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
Choice A rationale:
Offering a variety of items to choose from to stimulate the toddler's mind is a good practice, but it doesn't necessarily encourage independence. It provides opportunities for exploration and learning but doesn't directly promote decision-making and self-sufficiency.
Choice B rationale:
Allowing the child to determine their own daily routine can be challenging and may not always be practical. It's important to strike a balance between independence and structure to ensure the child's safety and well-being.
Choice C rationale:
Setting the routine herself but discussing with her toddler how he or she would have done it differently is a reasonable approach, but it may not always lead to increased independence. It can be a step in the right direction but doesn't directly encourage independence in decision-making.
Choice D rationale:
Offering the child a choice between two items is an effective way to encourage independence. It allows the toddler to make decisions and feel a sense of control over their choices, fostering a sense of independence and autonomy. This approach is often used in parenting to promote decision-making skills in toddlers. .
Correct Answer is C
Explanation
Choice A rationale:
If a 16-month-old child is unable to climb steps, it may not be a significant cause for concern at this age. Climbing steps is a complex motor skill that children typically develop later in toddlerhood.
Choice B rationale:
Preferring finger feeding at 16 months is not necessarily a cause for concern. Many children continue to use finger feeding even when they have started using utensils. This can be part of their developmental process.
Choice C rationale:
A 16-month-old child not walking independently is a significant concern. By this age, most children should be taking their first independent steps or showing signs of readiness to walk. Delayed independent walking can be a sign of developmental issues, and it is essential to address this with a healthcare provider.
Choice D rationale:
Limited to single words is also a developmental milestone concern, but it may not be as immediate a concern as not walking independently. Many children develop language skills at different rates, and limited vocabulary at 16 months may not be as alarming as a delay in motor skills like walking.
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