2. Tenzin and Dechen have brought in their 24-month-old son, Kim, for his wellness examination and...

2. Tenzin and Dechen have brought in their 24-month-old son, Kim, for his wellness examination and immunizations. Kim is the first child for Tenzin and Dechen, but Dechen is 6 months pregnant with their second child. Tenzin and Dechen are Tibetan refugees who have moved to the United States from India. Kim was born in the United States. Tenzin and Dechen are very focused on Kim’s physical abilities (i.e., motor skills, communication, and sensory skills). They express their desire for Kim to do well in school and be successful in business. (Learning Objectives 3, 4, 7, 11, and 13)

a. What could the nurse share with Kim’s parents regarding the normal motor, communication, and sensory development of a 24-month-old?

b. What can the nurse teach Tenzin and Dechen regarding promoting healthy growth and development in Kim?

c. Kim’s parents are curious about toilet training. How can the nurse teach Kim’s parents about toilet training with a toddler?

Expert Solution

(a) COMMUNICATION DEVELOPMENT:-
-Ability to think, learn, and remember.
-child will start to remember recent events and actions, understand symbols, imitate, imagine, and pretend.

SENSORY AND MOTOR DEVELOPMENT:-
- motor Skills develop as child's muscles and nerves work together.
- Toddlers gain control and coordination and become steady walkers.
- Climbing, running, and jumping soon follow.

(b)Nurse teach Tenzin and Dechen regarding promoting healthy growth and development in Kim, as given below:-
-You can help your child grow and develop by understanding a toddler's need for independence and allowing safe exploration.
-It helps child become confident in trying new skills when you are patient and provide unconditional love and recognize that child can be easily overwhelmed by all the new things that he is seeing, hearing, learning, and doing. -Help your child to get plenty of rest and quiet time.
-Schedule routine checkups to keep track of your child's growth, development, and overall well-being.

(c)SIGNS OF TOILET TRAINING:-
- If child can hold urine and stay dry for at least two hours. This indicates that his bladder muscles are sufficiently developed to store urine.
- If child can recognize the physical signals that he has to go and act on them before anything comes out.
- If child can pull his clothes up and down by himself.
- If child demonstrates a desire for independence and shows an interest in imitating others bathroom habits.

Nightingale answered 2 years ago

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