The nurse is doing a general survey on an infant for a well-child check. During the survey, the baby has a liquid stool. The mother becomes very angry and asks the nurse to change the diaper because she just can't "deal with the odor."
This response is important to the nurse because:
1. the child may have an illness causing diarrhea.
2. it may be a reflection of the mother-child relationship.
3. the mother may be feeding the child a poor diet.
4. the child may have an illness that is increasing the odor of stool.
2
Rationale 1: The loose stool may be a sign of illness; however, there is not enough information to determine if the child is ill, and the mother's response is inappropriate.
Rationale 2: Observation of the interaction between the child and mother can provide information suggestive of child abuse. The mother's demonstration of disgust with any aspect of child's behavior or such things as odor or stool can be clues that there may be a problem with the relationship and should be evaluated further.
Rationale 3: The loose stool may be the result of the child's diet; however, the mother's response is inappropriate.
Rationale 4: The loose stool may be a sign of illness; however, there is not enough information to determine if the child is ill, and the mother's response is inappropriate.
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