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 D
Explanation
Choice A rationale
Introducing well-cooked table foods should begin around 8-10 months of age when the baby is ready for finger foods and has developed better chewing skills.
Choice B rationale
Starting solid foods at 3 months old is too early and can interfere with breastfeeding or formula feeding, increasing the risk of allergies and digestive issues.
Choice C rationale
Cow's milk should not be introduced until 12 months of age, as infants need the nutrients from breast milk or formula during their first year for optimal growth.
Choice D rationale
It is recommended to wait until the baby is at least 6 months old before introducing fruit juice, and even then, it should be given in limited quantities to avoid excessive sugar intake.
Correct Answer is B
Explanation
Choice A rationale
Infants typically do not double their birth weight by 2-3 months. This milestone is more commonly reached slightly later in infancy.
Choice B rationale
By 5-6 months, many infants double their birth weight, indicating healthy growth and development. This timeline aligns with common pediatric growth patterns.
Choice C rationale
While growth continues at a steady pace, most infants have already doubled their birth weight before reaching 9 months. This age generally marks further physical and
developmental milestones.
Choice D rationale
By 12 months, infants have typically more than doubled their birth weight. This age is associated with continued growth, development, and new milestones.