While interviewing the parents of a 2-year-old female, the nurse notes that the mother is pregnant. At the end of the visit, the nurse decides to give a new pamphlet to the parents about car seat usage for newborns. This action is an example of:

1. Secondary preventative health maintenance.
2. Primary preventative health maintenance.
3. Developmental screening.
4. Tertiary preventative health maintenance.


2
Rationale:
1. The secondary level of prevention is focused on diagnosis of a problem, usually medical in nature, in order to address it and make a plan of care.
2. The teaching regarding proper car seat use is an example of an activity that might decrease the opportunity for injury in a newborn; therefore, this is primary preventive health maintenance.
3. This is education, and not a developmental screening to elicit data. The focus of the teaching is on an unborn child, so developmental level is not a current issue.
4. The tertiary level of preventative care is related to restoring a level of functioning that is below an expected level, such as in a rehabilitation situation.

Nursing

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