During the health history, the mother of a 4-month-old child tells the nurse she is concerned that her baby is not doing what he should be at this age. Which response by the nurse would be most appropriate?
A) "I can tell you more after his physical."
B) "Fill out this questionnaire first."
C) "Tell me what concerns you."
D) "All mothers worry, but he seems well."
C
Response:
Asking about the mother's concerns is assessment and is the first thing the nurse should do. The mother has intimate knowledge of the infant and can provide invaluable information that can help structure the nurse's assessment. Relying on the physical assessment ignores the value of the mother's input. A screening questionnaire is no substitute for a developmental assessment. Minimizing the mother's concerns reduces communication between the mother and the nurse.
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