A father is concerned about how long his preschool-age child will continue sucking his thumb.
What is the most helpful response from the nurse?
"Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.”.
"Most children will stop thumb-sucking naturally by school age.”.
"Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.”.
"Consistently touching the child's fingers whenever he sucks his thumb is most effective.”.
The Correct Answer is B
Choice A rationale:
"Thumb-sucking is detrimental to the eruption of the child's teeth and must be stopped as soon as possible.”. This response is not the most helpful because it can create unnecessary anxiety for the father and the child. While prolonged thumb-sucking can affect dental development, it's not an urgent concern in most cases.
Choice B rationale:
"Most children will stop thumb-sucking naturally by school age.”. This is the most helpful response. It reassures the father that thumb-sucking is a common behavior among preschool-age children and that many children naturally outgrow it as they enter school age. It encourages patience and avoids unnecessary intervention.
Choice C rationale:
"Over-the-counter treatments that give a bad taste can be placed on the thumb to discourage the practice.”. This option suggests using a topical solution to discourage thumb-sucking. While it's a valid approach, it may not be necessary for most children, and a more conservative approach (choice B) is often preferable.
Choice D rationale:
"Consistently touching the child's fingers whenever he sucks his thumb is most effective.”. This response may not be as effective or practical as choice B, which advises patience. Constantly touching the child's fingers may disrupt their comfort without necessarily leading to a cessation of thumb-sucking.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
The statement, "The baby really likes little pieces of chocolate," is not an indication of correct understanding of infant feeding. Introducing chocolate to an infant's diet is not recommended, as it can pose a choking hazard and is not a suitable first food.
Choice B rationale:
The statement, "Give the baby new foods before he takes his bottle," does not indicate a correct understanding of infant feeding. It's generally recommended to introduce solid foods to infants after they have started with breast milk or formula, not before.
Choice C rationale:
The statement, "I've been mixing rice cereal and formula in the baby's bottle," indicates a correct understanding of infant feeding. This practice is often recommended as a way to transition infants to solid foods gradually, and it can help with feeding and digestion.
Choice D rationale:
The statement, "I switched the baby to low-fat milk at 9 months," is not a correct understanding of infant feeding. Infants should not be given low-fat milk until after the age of 1, as they need the higher fat content in whole milk for proper growth and development.
Correct Answer is A
Explanation
Choice A rationale:
Decreasing fluid intake after the evening meal is a helpful intervention for a child with enuresis. Enuresis, commonly known as bedwetting, is often related to the child's ability to control their bladder at night. Limiting fluid intake in the evening can reduce the chances of overloading the bladder and minimize the likelihood of nighttime bedwetting. It is a proactive approach to managing this common issue in children.
Choice B rationale:
Increasing dietary fiber intake is not directly related to managing enuresis. While a balanced diet is essential for overall health, it is not a primary intervention for addressing bedwetting. Enuresis is primarily related to bladder control and nighttime habits, and dietary fiber intake does not play a significant role in this context.
Choice C rationale:
Applying an electric pad that gently shocks the child is not a recommended intervention for enuresis. This approach is not only ineffective but can also be potentially harmful and traumatic for the child. It is essential to choose interventions that are safe, non-invasive, and respectful of the child's well-being.
Choice D rationale:
Waking the child several times during the night to urinate is not a sustainable or effective intervention for enuresis. Interrupting a child's sleep repeatedly can be disruptive and may not lead to long-term improvement. The primary goal is to help the child develop bladder control during sleep, and waking them up at night does not address this core issue.
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