Which parental statement during a scheduled health maintenance assessment for a preschool-age child would cause the nurse concern?

1. "We have dinner together as a family each evening."
2. "We are so proud that our child is able to recognize letters of the alphabet."
3. "Our child wakes up each night screaming because of nightmares."
4. "Our child attends a daycare program 3 days per week."


3
Explanation:
1. Parents are encouraged to spend time with their children each day. The statement about eating dinner together each evening as a family would not cause the nurse concern.
2. A preschool-age child should be able to recognize letters of the alphabet. Parents who verbalize pride in their child would not cause the nurse concern.
3. A child who awakens each night due to nightmares may be indicative of a mental illness. This statement would cause the nurse concern.
4. Many children attend daycare due to both parents in the house working. The nurse should further assess the interactions between the parents and the caregivers; however, this statement would not cause the nurse concern.

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