A 2-year-old has trouble going to bed at night. The parents ask what can be done to help with the transition to bed each evening. Which of the following would be the nurse's best response?
1. Let the child cry herself to sleep a few nights to adjust to the transition.
2. Let the child fall asleep while playing and then put the child to bed in her room.
3. Read a book to the child just before bedtime each night.
4. Play a favorite video at bedtime on a television in the child's room to help the child relax.
3
Rationale:
1. A child of this age will not just learn to fall asleep on her own if left alone. Letting the child cry for an extended period of time can affect attachment issues.
2. Letting the child fall asleep while playing is not healthy, as it allows the child to get to the point of exhaustion without any limits set.
3. Developing a quiet routine just before bedtime can help calm the child and give an expectation to what will happen next: going to bed.
4. Having a television in a 2-year-old child's room is not a healthy practice. This can lead to decreased physical activity.
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