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
Hearing tests are important for children, but they are typically conducted earlier in childhood to detect any hearing impairments that may affect speech and language development.
Choice B rationale
Reading screenings are not typically part of routine health checks at this age and are more related to educational assessments.
Choice C rationale
Eye screenings are also important but are generally performed earlier in childhood to identify and correct vision issues that could impact learning.
Choice D rationale
Scoliosis screening is appropriate for a 10-year-old as it is a crucial period for identifying spinal curvature abnormalities that can develop during rapid growth spurts.
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.