ch. 26
Which is the best way for parents to aid a toddler in achieving the developmental task?
Allow the toddler to make simple decisions (p.979)
What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums?
Appear to ignore the toddler (p.978)
The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful?
Ask the child questions as you read. (p.967-968)
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson?
Autonomy versus shame and doubt (p.957)
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. (p.978)
A mother expresses surprise to the nurse that her daughter has begun masturbating. The mostimportant initial nursing response is that:
this is a normal and expected activity best treated matter-of-factly. (p.978)
The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor skills. Which observation would suggest the child is experiencing a problem with language development?
Her vocabulary is between 10 and 15 words. (p.960-961)
In discussing their 2-year-old's behavior with the nurse, which of the parents' statements suggests the child may be ready for toilet teaching?
The child hides behind her bedroom door when defecating. (p.977)
The nurse is assessing a healthy 2-year-old client. Which assessment finding most concerns the nurse?
The child speaks in one-word sentences. (p.961)
The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene?
The family's medications are located in a kitchen drawer. (p.969)
A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess?
Use of a two-word noun-verb sentence (p.960)
Parents and their nearly 3-year-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay?
Uses two-word sentences or phrases (p.961)
The parents of an overweight 2-year-old boy admit that their child is a bit "chubby," but argue that he is a picky eater who will eat only junk food. Which response by the nurse is best to facilitate a healthier diet?
"Give him more healthy choices with less junk food available." (p.973)
The nurse is discussing sensory development with the mother of a 2-year-old boy. Which parental comment suggests the child may have a sensory problem?
"He doesn't respond if I wave to him." (p.959-960)
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." (p.971)
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 uses the potty chair and is dry all day long." (p.977)
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." (p.968)
A group of caregivers are discussing the form of discipline in which the child is placed in a "time-out" chair. Which statement made by these caregivers is appropriate related to this form of discipline?
"When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out." (p.976)
A 3-year-old child is hospitalized. The parents are concerned because the child is now refusing to use the potty and is wetting the bed even though the child has achieved toilet training. Which response by the nurse is most appropriate?
"Your child is experiencing regression as a result of stress." (p.979)
The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse learns that the toddler was frustrated and angry immediately preceding the seizure. The nurse suspects the toddler had a breath-holding spell. Which parental report suggests breath-holding?
A tantrum preceded the event. (p.978)
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." (p.974)
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." (p.965)
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." (p.976-978)
The parents of a toddler are asking the nurse if their child is lagging behind since the child does not have a very large vocabulary at the present time. Many times their toddler just points to an object and the parents give it to the toddler. Which concepts/statements should the nurse share with this family about language development of a toddler?
- Reinforce language by voicing a request, "You want the apple?" - Read aloud to the toddler to help build and strengthen vocabulary by pointing to pictures in the book. - Since toddlers imitate what they hear, use good grammar and incorporate pronouns like "I" and "you." (p.961)
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?
-"As your toddler begins to learn that you will return the toddler will become less upset." - "This is a normal happening for a toddler of this age." - "Establishing a routine for saying goodbye to your toddler will be helpful." (p.963-963)
By what age should the child know his/her own gender?
3 years (p.962)
A pediatric nurse is providing care to several children. The nurse is reviewing the assessment findings for each of the children. Which finding requires the nurse to intervene?
3-year-old preschool-aged child who goes up stairs on hands and knees (p.968)
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?
Explain that children can take their first steps as late as 18 months of age. (p.961)
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 (p.957)
The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan?
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach. (p.969)
Once a temper tantrum has started, which intervention is appropriate?
Move objects out of the way or move the toddler to prevent injury. (p.978)
The parents of a 2-year-old boy report to the nurse that their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child?
Offering a variety of foods along with the foods the child likes. (p.973)
The nurse is assessing a 2-year-old boy during a well-child visit. The nurse correctly identifies the child's current stage of Erikson's growth and development as:
autonomy versus shame and doubt (p.957-958)
A toddler's parents want to begin toilet training. As a rule, the best instruction the nurse could give them is:
bowel training is easier than urine training. (p.977)
When observing a group of toddlers playing in a child care setting, it is noted that the toddlers are all playing with buckets and shovels but are not playing with each other. This type of play is referred to as:
parallel play. (p.966)
The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem?
has persistent separation anxiety (p.962-963)
The nurse is writing a care plan for the nursing diagnosis "Knowledge deficit related to proper seat belt use, as evidenced by improper buckling of seat belt." What are goals appropriate for this diagnosis?
- The parents will voice an understanding that a rear-facing car seat should be used until at least the age of 2. - The parents will demonstrate the proper use of a car seat with a harness strap for the child under the age of 2. - The parents will voice an understanding that the child should not sit in the front seat of the vehicle. - The parents will demonstrate the proper use of the seat belt for securing the child car seat. - The parents will voice an understanding that in trucks the car seat will be placed in the back seat. (p.969)
A stay-at-home father wants to purchase commercial toddler meals because his 16-month-old girl recently choked on table food. Which food items will the nurse suggest not be given to this child?
- Round foods such as hot dogs, whole grapes, and cherry tomatoes - Hard foods such as nuts, raw carrots, and popcorn - Sticky foods like peanut butter alone, gummy candies, and marshmallows (p.972)
During a wellness care visit, the parents of a 2-year-old toddler report that they are struggling to deal with their toddler's daily and increasing number of tantrums. What information should be provided to the parents?
- Tantrums are a common occurrence for a toddler of this age. - Maintaining a consistent daily routine can help to reduce tantrums. - Ignoring the behavior is often helpful in reducing the duration of the tantrum. (p.978)
A nurse, who is also a mother of a 2-year-old child, attends a party at a friend's house and notes some safety concerns that she would like to share with the other mother privately. Which observations during the party would be considered a safety concern that should be addressed privately when appropriate?
- The parents allow the toddler to climb up on the counter and watch as food is stirred on the stove. - The nurse/mother notes that the toddler's car seat is located in the passenger front seat. - The parent is busy entertaining guests and did not notice the toddler running out in the neighborhood street to get a toy. (p.969)
The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this?
A regular routine and rituals will provide stability and security. (p.962)
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?
"When she starts tugging on a wet or dirty diaper, she is letting you know she's ready." (p.977)
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. (p.966-967)
During a wellness check up for a 4-year-old client, the parents state, "We just moved into a new home and our child has begun wetting and defecating in the underwear. Which response by the nurse is appropriate?
"This is a normal response to stress during childhood." (p.977)
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 (p.977)
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 prioritize to help older siblings, especially toddlers, understand the change in the family dynamics?
Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant. (p.961-962)
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. (p.978)
The nurse is talking to the parent of a 19-month-old toddler about setting limits and supervising activities. In which situation will the nurse recommend letting the toddler do as he or she pleases?
exploring one's body (p.962)
