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Dana Palmer brings her 2-year-old son, Bobby, to the health care provider for a routine well-child visit. During the visit, the nurse observes Bobby interacting with his mother, telling her “no” every time she asks him to do something. She states, “All he ever seems to say is no. It’s no, no, no, all the time. I don’t know what to do.” Before leaving the examination room, Dana pulls the nurse aside, telling the nurse that she is 4 months pregnant with her second child. She mentions that she and her husband haven’t told Bobby about the pregnancy yet. She asks, “We want to tell him but we don’t know when would be the best time.”

a. How could the nurse help Dana cope with Bobby’s constant “no” behavior?

b. What anticipatory guidance might be helpful to give Dana about telling Bobby about the new baby?

SCIENCE
HEALTH SCIENCE
NURSING

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