What intervention might the nurse suggest as helpful for the child with enuresis?
Decreasing fluid intake after the evening meal.
Increasing dietary fiber intake.
Applying an electric pad that gently shocks the child.
Waking the child several times during the night to urinate.
The Correct Answer is A
Choice A rationale:
Decreasing fluid intake after the evening meal is a helpful intervention for a child with enuresis. Enuresis, commonly known as bedwetting, is often related to the child's ability to control their bladder at night. Limiting fluid intake in the evening can reduce the chances of overloading the bladder and minimize the likelihood of nighttime bedwetting. It is a proactive approach to managing this common issue in children.
Choice B rationale:
Increasing dietary fiber intake is not directly related to managing enuresis. While a balanced diet is essential for overall health, it is not a primary intervention for addressing bedwetting. Enuresis is primarily related to bladder control and nighttime habits, and dietary fiber intake does not play a significant role in this context.
Choice C rationale:
Applying an electric pad that gently shocks the child is not a recommended intervention for enuresis. This approach is not only ineffective but can also be potentially harmful and traumatic for the child. It is essential to choose interventions that are safe, non-invasive, and respectful of the child's well-being.
Choice D rationale:
Waking the child several times during the night to urinate is not a sustainable or effective intervention for enuresis. Interrupting a child's sleep repeatedly can be disruptive and may not lead to long-term improvement. The primary goal is to help the child develop bladder control during sleep, and waking them up at night does not address this core issue.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
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.
Correct Answer is B
Explanation
Choice A rationale:
Reading large picture books can be a valuable activity for a 1-year-old in terms of cognitive development and language exposure. However, the question specifically asks about promoting sensorimotor stimulation, and playing with push-pull toys is more appropriate for this purpose.
Choice B rationale:
Playing with push-pull toys is an excellent choice to promote sensorimotor stimulation for a 1-year-old. These toys encourage the child to use their muscles and coordination to manipulate the toys, promoting physical development and coordination.
Choice C rationale:
Spending time in an infant swing is a passive activity and may not provide the same level of sensorimotor stimulation as actively playing with toys. While swings can be enjoyable for infants, they do not necessarily promote motor development.
Choice D rationale:
Riding a tricycle is a complex activity that typically requires more advanced motor skills, which a 1-year-old may not have developed yet. Push-pull toys are better suited for promoting sensorimotor development at this age.
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