prep u chapter30
Parents are beginning to potty train their 2-year-old child and seek advice from the nurse on how to be successful in this endeavor. Which statement by the parents indicates that further teaching is needed? "He wants to accompany me to the bathroom but I prefer to go alone." "We will place him on the potty for 5 minutes for each session." "I bought him 'big boy' underwear for him to use instead of diapers." "I will wait until he is off the toilet before flushing it."
"He wants to accompany me to the bathroom but I prefer to go alone."
What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition? "I give my daughter juice at breakfast and when she is thirsty during the day." "When she doesn't eat well at meals we give her nutritious snacks." "She drinks three 6-ounce cups of whole milk each day." "New foods are offered along with ones she likes."
"I give my daughter juice at breakfast and when she is thirsty during the day."
Parents are asking a pediatric nurse how to deal with separation anxiety every time they try to have an adult night out. Which advice by the nurse sounds like the most appropriate way to handle this situation? "Try to sneak out the back door to avoid the long crying scene at the door." "Inform the child that you are going out but the regular babysitter will care for them and put them to bed." "If your child starts crying, stay a little longer and read a story before leaving." "Note if your child cries as you leave because this may be an indication the babysitter is ignoring the child."
"Inform the child that you are going out but the regular babysitter will care for them and put them to bed."
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 not normal for toddlers to lose their appetites; have him tested for a gastrointestinal condition." "It is not normal for toddlers to lose their appetites; spoon feed him yourself to make sure he gets proper nutrition." "It is normal for toddlers to lose their appetites; try weaning him all at once so that he will be more interested in the solid food." "It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate.
"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."
In working with the toddler, which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism? "Do you want help getting into your chair so we can have lunch?" "You love having the same food every day. Do you want apples again with lunch?" "It is time for lunch. I am going to put your bib on." "Are you getting hungry and ready for lunch?"
"It is time for lunch. I am going to put your bib on."
After teaching the mother of a 13-month-old boy about suggestions for bathing and hygiene, the nurse determines that the teaching was successful when the mother states: "I'll wash his hair everyday with just plain soap." "I'll drain the tub while he's still in it so he won't fall." "I can use bubble baths to lure him into the tub." "It might be best to give him a bath in the evening."
"It might be best to give him a bath in the evening."
A nurse is discussing safety measures with the parents of a toddler. What would the nurse emphasize to address the most frequent type of accident in toddlers? "Have your child wear a helmet when beginning to ride a tricycle." "Make sure to have your child securely fastened in a car seat." "Keep all cleaning products and drugs out of the reach of your child." "Turn the handles of your pots away from the edge of the stove when cooking."
"Keep all cleaning products and drugs out of the reach of your child."
During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old toddler's caregiver indicates that the toddler is developing autonomy? "My toddler has temper tantrums when we go to the store." "When my toddler falls down, they always wants me to pick them up." "Every night my toddler follows the same routine at bedtime." "My toddler uses the potty chair and is dry all day long."
"My toddler uses the potty chair and is dry all day long."
The parent of a 20-month-old toddler reports the toddler has been becoming distraught when the parent leaves. The parent asks the nurse for advice about what is going on and how to best manage it. What information can be provided? Select all that apply. "Your care providers may be frightening to your toddler." "Establishing a routine for saying goodbye to your toddler will be helpful." "As your toddler begins to learn that you will return, they will become less upset." "This is actually a regression for your toddler because separation anxiety normally occurs in infancy." "This is a normal happening for a toddler of this age."
"This is a normal happening for a toddler of this age." "As your toddler begins to learn that you will return, they will become less upset." "Establishing a routine for saying goodbye to your toddler will be helpful."
The nurse is teaching the parents of a 2-year-old child how to handle the child's temper tantrums. The nurse determines that the teaching was successful if the parents make which statement? "We will ignore our child while having the tantrum." "We will offer our child a treat to stop having the tantrum." "We will attempt to reason with our child to limit tantrums." "We will place our child in time-out for 5 minutes after the tantrum."
"We will ignore our child while having the tantrum."
A mother of a 2-year-old girl is asking her friend when she should start potty training the child. The mother expresses concern about the high cost of diapers and training pants and would really like to have her trained as soon as possible. Which advice by the friend would be considered the best response? "You will just have to condition yourself to take her to the potty chair every hour until they get the hang of it." "I started training my kids when they started to pull themselves up to a standing position." "When she is uncomfortable in her wet diaper and brings a clean diaper to you, that's a good indication she is ready for potty training." "It doesn't hurt to start when they turn 2 as long as you don't punish them for having many accidents."
"When she is uncomfortable in her wet diaper and brings a clean diaper to you, that's a good indication she is ready for potty training."
During a well-child visit, a parent tells the nurse that they use time-out to discipline their 2-year-old child. The nurse determines that the parent understands the concept of time-out when the parent states keeping the child in time-out for how long? 2 minutes 1 minute 4 minutes 30 seconds
2 minutes
When assessing a 33-month-old, the nurse would expect to find how many teeth? 8 20 12 16
20
The nurse is preparing to assess a 2-year-old at a well-child visit and notes the child was 22 lb (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? 38 lbs (17.27 kg) and 32 in (81.28 cm) tall 32 lbs (14.54 kg) and 30 in (76.20 cm) tall 40 lbs (18.18 kg) and 33 in (83.82 cm) tall 27 lbs (12.27 kg) and 27 in (68.58 cm) tall
27 lbs (12.27 kg) and 27 in (68.58 cm) tall
The maximum time-out duration is how many minutes for each year of age? 90 seconds 2 minutes 1 minute 30 seconds
1 minute
The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this? Aggressive behaviors such as hitting and biting are common in toddlers. A sense of control can be provided through offering limited choices. Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly. A regular routine and rituals will provide stability and security.
A regular routine and rituals will provide stability and security.
A nurse in a busy pediatric clinic is educating a group of parents with toddlers about the nutritional needs of this age group. Which concepts should be addressed in this educational presentation? Select all that apply. There is no need to worry about the amount of trans fats in a toddler diet. Milk is still important to incorporate in the diet for bone health. Active, "busy" toddlers may need up to 1,400 cal/day. Try to limit the fat intake to less than 35% of total calories. Children can have as many cookies they want if that is the only thing they will eat from breakfast.
Active, "busy" toddlers may need up to 1,400 cal/day. Try to limit the fat intake to less than 35% of total calories. Milk is still important to incorporate in the diet for bone health.
The parents of a 3-year-old who had bone cancer that resulted in amputation of the lower left leg ask their health care provider about expected behaviors for their child. Which behavior is expected and acceptable during hospitalization for treatments? During hospitalizations, there should be no regression in their toilet training since many staff members are available to take the child to the restroom. If the child throws a tantrum, the nurses should also assess for seizures related to the use of pain medication following current treatment modalities. Crawling may be their preferred mode of travel because they may not want to wait for help to put the prosthesis on. Soiling with feces is unacceptable if the child was toilet trained prior to the hospitalization and should be addressed each time it occurs.
Crawling may be their preferred mode of travel because they may not want to wait for help to put the prosthesis on.
A 13-month-old child is brought to the clinic for a well-child visit. The child's parent expresses concern that the child has not started to walk yet. What is the best action should the nurse take? Refer the child to a developmental specialist for evaluation. Explain that children can take their first steps as late as 18 months of age. Ask the parent if the child has been ill recently. Explain that the child could start walking any day.
Explain that children can take their first steps as late as 18 months of age.
The nurse is designing a nursing care plan for a toddler with lymphoma who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan? Planning physical therapy for the child Monitoring the toddler for developmental delays Introducing the toddler to other toddlers in the unit Limiting visitors to scheduled visiting hours
Monitoring the toddler for developmental delays
The parents of a 2-year-old child born with short-gut syndrome feed their toddler via a feeding tube. Knowing this is a developmental time when children usually feed themselves, the parents are asking the nurses what they can do to help foster the child's independence. Which suggestion would be most appropriate at this time? Let the child choose what clothing he or she will wear the next day. Imitate placing food in the child's mouth as long as the food is large enough so it cannot be swallowed. Try to focus the child's energy on learning to read simple books that are age appropriate. Play catch with the child while others are eating so they do not have to feel left out.
Let the child choose what clothing he or she will wear the next day.
The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description? Alveoli reach adult numbers by 3 years of age. Toddlers typically have strong abdominal muscles by the age of 2. Urine output in a toddler typically averages approximately 30 ml/hour. Myelinization of the brain and spinal cord is complete at about 24 months.
Myelinization of the brain and spinal cord is complete at about 24 months.
The nurse is supervising a play group of children on the unit. The nurse expects the toddlers will most likely be involved in which activity? Painting pictures in the art corner of the room Watching a movie with other children their age Pretending to be mommies and daddies in the play house Playing with the plastic vacuum cleaner and pushing it around the room
Playing with the plastic vacuum cleaner and pushing it around the room
Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching? Reasoned with the child to stop the behavior Made sure the child was rested and not hungry before going to the mall Tried to refocus the child's attention as tantrum behavioral cues appeared Remained relatively calm even though embarrassed
Reasoned with the child to stop the behavior
Which gross motor developmental milestone is least likely for a 2-year-old? Jumps in place Rides a tricycle Stands on one foot with help Climbing stairs with assistance
Rides a tricycle
The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly? Telling the child firmly that we don't scream in the office Asking the child if he would please quit throwing toys Saying, "Please come over here and sit in this chair. OK?" Telling the child to stop tearing pages from magazines
Telling the child firmly that we don't scream in the office
The 18-month-old toddler has most likely attained which gross motor skill? The ability to balance on one foot. The ability to walk up stairs alone. The ability to walk independently. The ability to pedal a tricycle.
The ability to walk independently.
During a routine health visit with the parents of a 2-year-old child, the parents share some changes they have noticed in their child the past few months that are of concern. This family is struggling to remodel their grandparents' older home. The nurse suspects lead poisoning when they hear the parents mention which symptoms? Select all that apply. The child seems to sleep and nap more throughout the day than usual. The child seems to be irritable more frequently. The child is constantly pulling on the ears. The child cries and starts rubbing the abdomen like it "hurts" sometimes. The child vomits at least 2 to 3 times/day.
The child seems to be irritable more frequently. The child cries and starts rubbing the abdomen like it "hurts" sometimes. The child seems to sleep and nap more throughout the day than usual.
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 safety and security The need for peer approval The need for love and belonging The need for separation and control
The need for separation and control
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? Playing in the basement Undressing himself Eating a mid-afternoon snack Turning on the bath water
Undressing himself
A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess? Knowledge of full name Verbalization of 4 to 6 words Use of a two-word noun-verb sentence Ability to name one color
Use of a two-word noun-verb sentence
The father of a 2-year-old girl tells the nurse that he and his wife would like to begin toilet training their daughter soon. He asks when the right time is to begin this process. What should the nurse say in response? "The best time to start toilet training is as soon as the child begins walking." "It is best to wait a little longer, until she is 3; only then will she be socially developed enough to understand what you are asking her to do." "When she starts tugging on a wet or dirty diaper, she is letting you know she's ready." "She's well past the age to begin toilet training; most children are ready by age 1, when they have developed the needed nervous system control."
When she starts tugging on a wet or dirty diaper, she is letting you know she's ready."
While awaiting an appointment at the doctor's office for his 20-month-old daughter, a young father is astonished to see his daughter assume a proper stance and swing a toy golf club in the play area of the waiting room. A nurse also observes the behavior, and the father recalls that his daughter saw him practicing his golf swing in their backyard a few days ago. The nurse explains that this is an instance of which of the following? deferred imitation parallel play assimilation autonomy
deferred imitation
If the toddler is following a normal pattern of dentition at 22 months of age, which teeth would have most recently erupted? cuspid central incisor lateral incisor second molar
cuspid
When obtaining a toddler's history to determine appropriate anticipatory guidance, which upcoming milestone correlates with safety and poisoning concerns? sitting without additional support spending more time outdoors rolling over gaining motor skills
gaining motor skills
The nurse is caring for a toddler in the pediatric unit and notes the child is responding according to expected developmental stages. Which characteristic will the nurse predict this toddler to exhibit while in the hospital? will go home knowing how to do more things learns new things quickly by asking questions will be interested in an activity for a long period of time insists on doing a new skill and then asking for help
insists on doing a new skill and then asking for help
Parents share that their toddler often needs a snack in between meals. Which snack choice is nutritious enough to give the toddler energy but also may help prevent dental caries? Select all that apply. cheese slices sugar-free candy bars orange slices raisin oatmeal cookies yogurt
orange slices cheese slices yogurt
The nurse is preparing a presentation for a health fair which will illustrate various ways to help introduce siblings to a new member of the family. Which suggestion should the nurse prioritizeto help older siblings, especially toddlers, understand the change in the family dynamics? Have a grandparent or another special adult in the child's life take the toddler on an errand or a special visit. Plan time for the secondary caregiver to focus on the toddler while the primary caregiver focuses on the infant. Move the toddler to a new bedroom with a "grown-up-bed." Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.
plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.
The nurse is examining a 2-year-old girl for speech and language development. Which finding would suggest a delay in speech development? The child repeats what the parents say out of context and at random moments. The child does not use the names of familiar objects. The child does not speak clearly but shows understanding of what is said. The child puts together sentences of two words.
the child does not use the names of familiar objects.
Which developmental characteristic(s) is appropriate for a 15-month-old child? Select all that apply. understanding simple commands taking part in parallel play walking up the stairs by holding on to the rail using 4 to 6 words when speaking climbing down from a chair independently scribbling with a crayon
using 4 to 6 words when speaking understanding simple commands scribbling with a crayon
A mother of a toddler asks the nurse, "How will I know that my daughter is ready for toilet training?" Which response by the nurse would be most appropriate? "You'll probably notice that your daughter is uncomfortable in wet diapers." "Your daughter can understand holding urine and stool by about 1 year of age." "Most children are ready for toilet training by the time they are 18 months old." "Don't worry, your daughter will probably give you very definite signals."
You'll probably notice that your daughter is uncomfortable in wet diapers."
A mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg ) and grown 2.5 in (6.25 cm) since the chld's last visit a year ago. How should the nurse respond to this mother's concerns? Ask the mother if there are other small people in her family. Tell her that her child's growth is less than is expected and gather a nutritional history on the child. Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about. Tell the mother that she needs to return to the pediatrician's office in 3 months to re-weigh the child and measure his height for any changes.
Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.
A mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg ) and grown 2.5 in (6.25 cm) since the chld's last visit a year ago. How should the nurse respond to this mother's concerns? Tell the mother that she needs to return to the pediatrician's office in 3 months to re-weigh the child and measure his height for any changes. Ask the mother if there are other small people in her family. Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about. Tell her that her child's growth is less than is expected and gather a nutritional history on the child.
Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.
The parents of twin 2-year-old toddlers are asking the nurse how to discipline the children. The parents report that the twins feed off one another's feelings and often get into fights. When giving advice about discipline, which statement(s) should be shared with the parents? Select all that apply. Choose a consistent method of discipline for each time the child breaks the same rule. If possible, try to praise correct behavior rather than punish wrong behavior. Warn your children not to take toys that someone else is playing with. It is normal for children to hit others if someone takes one of their toys. Use the rule of time-outs, which is to tell the child why they are going to time-out. Do not warn the child about going to time-out. If the child breaks a rule, send them directly to time-out.
Use the rule of time-outs, which is to tell the child why they are going to time-out. Choose a consistent method of discipline for each time the child breaks the same rule. If possible, try to praise correct behavior rather than punish wrong behavior.
