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A mother brings a toddler who has difficulty going to bed at night. Which bedtime measure is most appropriate for the nurse to suggest?

Let child stay up as long as they want

Rush to bedtime with no warning

Inform the child of bedtime a few minutes before it is time for bed.

Toddlers do best with a predictable bedtime routine and a brief warning before bed, because clear transitions help them feel secure and know what to expect, making it easier to wind down. Giving a few minutes’ notice before bedtime allows the child to shift gears from play to quiet activities, reduces resistance, and supports self-soothing as they anticipate sleep. By establishing a consistent routine, parents provide cues that indicate bedtime is coming, which promotes smoother transitions and better sleep for the child.

Letting a child stay up as long as they want undermines sleep goals and can lead to overtiredness and bedtime battles. Rushing to bedtime with no warning removes the transition cue the child relies on, increasing resistance and anxiety. Putting the child to bed without any routine misses the value of a soothing, predictable sequence that signals sleep time and helps the child settle.

Put child to bed without routine

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