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The mother of a 4-year-old child tells a nurse that her child is reluctant to go to bed at night.
Which of the following responses should the nurse make?

A.

Allow your child an additional 30 minutes of play time before bed.

B.

Let your child sleep in your bed with you.

C.

Keep a night light on in your child's room.

D.

Stay with your child until he is asleep if he begins to cry.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for

establishing healthy sleep patterns in children.

 

Choice B rationale

Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and

child's sleep in the long term.

 

Choice C rationale

Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.

 

Choice D rationale

Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased

dependency on the parent's presence to fall asleep.


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Correct Answer is C

Explanation

Choice A rationale

Allowing a child to fall asleep with a parent can create dependence and difficulties with independent sleep. It's better to establish a routine that encourages self-soothing.

Choice B rationale

A dark room can actually make some children more anxious. A nightlight can provide comfort without disrupting sleep.

Choice C rationale

Encouraging a child to sleep with a favorite toy can provide comfort and a sense of security, facilitating a smoother transition to sleep.

Choice D rationale

Allowing TV before bed can overstimulate the child and interfere with sleep patterns. It’s better to establish a calming bedtime routine.

Correct Answer is A

Explanation

Choice A rationale

Asymmetric thigh folds are a common sign of developmental dysplasia of the hip (DDH) in infants. This physical examination finding indicates that the hips are not aligned properly, which can cause the folds in the thighs to appear uneven.

Choice B rationale

A shortened thigh, rather than a lengthened one, on the affected side is more typical of DDH. It is due to the femoral head not being properly seated in the hip socket, which can cause a discrepancy in leg length.

Choice C rationale

An inwardly turned foot is not a characteristic finding of DDH. This symptom is more commonly associated with conditions affecting the feet and lower legs, such as clubfoot.

Choice D rationale

The absence of plantar reflexes is not typically associated with DDH. This reflex involves a different part of the nervous system and is not linked to hip dysplasia.

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