A mother is concerned because her 6-year-old son stutters. She wants to know if she did anything during her pregnancy to cause this. Which of the following would be the best response? The nurse should:
1. Assess for impaired thermoregulation during the postnatal period.
2. Assess for a family history of the disorder.
3. Verbalize the implied by asking, "Are you saying you feel responsible for his problem?"
4. Ask if the mother had preeclampsia during labor.
2
Rationale: The only known predisposing factor for the development of a communication disorder is a family history of the disorder. For stuttering, especially, family and twin studies provide strong evidence of a genetic factor in its etiology. Since family history is the only known predisposing factor, asking about impaired thermoregulation or preeclampsia is not relevant. Questioning the mother's feelings does not address the cause of the stuttering.
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