The nurse is assessing a 3-year-old toddler.
What is the expected weight gain for this age child?

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.

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.