The nurse is caring for an infant with suspected Munchausen's syndrome. While making rounds, the nurse finds the mother putting something in the infant's bottle. The nurse should: A. Remove the bottle and report the incident to the charge nurse B. Ask the mother what she added to the infant's bottle C. Check to see whether the infant becomes ill after taking the bottle D. Request that a dietician visit with the mother

Factitious Disorder Imposed on Another (FDIA), formerly known as Munchausen's Syndrome by Proxy, is a complex psychiatric condition where a caregiver induces or fabricates symptoms or full-blown illness in someone else, typically their own child, to seek attention or sympathy for themselves. The caregiver intentionally causes harm or misleads health professionals into believing that the person under their care is ill when they are not.

FDIA is a form of abuse with serious implications for the victim, often leading to unnecessary medical tests, surgeries, and treatments that can cause physical and psychological harm. The caregiver's behavior is driven by a deep need for attention and affirmation, and they often appear to be caring and attentive, making the diagnosis of FDIA challenging for healthcare professionals.

Nurses and doctors are trained to be vigilant for signs of FDIA, particularly when an infant or child has recurrent, unexplained illnesses or when their symptoms and test results do not align. Understanding FDIA is crucial in preventing and stopping this form of abuse, as it can have long-lasting effects on the child's health and wellbeing.

Caring for infants in a medical setting requires a comprehensive approach, with a focus on both the physical and emotional needs of the baby. Nurses play a critical role in monitoring the health of infants, providing vital treatment, and supporting the family.

Effective nursing care for infants involves:

• Routine health checks, such as monitoring weight gain and developmental milestones.
• Ensuring they receive appropriate immunizations to prevent infectious diseases.
• Teaching parents proper feeding techniques and nutritional needs.
• Assessment and management of pain or discomfort.

It's also crucial to maintain a safe environment for the infant, both in hospital settings and at home, to prevent accidents or harm. This includes strict adherence to hygiene protocols to avoid infections and communicable diseases. In cases like the exercise implies, nurses must be observant and recognize any possible signs of endangerment or abuse, such as FDIA, taking immediate steps to protect the child.

Pediatric psychological disorders encompass a wide range of mental health conditions that can affect children and adolescents. These may include developmental disorders, mood disorders, anxiety disorders, behavioral disorders, and trauma-related conditions.

Early diagnosis and intervention are key factors in managing these disorders effectively. Pediatric psychological disorders can significantly impact a child's development, education, social interactions, and overall quality of life. Signs that a child may be experiencing a psychological disorder can vary widely but often involve changes in mood, behavior, or development that are not typical for the child's age.

Healthcare providers, including nurses, must be skilled in recognizing the signs of pediatric psychological disorders and work collaboratively with parents, teachers, and mental health specialists to provide comprehensive care. Treatment may include therapy, medication, and support for the family, ensuring that the child can achieve the best possible outcome for their mental health and wellbeing.