Peds Ch 16 PrepU
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson?
Autonomy vs shame/doubt
Parents bring a toddler age 19 months to the clinic for a regular checkup. When palpating the toddler's fontanels (fontanelles), what should the nurse expect to find?
Closed anterior and posterior fontanels (fontanelles)
When assessing a 33-month-old, the nurse would expect to find how many teeth?
Eight new teeth erupt during the second year. All 20 deciduous teeth are generally present by 2.5 to 3 years of age.
The mother of an 18-month-old girl voices concerns about her child's social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated?
"It is normal for children to engage in play alongside other children at this age."
The nurse is preparing to assess a 2-year-old at a well-child visit and notes the child was 22 lbs (9.98 kg) and 24 in (60.96 cm) tall at 1 year old. The nurse determines the child is following a normal pattern of growth after obtaining which set of current measurements
32 lbs (14.54 kg) and 27 in (68.58 cm) tal Each year the toddler gains 4.5 to 6.0 lb (2. to 2.7 kg) and about 3 in (7.62 cm
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?
Advising them to use praise, not scolding.
The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which task would the nurse expect the toddler to be able to perform?
Knowing which is her/his toys The toddler in Piaget's sensorimotor stage of cognitive development (18 to 24 months) understands requests, is capable of following simple directions, and has a sense of ownership (knowing which toys are his). The other tasks are accomplished by the child in the preoperational stage (2 to 7 years)
A nursing instructor is leading a class discussion exploring the various aspects of Erikson's theories of the developmental tasks of toddlers. The instructor determines the session is successful when the students correctly choose which task as a priority for toddlers?
Learning to act on one's own
The father of a toddler reports his son says "no" every time he attempts to correct him. What is the best advice the nurse can offer to the parent?
Saying no is your son's way of trying to exert his independence and is expected
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?
The need for separation and control
When instructing the parents of a toddler about appropriate nutrition, what would the nurse recommend?
approximately 16 to 24 ounces of milk per day -fruit juice limited to 4 to 6 ounces per day. A toddler's total fat intake should be 20% to 30% of total calories. The daily recommended fiber intake is 19 grams.
The nurse is preparing to perform a physical examination of a toddler. Which is the preferred location to complete the assessment?
child in caregivers lap
The nurse in a pediatric clinic is observing a 2-year-old playing in the waiting room. Which action is an example of normal growth and development for a 2-year-old (24-month old) at play?
imitating adult action like wrapping a doll in a blanke
The nurse is explaining safety precautions for young children to the mother of a normal 30-month-old boy. Which of the following activities might the nurse suggest be done without supervision?
undressing himself
