The basic principle of healthy sleep hygiene which is NOT included is

Correct Answer: D

Rationale: In pediatric practice, understanding healthy sleep hygiene is crucial for promoting optimal development and well-being in children. The correct answer, D) giving a heavy meal within an hour of bedtime, is not included in the basic principles of healthy sleep hygiene for children. This is because heavy meals close to bedtime can lead to discomfort, indigestion, and disrupted sleep patterns. A) Setting a routine is important as it helps regulate a child's body clock, signaling when it's time to sleep and wake up. B) Avoiding stimulating activities like playing computer games before bedtime is crucial as these activities can interfere with the child's ability to wind down and fall asleep. C) Ensuring that a child spends time outside every day is beneficial for their overall health and well-being but may not directly impact sleep hygiene unless it interferes with bedtime routines. Educationally, it is essential to teach parents and caregivers about the importance of establishing a consistent bedtime routine, avoiding stimulating activities before bed, and providing a comfortable sleep environment to support healthy sleep habits in children. By understanding and implementing these principles, caregivers can help promote better sleep quality and overall health in children.

Correct Answer: D

Rationale: In this question, the correct answer is D) gives a heavy meal every day. Healthy sleep hygiene practices are essential for promoting good sleep patterns in children. Providing a heavy meal every day can actually disrupt sleep as it may lead to indigestion or discomfort during the night, making it harder for the child to fall asleep or stay asleep. Option A) setting a routine time is important because consistency in bedtime helps regulate the body's internal clock, signaling when it's time to sleep. Option B) avoiding stimulating activities such as playing computer games before bed is crucial as these activities can interfere with the body's ability to wind down and prepare for sleep. Option C) spending meals out of the bedroom is recommended to associate the bedroom with sleep and relaxation, not with eating which can disrupt bedtime routines. In an educational context, it's important for Family Nurse Practitioners specializing in pediatrics to understand the significance of healthy sleep hygiene practices in children. By knowing the principles of good sleep hygiene, FNP students can educate parents on creating a conducive sleep environment for their children, ultimately promoting better sleep quality and overall health outcomes.

Correct Answer: C

Rationale: The correct answer is C) 3 years. This child's developmental milestones align with those typically seen in a 3-year-old. At this age, children can dress with help, ride a tricycle, know their age, speak in short sentences, but may still have difficulty with more complex tasks like copying a square. Option A) 1 year is incorrect because a child at this age would not typically be able to perform the described tasks. Option B) 2 years is incorrect as well, as a 2-year-old would not have reached all the milestones mentioned. Option D) 4 years is incorrect because a 4-year-old would generally have mastered the ability to copy a square. In an educational context, understanding typical developmental milestones in children is crucial for healthcare providers like Family Nurse Practitioners working with pediatric populations. Recognizing age-appropriate skills helps in assessing children's growth and development, identifying potential concerns early, and providing appropriate interventions or referrals when needed. It also allows for effective communication with parents about their child's progress and addressing any developmental delays promptly.

Correct Answer: B

Rationale: In this scenario, option B, "Falls are one of the most common injuries in this age group," is the best response for the nurse to provide to the mother of the child who fell down the stairs. This response is empathetic, normalizes the situation, and provides factual information without placing blame on the mother. It acknowledges the commonality of such accidents in toddlers, helping the mother feel less guilty. Option A is not the best response as it may come off as dismissive of the mother's feelings. Option C is not the immediate priority in the context of consoling the mother, and it may seem like blaming her indirectly. Option D is not appropriate as it is not the time to focus on the child's developmental milestones. Educationally, this question highlights the importance of effective communication and empathy in pediatric nursing. Nurses must provide support and education to families in moments of distress, while also offering factual information to help them understand and cope with the situation. Understanding the emotional needs of families is crucial in pediatric practice.

Correct Answer: A

Rationale: The best response to the parent's question is option A) Your child's urine output will increase and the urine will become less tea-colored. This is the correct answer because in glomerulonephritis, one of the key indicators of improvement is the restoration of normal kidney function, which leads to increased urine output and a decrease in the characteristic tea-colored appearance of the urine. Option B) Your child will rest more comfortably as lab values normalize is incorrect because while normalization of lab values is important, it may not directly correlate with the child's comfort or overall improvement. Option C) Your child's appetite will decrease is incorrect as a decreased appetite is not a typical indicator of improvement in glomerulonephritis. Option D) Your child's lab values will become more normal is partially correct, but it does not provide a direct and easily observable sign of improvement for the parent to monitor at home. In an educational context, it is crucial for nurse practitioners, especially those specializing in pediatrics, to effectively communicate with parents about their child's condition and how to monitor for signs of improvement or deterioration. Understanding these indicators can empower parents to be active participants in their child's care and treatment plan.