A nurse is collecting data about sleep patterns from the parent of a preschooler during a well-child visit. The parent states, "My child has nightmares three to four times each week. I hope they grow out of this soon." Which of the following findings indicates to the nurse that the child is experiencing sleep terrors rather than nightmares?

The child can describe what they were frightened of.

The child usually goes back to sleep immediately.

The child becomes fully awake and is in a panic.

The child is easily comforted by the presence of the parent.

Answer and Explanation

The Correct Answer is B

Rationale for A: If the child can describe what frightened them, this would be more consistent with nightmares. Nightmares often involve the ability to recall details of the bad dream, whereas sleep terrors are typically associated with no memory of the event.

Rationale for B: Children with sleep terrors generally do not fully awaken and can usually go back to sleep immediately. This is a key distinction between sleep terrors and nightmares, where the child remains distressed for some time and may be hesitant to fall back asleep.

Rationale for C: Becoming fully awake and in a panic is more characteristic of nightmares, where the child may wake up terrified and struggle to calm down, unlike sleep terrors where they do not fully awaken.

Rationale for D: A child with nightmares is often easily comforted by the presence of a parent. In contrast, children with sleep terrors are difficult to comfort because they are not fully awake and may not respond to soothing efforts.

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Correct Answer is C

Explanation

Rationale:

A) It's important to burp a baby mid-feed and after the feed to prevent discomfort, especially for a baby with a cleft lip.

B) Using a wide-based nipple may be more appropriate for a baby with a cleft lip to help with proper latch and feeding.

C) Holding the baby in an upright position during feedings can help prevent milk from entering the nasal passages, which is important for babies with cleft lip.

D) Encouraging the baby to maintain relaxed cheeks during feeding may not be applicable for a baby with a cleft lip, as proper positioning and latch are more critical.

A. "My child and I will watch TV for 30 minutes before we go to bed." B. "After my child falls asleep in my bed, I will move them to their bed." C. "I will allow my child to have a drink of water each night prior to bedtime." D. "I will allow my child to eat dinner 1 hour before bedtime."

Correct Answer is C

Explanation

Rationale:

A) Watching TV before bed can be stimulating and disrupt sleep patterns.

B) Allowing the child to fall asleep in the parent's bed and then moving them to their own bed can create dependency and disrupt sleep patterns.

C) This statement shows that the parent understands the importance of hydration and avoiding caffeine or sugar before bed.

D) Eating dinner too close to bedtime can cause indigestion, reflux or nightmares and also disrupts the child’s metabolism.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with the guardian of a 1-month-old infant who has a cleft lip and is bottle fed. Which of the following statements the guardian indicates that the teaching was effective?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the parent of a toddler about promoting effective sleep patterns. Which of the following statements by the parent indicates an understanding of the teaching?

Correct Answer is C

Explanation

A nurse is reinforcing teaching with the parents of a preschooler who has recently started to stutter. Which of the following instructions should the nurse include?

A nurse is caring for a child who has pertussis. Which of the following precautions should the nurse initiate?

A nurse is caring for a child who is experiencing a seizure. Which of the following actions should the nurse take? (Select all that apply.)

A nurse is reinforcing teaching about introducing solid foods with the parents of a 6- month old infant who is bottle-fed. Which of the following information should the nurse include?

A nurse is collecting data from a toddler who has heart failure. Which of the following findings should the nurse expect?

A nurse is reviewing the medical record of a school-age child who is current on recommended immunizations. Which of the following immunizations should the nurse plan to administer at the 11-year-old well-child visit?