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 A
Explanation
The correct answer is Choice A: Placing the infant downward into the crib.
Choice A rationale:
The parachute reflex, also known as the protective extension reflex, is demonstrated by holding the infant upright and then quickly tilting them downward (towards the crib or another surface). The infant should extend their arms forward as if to protect themselves from falling, demonstrating the reflex.
Choice B rationale:
Seating the infant in a stroller in an upright position does not involve the motion required to elicit the parachute reflex.
Choice C rationale:
Lifting the infant high in the air above her head does not demonstrate the parachute reflex. This action may cause startle or other reflexes but not the parachute reflex.
Choice D rationale:
Holding the infant in a football hold, cradling the head, does not position the infant in a way that would demonstrate the parachute reflex.
Correct Answer is D
Explanation
The correct answer is Choice D: 4 times the birth weight.
Choice A rationale:
A toddler at this age is expected to have a weight gain that results in being about 4 times their birth weight, so 2.5 times is less than expected.
Choice B rationale:
While 3 times the birth weight indicates significant growth, it is still not the typical expected weight gain for a 3-year-old.
Choice C rationale:
Doubling the birth weight is expected within the first few months of life, not at 3 years old.
Choice D rationale:
By the age of 3, children are generally expected to weigh about four times their birth weight, reflecting normal growth and development.
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