A nurse is reinforcing teaching about healthy sleep habits with the guardians of a toddler. Which of the following interventions should the include?

Induce fatigue with vigorous activities close to bedtime.

Provide the toddler with a light snack before bedtime.

Allow the toddler to choose their bedtime.

Permit the toddler to watch television in bed to promote sleep.

Answer and Explanation

The Correct Answer is B

A. Induce fatigue with vigorous activities close to bedtime: Engaging in vigorous activities close to bedtime can overstimulate the toddler, making it harder for them to wind down and fall asleep. It’s best to avoid stimulating activities in the hour or so before bedtime.
B. Provide the toddler with a light snack before bedtime: A light snack before bedtime can be helpful, as it may prevent hunger from interfering with sleep. The snack should be something that won't cause discomfort or disrupt digestion, like a small piece of fruit or crackers.
C. Allow the toddler to choose their bedtime: While some level of flexibility can be beneficial, allowing a toddler to choose their bedtime may lead to inconsistency and difficulty establishing a healthy sleep routine. A set bedtime helps toddlers establish good sleep habits.
D. Permit the toddler to watch television in bed to promote sleep: Watching television in bed can be overstimulating and interfere with the toddler’s ability to fall asleep. It’s best to have a calm, quiet environment before bedtime to help the child relax and prepare for sleep.

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Correct Answer is C

Explanation

A. Gently cleanse the surgical site with sterile gauze: direct vigorous cleansing of the palate surgical site with gauze is generally avoided to prevent disruption of sutures. Oral rinses or specific gentle cleaning methods may be prescribed, but direct gauze wiping is usually not recommended.
B. Offer a pacifier with glucose syrup: acifiers and any sucking on objects (including straws, spoons, or toys) are typically contraindicated after cleft palate repair because the sucking motion puts stress on the suture line and can disrupt healing.
C. Apply elbow immobilizers to both arms: Elbow immobilizers prevent the infant from bending their elbows and bringing their hands to their mouth or face, which could disrupt the surgical sutures, cause trauma, or introduce infection to the delicate palate repair.
D. Place the infant in a supine position: A semi-upright position is usually preferred to reduce pressure on the surgical site and prevent aspiration, rather than placing the infant flat on their back.

A. "You should position the car seat at a 30-degree angle. B. "You should place a folded blanket to pad the back of the infant's head." C. "You should use a car seat with a four-point harness." D. "You should place the retainer clip at the level of the infant's armpits."

Correct Answer is D

Explanation

A. "You should position the car seat at a 30-degree angle." The correct angle for rear-facing car seats is 45 degrees. A 30-degree angle may cause the infant’s head to fall forward, increasing the risk of airway obstruction.
B. "You should place a folded blanket to pad the back of the infant's head." Extra padding behind or around the infant's head is not recommended as it may interfere with the seat’s effectiveness and safety in a crash.
C. "You should use a car seat with a four-point harness." The recommended harness system is a five-point harness, which provides more secure restraint at the shoulders, hips, and between the legs.
D. "You should place the retainer clip at the level of the infant's armpits." Correct placement of the retainer (chest) clip is at armpit level. This ensures that the harness straps stay positioned over the shoulders, reducing the risk of injury during a crash.

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A nurse is reinforcing teaching about healthy sleep habits with the guardians of a toddler. Which of the following interventions should the include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who is postoperative following repair of a cleft palate. Which of the following is an appropriate action by the nurse?

Correct Answer is C

Explanation

A nurse is reinforcing teaching about infant car seat use with a group of new parents. Which of the following instructions should the nurse include in the teaching?

Correct Answer is D

Explanation

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