Recent research on teachers' use of student mathematical thinking (SMT) and recommendations for effective mathematics instruction claim that how teachers respond to SMT has great impact on student mathematical learning in the classroom. This study examined some Chinese mathematics teachers' responses to student in-the-moment mathematical thinking that emerged during whole class discussion. The findings of this study revealed that the majority of Chinese elementary mathematics teachers in the data involved the whole group of students to make sense of in-the-moment SMT. They either invited students to digest SMT involved in the instance or provided an extension of the instance to further develop student mathematical understanding.