A nurse is preparing a child for a lumbar puncture.
In which of the following positions should the child be placed for the procedure?

Choice A rationale

Limiting a child’s fluid intake is not recommended for managing encopresis. Adequate hydration is important for preventing constipation, which is often associated with encopresis.

Choice B rationale

Increasing a child’s dairy intake is not typically recommended for managing encopresis. Some dairy products can contribute to constipation in some children.

Choice C rationale

Having a child sit on the toilet for 20 minutes at a time is not typically recommended. Prolonged sitting on the toilet can cause discomfort and create a negative association with bowel movements.

Choice D rationale

Having a child try to defecate 15 minutes after each meal is a common recommendation for managing encopresis. This takes advantage of the natural increase in colon activity following meals.

Choice A rationale

A preschool-age child being curious about what happened to the sibling’s body is an age-appropriate response to death. At this age, children often view death as temporary or reversible, and they may be curious about the physical realities of death.

Choice B rationale

A preschool-age child feeling responsible for the sibling’s death is not an age-appropriate response to death. While children at this age may sometimes believe their thoughts or actions can influence events, it’s not typical for them to feel personally responsible for a death.

Choice C rationale

A preschool-age child being able to give a logical explanation for the sibling’s death is not an age-appropriate response to death. Preschoolers typically have a limited understanding of the causes and permanence of death.

Choice D rationale

A preschool-age child viewing the sibling’s death as permanent is not an age-appropriate response to death. Most children in this age group do not understand that death is permanent.