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 A
Explanation
Choice A rationale
Peer pressure is a significant concern during adolescence as individuals seek acceptance and validation from their peers, often engaging in behaviors they might otherwise avoid.
Choice B rationale
Inclusivity refers to ensuring everyone is included and feels welcomed, but it's not a common concern that would make someone engage in risky behavior like vaping.
Choice C rationale
Cold stress is more related to the physical response to cold environments rather than social situations. Adolescents typically experience cold stress due to environmental conditions, not peer interactions.
Choice D rationale
Role confusion, according to Erikson's stages of development, involves uncertainty about one's role and identity, but it doesn't directly explain engaging in risky behaviors due to peer influence.
Correct Answer is A
Explanation
Choice A rationale
The hepatitis B vaccine is recommended for all newborns within 24 hours of birth to provide early protection against the hepatitis B virus.
Choice B rationale
The PCV (Pneumococcal Conjugate Vaccine) is administered as a series of four doses, typically at 2, 4, 6, and 12-15 months of age.
Choice C rationale
The first dose of the DTaP (Diphtheria, Tetanus, and Pertussis) vaccine is typically given at 2 months of age, not during the initial well-baby visit after birth.
Choice D rationale
The MMR (Measles, Mumps, and Rubella) vaccine is recommended at 12-15 months of age and again at 4-6 years, not at 6 months.