A mother and 1-year-old child are being seen in the well-child ...

[debasdf]

A mother and 1-year-old child are being seen in the well-child clinic. The mother asks the nurse for guidance in setting an appropriate bedtime for the child. She and her husband have tried several different times and can't seem to agree on the right time
 
  Which response by the nurse is the most appropriate?
  A.
  As long as it's consistent, it doesn't matter when bedtime is.
  B.
  At this age, your child needs 10 to 12 hours of sleep each night.
  C.
  Children get sleepy when warm, so dress your child heavily for bed.
  D.
  What 'sleepy' behaviors does your child show when tired?

Question 2

A mother brings her 1-year-old child to the pediatric clinic and appears frustrated and stressed. During the assessment, the mother states she tries to give her child exposure to new situations and people several times a week,
 
  but the outings always end with the child screaming and crying. Which response by the nurse is the most appropriate?
  A.
  Keep trying; new situations are so stimulating for children.
  B.
  Stop taking your child to new places and meeting new people.
  C.
  Use an established routine and add new experiences slowly.
  D.
  Your child will soon become used to such daily activity.

[mcinincha279]

Answer to Question 1

ANS: D
The parents should note any signs of fatigue in a child, such as rubbing eyes, temper tantrums, yawning, or fussiness. They should use this information to help set a routine bedtime. At this age, children need between 12 and 16 hours of sleep a night. Consistency is important, but the bedtime needs to be early enough to ensure adequate sleep. Children, especially infants, should not be over-warm when sleeping.

Answer to Question 2

ANS: C
This child displays difficulty with adapting to new situations. The mother's attempts to provide new experiences are antagonizing the child's natural temperament. According to the temperament theory of Thomas, Chess, and Birch, the mother should provide structure with limited variation in this slow-to-adapt child's daily activities.