A father brings his 10-month-old infant to the well-baby clinic and expresses frustration that his child "puts everything in her mouth" and "gets into everything," then cries when objects are taken away. In providing anticipatory guidance,
what action by the nurse is the most appropriate?
A.
Advise the father that crying indicates fatigue and the child should rest.
B.
Explain that objects may be dirty and should not be put in the mouth.
C.
Give the father written material on effective disciplinary techniques.
D.
Teach the father that this behavior is normal and not misbehaving.
ANS: D
At this age, exploration and crying are normal behaviors. Children in this age group do not misbehave, and so discipline needs to be focused on redirection to keep the child safe. Crying may also indicate frustration in this preverbal child. Making a blanket statement that objects are dirty and should not be in the child's mouth does not provide guidance on age-appropriate behaviors and reasonable responses.
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