chapter 26
A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern?
This is normal toddler behavior; sharing is learned later.
A 2-year-old toddler holds his breath until passing out when he wants something the parent does not want him to have. The nurse would decide whether these temper tantrums are a form of seizure based on the fact that:
seizures are not provoked; temper tantrums are.
The nurse is assessing the language development of a 3-year-old girl. Which finding would suggest a problem?
speaks in 2- to 3-word sentences
A grandmother who is the primary caregiver of a 2-year-old is expressing concern about how to best handle the temper tantrums that can occur two or three times a day, often in public places. She explains she spanked her own children for this but she is worried this is not the best way to handle the situation. Which response from the nurse will best address this concern?
"Remain calm, pick the child up, and move to a quiet and neutral place until she gains self-control; don't give in to her demands."
The parent of a 2-year-old client states it is the child's naptime. The child is refusing to take a nap and cries, "I have to put my babies to sleep first!" The parent states, "I am so sorry, I do not know what is wrong. My child does not act this way at home. My child has 2 baby dolls we rock to sleep each day at home before nap." Which response by the nurse is most appropriate?
"A 2-year-old child's behavior can be greatly altered if rituals are not maintained."
A mother is concerned because her 14-month-old son, who had a big appetite when breastfeeding a few months ago, seems uninterested in eating solid food. She still breastfeeds him daily but is thinking of weaning him soon. How should the nurse respond to this mother?
"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."
The parents of a 3-year-old boy have asked the nurse for advice about a preschool for their child. Which suggestion is most important for the nurse to make?
"The staff should be trained in early childhood development."
The nurse is teaching parents how to avoid a power struggle with their 2-year-old girl. Which comment indicates that more teaching is needed?
"We will make sure she shares her toys with cousins her age."
A nurse observes a child engaged in parallel play in a nursery. What is an example of parallel play?
A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks
The nurse is assessing a toddler's fine motor skills. Which finding will concern the nurse?
Ability to turn door knobs
The parent of a 2-year-old toddler tells the nurse she needs to constantly scold the toddler for having wet pants. The parent says the toddler was potty trained at 12 months, but since starting to walk, the toddler wets the pants all the time. Which nursing diagnosis would be mostapplicable?
Deficient parental knowledge related to inappropriate method for toilet training
The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction?
Developing a trusting relationship with the nurse.
The nurse is assessing 2-year-old twins. The parent states, "My twins will not play together, only alongside each other." Which action will the nurse take first?
Explain that this is normal behavior for toddlers.
Once a temper tantrum has started, which intervention is appropriate?
Move objects out of the way or move the toddler to prevent injury.
A mother of a 2-year-old asks the nurse, "What would be a good between-meal snack?" What foods would be appropriate for the nurse to suggest? Select all that apply.
Pieces of apples Orange slices Cheese Yogurt
The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?
Playing independently and are side by side
The parents of a 2 year old are concerned because the toddler only says a few words. What strategies should the nurse suggest to the parents? Select all that apply.
Read books aloud to the toddler. Name aloud the objects being played with. Always answer questions using correct grammar.
The nurse is caring for a 17-month-old child admitted to the acute care facility. The child is fretful and becomes calmer when given a tattered blanket from home. What inference can be made about the child's behavior in response to receiving the blanket?
The ability of the child to soothe herself is a positive sign of development.
When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler?
The toddler should speak in two-word sentences ("Me go").
The nurse is explaining safety precautions for toddlers to the mother of a normal 30-month-old boy. Which activity might the nurse suggest may be done without supervision?
Undressing himself
A toddler's mother reports that her child will only eat peanut butter and jelly sandwiches for several days in a row. The child will then refuse to eat them for several weeks. Which term would the nurse use to document this behavior?
food jag
A parent tells the nurse that no matter what is asked of the toddler, the toddler says, "No." What suggestion might the nurse make to help the parent handle this situation?
give the toddler secondary, not primary, choices
The parents of a 3-year-old boy tell the nurse that they are having another baby in several months. They ask the nurse for suggestions to help their son adapt to the new baby. What would the nurse suggest?
"Let the child participate in caring for the new baby."
Which suggestion by the nurse meant to promote good dental health in the 15-month-old is inappropriate?
Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste.
