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 D
Explanation
The correct answer is D. 2 to 3 months.
Choice A rationale:
The posterior fontanelle does not close within 3 to 6 months of birth. This timeframe is too long for the typical closure of the posterior fontanelle.
Choice B rationale:
Similarly, the posterior fontanelle does not close within 6 to 9 months of birth. This period is beyond the usual closure time for the posterior fontanelle.
Choice C rationale:
The posterior fontanelle does not close within 9 to 12 months of birth. This timeframe is significantly longer than the typical closure period for the posterior fontanelle.
Choice D rationale:
The posterior fontanelle typically closes within 2 to 3 months of birth. This is the correct timeframe for the closure of the posterior fontanelle.
Correct Answer is A
Explanation
Choice A rationale:
Push-pull toys are the most appropriate toy choice for a 3-year-old because they encourage physical activity and help with the development of gross motor skills. These toys are easy for young children to handle and provide an opportunity for them to explore their environment actively.
Choice B rationale:
A large construction set may have small parts that can be a choking hazard for a 3-year-old. Safety is a paramount concern when selecting toys for young children, so this choice is not the most appropriate.
Choice C rationale:
A small pet, such as a goldfish, is not a suitable toy for a 3-year-old. Pets require care and responsibility, and introducing a pet should be a well-considered decision made by the family, not a toy choice.
Choice D rationale:
A board game is usually too complex for a 3-year-old. Board games involve rules, taking turns, and fine motor skills that may not be well-developed in children of this age. It is not the most appropriate choice for a 3-year-old. .
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