1. Measuring the urine output
2. Measuring the child's head circumference
3. Observing the parent–child relationship
4. Observing how the child interacts during play
3
Explanation:
1. Measuring urine output is not important unless there are problems with the bladder.
2. Measuring the child's head circumference is not an important assessment at this time.
3. Observing the parent–child relationship is important to the success of health supervision for both the child and parents.
4. Playtime is not important during this time.
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