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?
Allow your child an additional 30 minutes of play time before bed.
Let your child sleep in your bed with you.
Keep a night light on in your child's room.
Stay with your child until he is asleep if he begins to cry.
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 B
Explanation
Choice A rationale
Soda and high quantities of juice are high in sugar and lack essential nutrients, making them poor beverage choices for a toddler.
Choice B rationale
Milk provides essential nutrients like calcium and vitamin D, while limiting juice intake reduces sugar consumption, promoting better overall health.
Choice C rationale
Gatorade is designed for athletes to replenish electrolytes and contains high levels of sugar and artificial ingredients, not suitable for toddlers.
Choice D rationale
Red Bull, an energy drink, is highly inappropriate for children due to its high caffeine content and potential harmful health effects.
Correct Answer is D
Explanation
Choice A rationale
Assisting with crutch walking is necessary but should occur only after ensuring the cast is properly set and stable to avoid injury.
Choice B rationale
Avoiding touch until the cast is dry is unnecessary and impractical. The nurse can handle the cast gently without causing damage.
Choice C rationale
Using a heat lamp can lead to skin burns or uneven drying, which might weaken the cast.
Choice D rationale
Applying moleskin to the edges protects the child’s skin from irritation and breakdown, promoting comfort and skin integrity.