The parent of a -year-old child tells the nurse, "Bedtime is difficult. I can't get my son to go to bed at night.”. The nurse and the child's mother discuss options.
What intervention is the most appropriate choice?
Let the child read in his room until he falls asleep.
Tire him out with physical activity before bedtime.
Establish a bedtime routine and use it consistently.
Allow the child to put himself to bed when he is tired.
Allow the child to put himself to bed when he is tired.
The Correct Answer is C
Choice A rationale:
Allowing the child to read in his room until he falls asleep may not be the most appropriate choice in this situation. While reading can be a calming bedtime activity, it might not address the underlying issue of establishing a consistent bedtime routine. Additionally, letting a child read until they fall asleep could lead to irregular sleep patterns.
Choice B rationale:
Tiring out the child with physical activity before bedtime might seem like a good idea to promote sleep, but it's not always effective for all children. Physical activity close to bedtime may have the opposite effect, making the child more alert and active. It's essential to focus on a combination of calming activities and a consistent bedtime routine.
Choice D rationale:
Allowing the child to put himself to bed when he is tired can lead to inconsistent sleep patterns and may not be suitable for a young child. Children thrive on routine and structure, and it's important to establish a bedtime routine that provides a sense of security and predictability. Allowing a child to decide when to go to bed can disrupt this routine.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is C
Explanation
Choice A rationale:
If a 16-month-old child is unable to climb steps, it may not be a significant cause for concern at this age. Climbing steps is a complex motor skill that children typically develop later in toddlerhood.
Choice B rationale:
Preferring finger feeding at 16 months is not necessarily a cause for concern. Many children continue to use finger feeding even when they have started using utensils. This can be part of their developmental process.
Choice C rationale:
A 16-month-old child not walking independently is a significant concern. By this age, most children should be taking their first independent steps or showing signs of readiness to walk. Delayed independent walking can be a sign of developmental issues, and it is essential to address this with a healthcare provider.
Choice D rationale:
Limited to single words is also a developmental milestone concern, but it may not be as immediate a concern as not walking independently. Many children develop language skills at different rates, and limited vocabulary at 16 months may not be as alarming as a delay in motor skills like walking.
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