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
The lap belt fitting snugly over the child's abdomen increases the risk of abdominal injury during a crash.
Choice B rationale
The lap belt fitting low across the child's hips distributes force over stronger bony structures, reducing injury risk.
Choice C rationale
Placing a child in the front seat with a shoulder-only automatic belt does not provide proper restraint and increases injury risk.
Choice D rationale
The shoulder strap crossing just below the child's chin indicates improper fit, posing a risk to the neck in a crash.
Correct Answer is C
Explanation
Choice A rationale
Watermelon with seeds poses a choking hazard for young children, making it an unsafe food choice. The seeds can easily get stuck in a child’s throat, leading to potential airway obstruction. Additionally, small children might not have the coordination to properly spit out seeds, increasing the risk of accidental swallowing and subsequent choking. Therefore, whole fruits with seeds are generally recommended to be avoided for toddlers.
Choice B rationale
Raw carrots are another choking hazard for young children due to their hard texture. Toddlers might not have developed the necessary chewing skills to safely eat raw vegetables, increasing the risk of choking. Small, hard foods like raw carrots can be difficult to chew and swallow, making them unsafe for children under the age of three. Cooked or finely chopped vegetables are safer alternatives.
Choice C rationale
Mashed potatoes are a safe and appropriate food choice for a 14-month-old child. They are soft, easy to chew, and swallow, reducing the risk of choking. Mashed potatoes can be easily modified to suit the nutritional needs and texture preferences of young children. They can also be fortified with other healthy ingredients like pureed vegetables or proteins to make a balanced meal for toddlers.
Choice D rationale
Popcorn is a known choking hazard for young children and is not recommended for those under the age of four. Popcorn kernels are small, hard, and irregularly shaped, making them difficult for young children to chew and swallow safely. The risk of choking on popcorn is high due to its propensity to lodge in the airway, causing potentially serious complications. .