What is helpful to tell a mother who is concerned about ...

[JMatthes]

What is helpful to tell a mother who is concerned about preventing sleep problems in her 2-year-old child?
 
  a. Have the child always sleep in a quiet, darkened room.
  b. Provide high-carbohydrate snacks before bedtime.
  c. Communicate with the child's daytime caretaker about eliminating the afternoon
  nap.
  d. Use a nightlight in the child's room.

Question 2

A 20-year-old woman is at 28 weeks' gestation. Her prenatal history reveals previous drug abuse, and urine screening indicates that she has recently used heroin. The nurse should recognize that the woman is at increased risk for:
 
  1. Erythroblastosis fetalis.
  2. Diabetes mellitus.
  3. Abruptio placentae.
  4. Pregnancy-induced hypertension.

[LegendaryAnswers]

Answer to Question 1

D
Feedback
A A dark, quiet room may be scary to a preschooler.
B High-carbohydrate snacks increase energy and do not promote relaxation.
C Most 2-year-olds take one nap each day. Many give up the habit by age 3 years.
Insufficient rest during the day can lead to irritability and difficulty sleeping at
night.
D The preschooler has a great imagination. Sounds and shadows can have a
negative effect on sleeping behavior. Nightlights provide the child with the
ability to visualize the environment and decrease the fear felt in a dark room.

Answer to Question 2

4
Rationale:
1. Erythroblastosis fetalis is secondary to physiological blood disorders such as Rh incompatibility.
2. Diabetes is an endocrine disorder that is unrelated to drug use/abuse.
3. Abruptio placentae is seen more commonly in cocaine/crack use.
4. Women who use heroin are at risk for poor nutrition, anemia, and pregnancy-induced hypertension or pre-eclampsia.