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INSTRUCTIONS: Select the correct answer for each of the following questions. Mark only one answer for each item by making the box
corresponding to the letter of your choice on the answer sheet provided.


Which of the following statements best describes the infants physical development?
A. Anterior fontanel closes by age 6 to 10 months.
B. Binocularity is well established by age 8 months.
C. Birth weight doubles by age 5 months and triples by age 1 year.
D. Maternal iron stores persist during the first 12 months of life.


The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now
weigh approximately how many pounds?
A. 10
B. 15
C. 20
D. 25


A 3-month-old infant, born at 38 weeks gestation, will hold a rattle if it is put in her hands, but she will not voluntarily grasp it.
The nurse should interpret this as:
A. Normal development.
B. Significant developmental lag.
C. Slightly delayed development due to prematurity.
D. Suggestive of a neurologic disorder such as cerebral palsy.


In terms of fine motor development, what should the infant of 7 months be able to do?
A. Transfer objects from one hand to the other
B. Use thumb and index finger in crude pincer grasp
C. Hold crayon and make a mark on paper
D. Release cubes into a cup


Recent studies indicate that a deficiency of which of the following vitamins correlates with increased morbidity and mortality in
children with measles?
A. A
B. C
C. Niacin
D. Folic acid


Which of the following vitamins is recommended for all women of childbearing age to reduce the risk of neural tube defects such
as spina bifida?
A. A
B. C
C. Niacin
D. Folic acid


Which of the following vitamins increases the absorption of iron?

A. A
B. C
C. D
D. Biotin


Which of the following vitamins is administered prophylactically to all newborns to ensure adequate blood clotting?
A. A
B. K
C. Niacin
D. Folic acid


Which of the following would the nurse expect of a healthy 3-year-old child?
A. Jump rope
B. Ride a two-wheel bicycle
C. Skip on alternate feet
D. Balance on one foot for a few seconds

10. According to Piaget, magical thinking is the belief that:

A. Events have cause and effect.
B. God is like an imaginary friend.
C. Thoughts are all-powerful.
D. If the skin is broken, the childs insides will come out.
11. In terms of cognitive development, the 5-year-old child would be expected to do which of the following?
A. Use magical thinking
B. Think abstractly
C. Understand conservation of matter
D. Be unable to comprehend another persons perspective

12. Which of the following is descriptive of the preschoolers understanding of time?

A. Has no understanding of time
B. Associates time with events
C. Can tell time on a clock
D. Uses terms like yesterday appropriately
13. The nurse is caring for a hospitalized 4-year-old boy, Ryan. His parents tell the nurse that they will be back to visit at 6 p.m. When
Ryan asks the nurse when his parents are coming, the nurses best response is which of the following?
A. They will be here soon.
B. They will come after dinner.
C. Let me show you on the clock when 6 p.m. is.
D. I will tell you every time I see you how much longer it will be.
14. A 4-year-old boy is hospitalized with a serious bacterial infection. He tells the nurse that he is sick because he was bad. Which
of the following is the nurses best interpretation of this comment?
A. Sign of stress
B. Common at this age
C. Suggestive of maladaptation
D. Suggestive of excessive discipline at home
15. What is the role of the peer group in the life of school-age children?
A. Gives them an opportunity to learn dominance and hostility
B. Allows them to remain dependent on their parents for a longer time
C. Decreases their need to learn appropriate sex roles
D. Provides them with security as they gain independence from their parents
16. Why do peer relationships become more important during adolescence?
A. Adolescents dislike their parents.
B. Adolescents no longer need parental control.
C. They provide adolescents with a feeling of belonging.
D. They promote a sense of individuality in adolescents.
17. In girls, the initial indication of puberty is which of the following?
A. Menarche
B. Growth spurt
C. Growth of pubic hair
D. Breast development
18. Steve, 14 years old, mentions that he now has to use deodorant but never had to before. The nurses response should be based on
knowledge that:
A. Eccrine sweat glands in the axillae become fully functional during puberty.
B. Sebaceous glands become extremely active during puberty.
C. New deposits of fatty tissue insulate the body and cause increased sweat production.
D. Apocrine sweat glands reach secretory capacity during puberty
19. According to Erikson, the psychosocial task of adolescence is developing which of the following?
A. Intimacy
B. Identity
C. Initiative
D. Independence
20. Which of the following aspects of cognition develops during adolescence?
A. Becomes capable of using a future time perspective
B. Ability to place things in a sensible and logical order
C. Ability to see things from the point of view of another
D. Progress from making judgments based on what they see to making judgments based on what they reason
21. Why do peer relationships become more important during adolescence?
A. Adolescents dislike their parents.
B. Adolescents no longer need parental control.
C. They provide adolescents with a feeling of belonging.
D. They promote a sense of individuality in adolescents.

22. Which of the following should the nurse consider when having consent forms signed for surgery and procedures on children?
A. Only a parent or legal guardian can give consent.
B. The person giving consent must be at least 18 years old.
C. The risks and benefits of a procedure are part of the consent process.
D. A mental age of 7 years or older is required for a consent to be considered informed.
23. The nurse is planning how to prepare a 4-year-old child for some diagnostic procedures. Guidelines for preparing this preschooler
should include which of the following?


Plan for a short teaching session of about 30 minutes.

Tell the child that procedures are never a form of punishment.
Keep equipment out of the childs view.
Use correct scientific/medical terminology in explanations.

24. Katie, 4 years old, is admitted to outpatient surgery for removal of a cyst on her foot. Her mother puts the hospital gown on her,
but Katie is crying because she wants to leave on her underpants. The most appropriate nursing action is which of the following?
A. Allow her to wear her underpants.
B. Discuss with her mother why this is important to Katie.
C. Ask her mother to explain to her why she cannot wear them.
D. Explain in a kind, matter-of-fact manner that this is hospital policy.
25. Using knowledge of child development, which of the following is the best approach when preparing a toddler for a procedure?
A. Avoid asking the child to make choices.
B. Demonstrate the procedure on a doll.
C. Plan for teaching session to last about 20 minutes.
D. Show necessary equipment without allowing child to handle it.
26. Nurses must be alert for increased fluid requirements when a child has which of the following?
A. Fever
B. Mechanical ventilation
C. Congestive heart failure
D. Increased intracranial pressure
27. Baby Karl was born 12 hours ago to a type O (+) mother. On your assessment, you noted that he is jaundiced. He jaundice is
most likely:
A. Normal hemolysis of his RBCs
B. ABO incompatibility
C. Rh incompatibility
D. None of the above
28. A G1P0 mother approaches you in the OPD, she tells you that shes concerned about her pregnancy since she is Rh(-). Which of
the following is the most appropriate health teaching?
A. You should be immunized with RhoGAM today
B. You should be immunized with RhoGAM within 72 hours after delivery
C. You should be immunized with RhoGAM within 72 hours before delivery
D. You should be immunized with RhoGAM after the birth of your 2nd child.
29. Therapeutic management of most children with Hirschsprung disease is primarily which of the following?
A. Daily enemas
B. Low-fiber diet
C. Permanent colostomy
D. Surgical removal of affected section of bowel
30. Enemas are ordered to empty the bowel preoperatively for a child with Hirschsprung disease. The enema solution should be:
A. Tap water
B. Normal saline
C. Oil retention
D. Phosphate preparation
31. A 3-year-old child with Hirschsprung disease is hospitalized for surgery. A temporary colostomy will be necessary. The nurse
should recognize that preparing this child is:
A. Not necessary because of childs age.
B. Not necessary, because colostomy is temporary.
C. Necessary, because it will be an adjustment.
D. Necessary, because child must deal with negative body image.
32. A 4-month-old infant has gastroesophageal reflux (GER) but is thriving without other complications. Which of the following
should the nurse suggest to minimize reflux?
A. Place in Trendelenburg position after eating.
B. Thicken formula with rice cereal.
C. Give continuous nasogastric tube feedings.
D. Give larger, less frequent feedings.
33. Which of the following statements is most descriptive of Meckel diverticulum?
A. It is more common in females than in males.
B. It is acquired during childhood.
C. Intestinal bleeding may be mild or profuse.
D. Medical interventions are usually sufficient to treat the problem.
34. A newborn was admitted to the nursery with a complete bilateral cleft lip and palate. The physician explained the plan of therapy
and its expected good results. However, the mother refuses to see or hold her baby. Initial therapeutic approach to the mother
should be which of the following?


Restate what the physician has told her about plastic surgery.
Encourage her to express her feelings.
Emphasize the normalcy of her baby and the babys need for mothering.
Recognize that negative feelings toward the child continue throughout childhood.

35. Which of the following defects results in increased pulmonary blood flow?
A. Pulmonic stenosis
B. Tricuspid atresia
C. Atrial septal defect
D. Transposition of the great arteries
36. Which of the following structural defects constitute tetralogy of Fallot?
A. Pulmonary stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
B. Aortic stenosis, ventricular septal defect, overriding aorta, right ventricular hypertrophy
C. Aortic stenosis, atrial septal defect, overriding aorta, left ventricular hypertrophy
D. Pulmonary stenosis, ventricular septal defect, aortic hypertrophy, left ventricular hypertrophy
37. An 8-year-old child is receiving digoxin (Lanoxin). The nurse should notify the practitioner and withhold the medication if the
apical pulse is less than which of the following?
A. 60
B. 70
C. 90
D. 100
38. The infant with congestive heart failure has a need for:
A. Increased calories.
B. Increased fluids.
C. Decreased protein.
D. Decreased fat.
39. As part of the treatment for congestive heart failure, the child takes the diuretic furosemide. As part of teaching home care, the
nurse encourages the family to give the child foods such as bananas, oranges, and leafy vegetables. These foods are recommended
for this child because they are high in which of the following?
A. Chlorides
B. Potassium
C. Sodium
D. Vitamins
40. The nurse is caring for a child with persistent hypoxia secondary to a cardiac defect. The nurse recognizes that a risk exists of
cerebrovascular accidents (strokes). Which of the following is an important objective to decrease this risk?
A. Minimize seizures
B. Prevent dehydration
C. Promote cardiac output
D. Reduce energy expenditure
41. Parents of a 3-year-old child with congenital heart disease are afraid to let their child play with other children because of possible
overexertion. The nurses reply should be based on which of the following?
A. Child needs opportunities to play with peers.
B. Child needs to understand that peers activities are too strenuous.
C. Parents can meet all the childs needs.
D. Constant parental supervision is needed to avoid overexertion.
42. Which of the following is a common, serious complication of rheumatic fever?
A. Seizures
B. Cardiac arrhythmias
C. Pulmonary hypertension
D. Cardiac valve damage
43. Therapeutic management of the child with rheumatic fever includes:
A. Administration of penicillin.
B. Avoid salicylates (aspirin).
C. Strict bed rest for 4 to 6 weeks.
D. Administration of corticosteroids if chorea develops.
44. When caring for the child with Kawasaki disease, the nurse should know which of the following?
A. Childs fever is usually responsive to antibiotics within 48 hours.
B. Principal area of involvement is the joints.
C. Aspirin is contraindicated.
D. Therapeutic management includes administration of gamma globulin and aspirin.
45. Which of the following is most descriptive of the pathophysiology of leukemia?
A. Increased blood viscosity occurs.
B. Thrombocytopenia (excessive destruction of platelets) occurs.
C. Unrestricted proliferation of immature white blood cells (WBCs) occurs.
D. First stage of coagulation process is abnormally stimulated.

46. The nurse is teaching a child experiencing severe edema associated with acute glomerulonephritis about his diet. The nurse should
include which of the following?
A. Decreased calories
B. Increased protein
C. No salt added
D. Severe sodium restriction
47. Which of the following is a clinical manifestation of increased intracranial pressure in children?
A. Low-pitched cry
B. Sunken fontanel
C. Diplopia, blurred vision
D. Increased blood pressure
48. What clinical manifestations would suggest hydrocephalus in a neonate?
A. Bulging fontanel, dilated scalp veins
B. Closed fontanel, high-pitched cry
C. Constant low-pitched cry, restlessness
D. Depressed fontanel, decreased blood pressure
49. An infant with hydrocephalus is hospitalized for surgical placement of a ventriculoperitoneal shunt. Postoperative nursing care
should include which of the following?
A. Monitor closely for signs of infection.
B. Pump the shunt reservoir to maintain patency.
C. Administer sedation to decrease irritability.
D. Maintain Trendelenburg position to decrease pressure on the shunt.
50. The best position immediately post-tonsillectomy for this patient is:
A. Semi-fowlers
B. Lateral position
C. Prone position
D. Supine position
51. After the child has fully awakened, the mother asks you for something for the child to eat or drink. Which of the following would
be best for the child initially?
A. strawberry drink
B. chocolate milk drink
C. yellow popsicle
D. dry crackers
52. Mike & Gloria rushed their 1 month old boy Mikey to the ER at 5 am because they noted he was no longer breathing when they
woke up. The probable diagnosis is SIDS. You take an initial history of the incident. Which of the following is considered the
most appropriate to ask the parents?
A. what did Mikey appear when you saw him?
B. when did you last checked on the infant?
C. did you wrapped him in blankets?
D. did you place him on his stomach?
53. In patients with Thalassemia, one of the problems is hemosiderosis. Which of the following is the appropriate treatment for this
A. Deferoxamine
B. Splenectomy
C. Penicillin
D. Blood Transfusion
54. Jenna, an 18 y/o is diagnosed with Iron deficiency anemia. She is currently taking oral iron supplements. The following are
important health teaching in taking iron supplements EXCEPT:
A. You have to take your medications between meals
B. You may take orange juice with it
C. It may cause your stool to turn black
D. The tablets may stain your teeth, but its only temporary
55. A nurse is performing an admission assessment on a 6-month-old infant with a diagnosis of hydrocephalus. The nurse assesses for
the major sign associated with hydrocephalus when the nurse:
A. Tests the urine for protein
B. Palpates the anterior fontanel
C. Takes the apical pulse
D. Takes the blood pressure
56. A nurse is performing an admission assessment on a newborn infant with a diagnosis of spina bifida (meningomyelocele). The
nurse assesses for a major symptom associated with this type of spina bifida when the nurse:
A. Checks the capillary refill of the nailbeds of the upper extremities
B. Tests the urine for blood
C. Palpates the abdomen for masses
D. Checks for responses to painful stimuli from the torso downward

57. A nurse is caring for a newborn infant with spina bifida (meningomyelocele type) who is scheduled for surgical closure of the sac.
In the preoperative period, the priority nursing action would be to monitor:
A. Blood pressure
B. Moisture of the normal saline dressing covering the sac
C. Specific gravity of the urine
D. Anterior fontanel for depression
58. A 10 lbs neonate, with LGA born via CS was admitted in the nursery. On your nursing history, you find out the mother is a
diabetic. A priority nursing problem at this time is:
A. Potential hypoglycemia related to CS delivery
B. Potential for jaundice related to mothers diabetes
C. Risk for hypothermia related to CS delivery
D. Altered nutrition, less than body requirements related to increased glucose metabolism
59. The mother asks you do you really need to monitor her?. You should explain to her your baby is being closely monitored for
symptoms of hypoglycemia because of:
A. A normal response that occurs immediately after birth
B. An increase in the urine production which occurs as a result of decreased glucose stores
C. An interruption in the supply of maternal glucose and continued high production of insulin by the neonate
D. An increased use of stored glucose during the difficult labor
60. An infant is being assessed for Developmental Hip Dysplasia. While you abduct her hips gently, you feel for which of the
following signs?
A. Barlows sign
B. Ortalanis Click
C. Trendelenburg signs
D. Galeazzis signs
61. A 15 month old child is fitted with a Pavlik Harness to correct developmental dysplasia of the hip. When teaching parents on the
care of infants in a Pavlik harness, which of the following would be appropriate?
A. Fitting the diaper under the straps
B. Placing the diaper over the straps
C. Check for signs of skin breakdown
D. Place powder to reduce irritation
62. In an infant in a hip spica cast with an abductor stabilizer bar, which of the following are appropriate teachings?
A. The bar can be adjusted for comfort
B. The bar can be used to lift the child
C. The bar is used to strengthen the cast
D. The bar is used to turn the child
63. Infants of diabetic mothers are prone to develop electrolyte imbalances. As part of your care, you monitor the levels of this serum
A. Sodium
B. Potassium
C. Calcium
D. Chloride
64. A problem with this infant is that he is most likely prone to develop RDS. The hormone responsible for the suppression of release
of surfactant is:
A. Glucagon
B. Corticosteroid
C. Insulin

65. Preterm infants are prone to develop infection is due to:

A. Poor skin integrity because of lanugo
B. Deficient placental transmission of maternal immunoglobulins
C. Poor production of blood products by the liver
D. High levels of maternal hormones causing immunosuppression
66. The effect of UV phototherapy for infants who are jaundiced is by:
A. Breaking down of direct bilirubin into indirect bilirubin.
B. Breaking down of indirect bilirubin into direct bilirubin.
C. Breaking down of bilirubin into bile.
D. Formation of Vitamin D in the skin which binds with bilirubin.
67. A 10 lbs newborn delivered vaginally was later brought to the ward. One of your plan is to assess for fracture of the:
A. Skull
B. Clavicle

C. wrist
D. rib cage
68. A baby born from a drug addicted mother was admitted in your ward. You observe the neonate for any symptom of withdrawal
such as
A. Post maturity
B. Sluggishness
C. high pitched cry
D. hypocalcemia
69. You noted that the infant is very fussy. To help comfort the baby, your action would be:
A. Feeding the infant a high calorie formula
B. Swaddling the infant
C. Keep the baby under bright lights
D. Touch her only when she cries
Sandra is five years old. Her twin, Sara has leukemia. As the attending nurse, you give your support and care to the patient and her
70. Sara, being five years old, understands death as:
A. The end of life but fantasizes that she can return
B. The failure to attain their goals in life
C. A temporary departure from life or sleep
D. The start of a new life
71. Nursing care for a dying child like Sara would involve all of the ff. measures, except:
A. Be alert to passive behaviors as a sign of guilt
B. Assess childs fear of darkness and sleep
C. Act as if nothing is happening
D. Place death in the context of naturally occurring events
72. The nurse may extend support to the parents in the event of Saras death with the following means except:
A. Listening to what they have to say and exploring their strength
B. Telling them that recovery takes time
C. Advising them not to talk about the child so that they can forget it
D. Helping them to express their feelings to achieve resolution
73. When she received her dinner tray, she tells you Im too sick to feed myself. You best response would be:
A. try to eat as much as you can.
B. let it go until you feel better.
C. be a big girl and stop acting like a baby
D. wait 5 minutes and I will help you.
74. Nancys statement is most likely indicative of:
A. Immaturity
B. Loneliness
C. Temper Tantrums
D. Regression
75. In the assessment of a child with epiglottitis, the nurse should be aware of the following EXCEPT:
A. It is caused by Haemophilus influenzae.
B. To assess properly, you have to directly visualize the epiglottis to check the degree of inflammation.
C. Reassure the child, since they are usually very anxious and scared during the illness.
D. It usually affects children from 2-5 years of age.

76. Which of the following is not an appropriate intervention following surgery for Hirschsprungs disease?
A. Assess surgical site for swelling, redness and drainage
B. Monitor rectal temperature every 4 hours for fever
C. Reunite parents with the child as soon as possible
D. Keep child on NPO until bowel sounds returns
77. Which manifestation would reveal baby developed a compensatory mechanism for this defect?
A. he is burping often to relieve gas distention
B. he passed out green-tinged urine
C. he would refuse oral feeding
D. he vomits fecaloid vomitus
78. The mother, who had a family history of hemophilia is worried about her children, 2 girls and 2 boy, of them having or suffering
from hemophilia. You know that the illness is an X-linked disease, and you response would be:
A. All girls will be normal and the other son will be a carrier
B. Each of them may have a 50% chance of either carrying or suffering from the disease

C. All girls will be carriers and half of the son will have the illness
D. Each son will have 50% chance of either being a carrier or having the illness, and the girls will all be carriers of the illness
79. Which of the following statements made by the father of a 4-y/o old indicates that he understood the nurses instruction on his bed
A. Ill restrict all fluids after 5 pm and remind her that she is too old to wet the bed.
B. Ill get her up to go to the bathroom at midnight and she will be able to stay dry until the morning.
C. Ill put her in diapers at bedtime and tell her not to worry about her bed-wetting.
D. Ill limit her fluids after dinner and make sure she urinates before going to bed.
80. A nurse is caring for Roy, who was born with a cleft lip and palate. Baby Roys nursing care plan should indicate that when
feeding his formula, the nurse should be sure to
A. bubble the infant often
B. hold the infant in a supine position
C. give the infant a little water before giving the formula
D. limit feeding time to no more than 5 to 10 minutes
81. In restraining Roy post-operatively, the nurse should be considered in error unless she uses:
A. vest restraint
B. mitten restraints
C. elbow restraint
D. mummy restraints
Neonates are placed in your care at the nursery. You are to assess them and provide adequate care.
82. A mother asks the nurse my baby has a soft spot on his head, is this normal? Your best response would be:
A. Dont worry its normal
B. We have to alert your physician about it
C. He may have jaundice because of that
D. We need to start him on antibiotics to prevent a potential infection
83. The mother asks you when will this soft spot near the back of his head close? You instruct that the posterior fontanels close at
this age:
A. 2-3 months
B. 6-8 months
C. 10-12 months
D. 14-16 months
84. You would document that the anterior fontanel is normal because it is:
A. Oval
B. Triangular
C. Diamond
D. Round
85. Immediately after birth, you keep the newborn under a radiant warmer away from the air conditioner in the room to prevent heat
loss. You would explain to the mother that the baby might loose heat by this process:
A. evaporation
B. conduction
C. convection
D. radiation
86. Which of the following is true regarding the neonates head when compared to the chest circumference?
A. it is the same size
B. it is 2 cm larger than the chest
C. it is 4 cm larger than the chest
D. it is 3 cm smaller than the head
87. The best description of the tonic neck reflex is when the baby
A. steps briskly when placed on a firm surface
B. turns the head to the left side, extends the left extremities and flexes the right extremities
C. pulls both arms and does not move the chin beyond point of the elbows
D. turns the head to the left side, and then forward when lifted from the crib
88. The mother tells you that the baby appears to be very jumpy especially when hearing sudden loud noises. You would tell her that
A. it may be a sign of poor feeding
B. it is normal
C. it may be a sign of infection
D. hes having a seizure
89. The reason for a babinski response is:
A. possible partial paralysis
B. possible lower leg defect
C. immature CNS
D. injury to nerves of the legs

90. At what age toddlers are physiologically ready for toilet training?
A. 15-18 months
B. 12-18 months
C. 18-24 months
D. 24-36 months
91. A mother approaches and asks you about assessing a childs readiness for toilet training. After lecturing her how, you note a
further need for health teachings if the mother replies:
A. He may start if he is able to stay dry for 2 or more hours
B. He wants to show how good he is by following my instructions
C. We may toilet train him now since we are moving in a few weeks
D. He is able to take off his clothes by himself
92. The following are helpful when initiating toilet training EXCEPT:
A. Use of a potty chair
B. Let the child sit face away from the toilet
C. Let them plant feet firmly on floor
D. Let child observe flushing of the toilet
93. On examining a 15 year old girl, you noted that she appeared to slouch a bit. This is best explained by:
A. Poor calcium intake among them.
B. Bone growth is greater than muscle growth
C. Muscle growth is greater than bone growth
D. Genetically inherited from the parents
94. The mother of a 8 year old boy tells you my boy lied to me when I caught him breaking our vase. The following is true about
reasons for lying among school aged children EXCEPT:
A. They are unable to separate fantasy from reality
B. They try to avoid punishment
C. They try to meet expectations set by others
D. They are concerned about lying, especially by their peers
95. The first menstruation among adolescent girls is also known as:
A. Thelarche
B. Menarche
C. Spermache
D. Adrenarche
96. The tools for intervention to limit stress to a hospitalized infant are the following EXCEPT:
A. Rooming-in
B. Parent substitute
C. Group play
D. Consistent caregiver
97. In establishing a good relationship with the parents & the child, the following are true EXCEPT:
A. Consider only positive behavior to lessen antagonism
B. A working relationship is established at first contact
C. There should be team work among personnel taking care of the child
D. Empathy is an attitude a good nurse should have

98. Phobia is common among children in this age group

A. Pre-schooler
B. Toddler
C. Schooler
D. Adolescent
99. Allan, a 16 y/o, was admitted in your ward.
A. Consider them totally capable of care
B. Give them total assistance because anyone who is sick deserves it
C. Consider the principle of doing activities with them, rather than for them
D. Give assistance only when requested to foster independence
100.The mother also complained that the child always sleep way past his bedtime.
1. ignore attention seeking behavior
2. allow the child to sleep on the parents bed until he falls asleep
3. provide bedtime stories
4. put out the lights before sleeping

Which of the following are appropriate


1, 2, 3
1, 3
2, 4