Basic principles of healthy sleep hygiene include all the following EXCEPT

Correct Answer: D

Rationale: In this question, the correct answer is D) gives a heavy meal every day. Healthy sleep hygiene is essential for children's overall well-being. Providing a heavy meal every day can lead to discomfort, indigestion, and disrupt sleep patterns. Option A) setting a routine time is important for establishing a consistent sleep schedule, which promotes better sleep quality. Option B) avoiding stimulating activities, such as playing computer games, before bedtime helps calm the mind and body to prepare for sleep. Option C) spending mealtime outside of the bedroom is a good practice as it associates the bedroom with sleep, creating a conducive environment for rest. From an educational standpoint, understanding the principles of healthy sleep hygiene is crucial for healthcare providers working with pediatric populations. By teaching parents and caregivers about these principles, they can help their children develop good sleep habits, leading to improved overall health and well-being. It is important to emphasize the impact of nutrition, routine, and environment on sleep quality in children to promote healthy development.

Correct Answer: B

Rationale: The correct answer is B) Falls are one of the most common injuries in this age group. This response validates the mother's feelings while also providing information to help her understand that accidents like this are common in toddlers. It reassures her that she is not alone in experiencing such incidents with her child. Option A is incorrect because it dismisses the mother's feelings rather than acknowledging them and providing support. Option C is not the best response in this situation as it focuses on prevention rather than addressing the mother's current emotional state. Option D is also not appropriate as it does not address the mother's feelings of guilt and could come across as insensitive. In an educational context, it is crucial for nurses to demonstrate empathy and understanding when communicating with patients and their families. Acknowledging feelings of guilt or self-blame is essential in building trust and rapport with families in stressful situations. Providing education and reassurance can help alleviate parental anxiety and promote a positive caregiver-child relationship.

Correct Answer: A

Rationale: The correct response is A) Your child's urine output will increase and the urine will become less tea-colored. This is the best answer because in glomerulonephritis, a key clinical manifestation is hematuria, which presents as tea-colored urine. As the child improves, the inflammation of the glomeruli reduces, leading to improved filtration and clearance of blood cells from the urine, resulting in clearer urine. Monitoring urine output is crucial in assessing renal function and hydration status. Option B) Your child will rest more comfortably as lab values normalize is incorrect because improvements in lab values do not always directly correlate with the child's comfort or overall improvement in glomerulonephritis. Lab values can improve while clinical symptoms persist. Option C) Your child's appetite will decrease is incorrect as changes in appetite are not typically associated with improvements in glomerulonephritis. Monitoring urine output and color is a more reliable indicator of renal function. Option D) Your child's lab values will become more normal is not the best response because while lab values are important indicators, changes in urine output and color are more immediate and observable signs of improvement in glomerulonephritis. In an educational context, it is essential for nurse practitioners to understand the clinical manifestations and monitoring parameters of glomerulonephritis to provide appropriate care and education to patients and families. Teaching parents to monitor urine output and color can help them recognize improvements and seek timely medical attention if needed.

Correct Answer: C

Rationale: In this scenario, the correct immediate action for the nurse is option C: Remove the infant from the mother, place the infant in the crib for assessment, obtain oxygen saturation, and administer blow-by oxygen immediately. This option is correct because the infant is displaying signs of respiratory distress, which require prompt intervention to ensure adequate oxygenation and prevent further complications. Option A (Inform the physician) is incorrect as it delays immediate action and could result in a critical situation worsening. Option B (Have the mother stop feeding and observe) is also incorrect as it does not address the urgency of the situation and could lead to a delay in providing necessary interventions. Option D (Continue feeding while monitoring) is potentially harmful as the infant is already displaying signs of respiratory distress, and feeding should be stopped immediately to focus on assessing and managing the respiratory issue. In an educational context, this question highlights the importance of recognizing and responding to signs of respiratory distress in infants. Nurses working in pediatric settings must be able to quickly assess and intervene in situations where an infant's health and well-being are at risk. Understanding respiratory distress symptoms and knowing the appropriate actions to take can be critical in saving a child's life.

Correct Answer: D

Rationale: In pediatric practice, it is crucial to understand normal child development, including sexual behavior. The correct answer, D) imitating intercourse or other adult sexual behaviors, is highly unusual for a 5-year-old. At this age, children may begin to explore their bodies and have a basic understanding of gender differences, but imitating adult sexual behaviors is beyond their cognitive and emotional capabilities. Option A) touching his genitals in public and B) showing his genitals to others are more common in young children as they discover their bodies and may not fully understand social norms regarding privacy. Option C) undressing in public can also be seen in young children due to their curiosity and lack of awareness of societal expectations. Educationally, it is important to reassure parents about what behaviors are developmentally appropriate and when to be concerned. By understanding these distinctions, healthcare providers can offer guidance on healthy sexual development and identify potential signs of abuse or developmental issues. This knowledge equips providers to support families in promoting a child's overall well-being.