Stage 6 — Evaluate outcomes. Review the preventive-care timeline and answer the three outcome questions.
Trend
Choose your responses, then check the answer.
Explanation
Outcome evaluation The response is effective because the parents begin every sleep supine in an empty crib, correctly leave only a self-selected position after independent rolling both ways, restore rear-facing travel, remove the walker, block stair access, and prepare foods according to developmental texture and shape. Routine prevention also closes: vaccine products and intervals are reconciled, follow-up doses have dates, validated developmental screening occurs at 9 months, and a human-milk-fed infant receives CBC and serum ferritin within the 9-to-12-month window. An injury-free week or signed handout alone would not prove these changes.
Observe behavior The strongest safety outcome is a verified change in sleep space, car-seat direction, walker access, stairs, and feeding—not verbal agreement by itself.
Interpret rolling correctly Continue to place Baby J supine. Because she independently rolls both ways, parents need not turn her back repeatedly after self-positioning, provided the approved sleep space remains firm, flat, and empty.
Close longitudinal prevention The 9-month screen and 9-to-12-month iron testing are different processes. Vaccine reconciliation continues at each visit using the current schedule and documented history.
NCLEX rule Evaluate what the family changed, what the child demonstrated, and what future preventive step has a date.
Scenario (Stage 6 — Evaluate outcomes)The clinic follows the family after teaching and again as Baby J reaches the next health-supervision visit.
Verified safety outcome — An observed or specifically reported change in equipment, environment, positioning, or caregiver behavior that directly reduces the identified risk.
Self-selected sleep position — A position reached independently after an infant placed supine rolls; an infant who rolls both ways need not be repeatedly repositioned in an otherwise safe empty sleep space.
Longitudinal preventive closure — Completion or scheduling of age- and history-specific vaccines, validated screening, nutrition review, laboratory screening, and safety reassessment across visits.