During a routine well-child visit, a nurse is reinforcing teaching with the parents of a preschool-age child whom they have difficulty getting to sleep.
Which of the following statements by the parents indicates an understanding of the teaching?

"I will let my child fall asleep with me and then move him to his own bed.”.

"I will make sure the room is dark when placing my child in bed.”.

"I will encourage my child to fall asleep with his favorite toy.”.

"I will allow my child to watch TV to help him go to sleep.”. .

Answer and Explanation

The Correct Answer is C

Choice A rationale

Allowing a child to fall asleep with a parent can create dependence and difficulties with independent sleep. It's better to establish a routine that encourages self-soothing.

Choice B rationale

A dark room can actually make some children more anxious. A nightlight can provide comfort without disrupting sleep.

Choice C rationale

Encouraging a child to sleep with a favorite toy can provide comfort and a sense of security, facilitating a smoother transition to sleep.

Choice D rationale

Allowing TV before bed can overstimulate the child and interfere with sleep patterns. It’s better to establish a calming bedtime routine.

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Correct Answer is B

Explanation

Choice A rationale

The lap belt fitting snugly over the child's abdomen increases the risk of abdominal injury during a crash.

Choice B rationale

The lap belt fitting low across the child's hips distributes force over stronger bony structures, reducing injury risk.

Choice C rationale

Placing a child in the front seat with a shoulder-only automatic belt does not provide proper restraint and increases injury risk.

Choice D rationale

The shoulder strap crossing just below the child's chin indicates improper fit, posing a risk to the neck in a crash.

A. Allow your child an additional 30 minutes of play time before bed. B. Let your child sleep in your bed with you. C. Keep a night light on in your child's room. D. Stay with your child until he is asleep if he begins to cry.

Correct Answer is C

Explanation

Choice A rationale

Allowing an additional 30 minutes of play before bedtime can lead to overstimulation and delay the child's ability to settle down for sleep. Consistent bedtime routines are crucial for establishing healthy sleep patterns in children.

Choice B rationale

Letting the child sleep in the parent's bed can create dependency and difficulty in establishing the child's own sleep routine and space. This practice can disrupt both the parent's and child's sleep in the long term.

Choice C rationale

Keeping a night light on provides a sense of security and comfort for a child who may be afraid of the dark. This helps the child feel safe and can ease the transition to bedtime.

Choice D rationale

Staying with the child until they fall asleep, especially if crying, can reinforce the behavior and make it harder for the child to develop self-soothing skills. It can lead to increased dependency on the parent's presence to fall asleep.

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During a routine well-child visit, a nurse is reinforcing teaching with the parents of a preschool-age child whom they have difficulty getting to sleep.Which of the following statements by the parents indicates an understanding of the teaching?

Nursing Test Bank

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During a routine well-child visit, a nurse is reinforcing teaching with the parents of a preschool-age child whom they have difficulty getting to sleep.
Which of the following statements by the parents indicates an understanding of the teaching?