During a well-baby health maintenance visit, the nurse notices the infant does not demonstrate expected developmental milestones for age. Which nursing intervention is the priority in this situation?
1. The nurse should initiate a consult with social services for a home assessment.
2. The nurse should consult with the health care provider.
3. The nurse should ask the parents questions about their play activities with the infant.
4. The nurse should prepare the family for a potentially upsetting diagnosis.
Correct Answer: 3
The nurse should first assess the parental knowledge and expectations concerning normal infant development. The parents may not be aware of the appropriate activities that will stimulate the child. It is outside the nurse's scope of practice to initiate consults. The healthcare provider will recommend and manage consultations. The nurse should complete the assessment before consulting with the health care provider. There is no need to prepare the parents for a negative outcome at this point.
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