CH. 26 Prep U - Growth & Development of the Toddler

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. A. "As your toddler begins to learn that you will return the toddler will become less upset." B. "This is a normal happening for a toddler of this age." C. "This is actually a regression for your toddler because separation anxiety normally occurs in infancy." D. "Establishing a routine for saying goodbye to your toddler will be helpful." E. "Your care providers may be frightening to your toddler."

A. "As your toddler begins to learn that you will return the toddler will become less upset." B. "This is a normal happening for a toddler of this age." D. "Establishing a routine for saying goodbye to your toddler will be helpful."

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? A. Explain that children can take their first steps as late as 18 months of age. B. Ask the parent if the child has been ill recently. C. Refer the child to a developmental specialist for evaluation. D. Explain that the child could start walking any day.

A. Explain that children can take their first steps as late as 18 months of age.

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? A. Playing with the plastic vacuum cleaner and pushing it around the room B. Watching a movie with other children their age C. Painting pictures in the art corner of the room D. Pretending to be mommies and daddies in the play house

A. Playing with the plastic vacuum cleaner and pushing it around the room

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? A. "Don't worry, your daughter will probably give you very definite signals." B. "Most children are ready for toilet training by the time they are 18 months old." C. "You'll probably notice that your daughter is uncomfortable in wet diapers." D. "Your daughter can understand holding urine and stool by about 1 year of age."

C. "You'll probably notice that your daughter is uncomfortable in wet diapers."

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? A. "When my toddler falls down, they always wants me to pick them up." B. "My toddler uses the potty chair and is dry all day long." C. "Every night my toddler follows the same routine at bedtime." D. "My toddler has temper tantrums when we go to the store."

B. "My toddler uses the potty chair and is dry all day long."

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? A. 9-month-old infant who can pull self up to a standing position B. 14-month-old toddler who walks with a parent's assistance C. 3-year-old preschool-aged child who goes up stairs on hands and knees D. 24-month-old toddler who engages in parallel play

C. 3-year-old preschool-aged child who goes up stairs on hands and knees

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? A. Move the toddler to a new bedroom with a "grown-up-bed." B. Plan time for the secondary caregiver to focus on the toddler while the primary caregiver focuses on the infant. C. Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant. D. Have a grandparent or another special adult in the child's life take the toddler on an errand or a special visit.

C. Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.

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? A. Plan time for the secondary caregiver to focus on the toddler while the primary caregiver focuses on the infant. B. Have a grandparent or another special adult in the child's life take the toddler on an errand or a special visit. C. Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant. D. Move the toddler to a new bedroom with a "grown-up-bed."

C. Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.

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? A. "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." B. "It is not normal for toddlers to lose their appetites; have him tested for a gastrointestinal condition." C. "It is not normal for toddlers to lose their appetites; spoon feed him yourself to make sure he gets proper nutrition." D. "It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."

D. "It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."

A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess? A. Ability to name one color B. Knowledge of full name C. Verbalization of 4 to 6 words D. Use of a two-word noun-verb sentence

D. Use of a two-word noun-verb sentence

The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene? A. The family's medications are located in a kitchen drawer. B. The toddler goes to the bathroom alone to urinate. C. All of the windows in the home are locked. D. The toddler in not allowed in the kitchen while food is being prepared.

A. The family's medications are located in a kitchen drawer.

The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem? A. has persistent separation anxiety B. is unable to share toys with others C. sucks his thumb periodically D. goes from calm to tantrum suddenly

A. has persistent separation anxiety

The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem? A. has persistent separation anxiety B. sucks his thumb periodically C. is unable to share toys with others D. goes from calm to tantrum suddenly

A. has persistent separation anxiety

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? Select all that apply. A. Maintaining a consistent daily routine can help to reduce tantrums. B. Ignoring the behavior is often helpful in reducing the duration of the tantrum. C. Tantrums at this age can signal the development of an aggression disorder in a toddler. D. Tapping the toddler on the hands and voicing displeasure in the toddler's actions can successfully interrupt the behavior. E. Tantrums are a common occurrence for a toddler of this age.

A. Maintaining a consistent daily routine can help to reduce tantrums. B. Ignoring the behavior is often helpful in reducing the duration of the tantrum. E. Tantrums are a common occurrence for a toddler of this age.

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? Select all that apply. A. Sticky foods like peanut butter alone, gummy candies, and marshmallows B. Vegetables such as corn, green beans, and peas C. Round foods such as hot dogs, whole grapes, and cherry tomatoes D. Hard foods such as nuts, raw carrots, and popcorn E. Fruits such as peaches, pears, and kiwi

A. Sticky foods like peanut butter alone, gummy candies, and marshmallows C. Round foods such as hot dogs, whole grapes, and cherry tomatoes D. Hard foods such as nuts, raw carrots, and popcorn

The parents of a toddler ask the nurse, "We are so frustrated. It seems like our child has temper tantrums all the time. What can we do?" Which response by the nurse is appropriate? A. "When your child gets like this, it is best to give into what the child wants." B. "Stay calm and nearby then once it is over, try to distract your child." C. "Try reasoning with your child when the tantrum starts." D. "It is important to show the child who is in control."

B. "Stay calm and nearby then once it is over, try to distract your child."

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? A. "We will attempt to reason with our child to limit tantrums." B. "We will ignore our child while having the tantrum." C. "We will offer our child a treat to stop having the tantrum." D. "We will place our child in time-out for 5 minutes after the tantrum."

B. "We will ignore our child while having the tantrum."

The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this? A. Aggressive behaviors such as hitting and biting are common in toddlers. B. A regular routine and rituals will provide stability and security. C. A sense of control can be provided through offering limited choices. D. Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly.

B. A regular routine and rituals will provide stability and security.

Which is the best way for parents to aid a toddler in achieving the developmental task? A. Urge the toddler to dress oneself completely alone B. Allow the toddler to make simple decisions C. Help the toddler learn to count D. Give the toddler small household chores to do

B. Allow the toddler to make simple decisions

The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson? A. Trust versus mistrust B. Autonomy versus shame and doubt C. Initiative versus guilt D. Industry versus inferiority

B. Autonomy versus shame and doubt

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? A. Learning to speak B. Learning to act on one's own C. Learning to trust D. Learning to understand and respond to discipline

B. Learning to act on one's own

A mother expresses surprise to the nurse that her daughter has begun masturbating. The most important initial nursing response is that: A. girls as well as boys will masturbate. B. this is a normal and expected activity best treated matter-of-factly. C. toilet teaching places much focus on the genitals. D. there may be undue stress in your child's life.

B. this is a normal and expected activity best treated matter-of-factly.

A 3-year-old child is seen at the clinic for a checkup. When collecting information, the child's parent reports concern about the child's stools because sometimes the child passes what appears to be undigested food. What response by the nurse is appropriate? A. "Do you notice other symptoms, such as pain or straining, when this happens?" B. "Your child may be eating foods that are too harsh or difficult to digest." C. "At this age, the digestive tract is not completely mature and children may pass undigested food." D. "Why are you concerned about this?"

C. "At this age, the digestive tract is not completely mature and children may pass undigested food."

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? A. No inferences can be made from the child's behavior. B. The child is likely tired and has managed to "cry it out". C. The ability of the child to soothe herself is a positive sign of development. D. The child is likely neglected and best obtains comfort from objects rather than human contact.

C. The ability of the child to soothe herself is a positive sign of development.

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? A. "We will offer our child a treat to stop having the tantrum." B. "We will place our child in time-out for 5 minutes after the tantrum." C. "We will attempt to reason with our child to limit tantrums." D. "We will ignore our child while having the tantrum."

D. "We will ignore our child while having the tantrum."

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? A. "My child is 3 years old now and I put my child in time-out for 5 to 10 minutes when misbehaving." B. "Our time-out chair is in the master bedroom so my child cannot see anyone else in the family." C. "We use the time-out chair when our child gets tired but does not want to take a nap." D. "When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out."

D. "When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out."

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? A. "Your daughter can understand holding urine and stool by about 1 year of age." B. "Don't worry, your daughter will probably give you very definite signals." C. "Most children are ready for toilet training by the time they are 18 months old." D. "You'll probably notice that your daughter is uncomfortable in wet diapers."

D. "You'll probably notice that your daughter is uncomfortable in wet diapers."

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: A. seizures rarely occur in toddlers. B. with seizures, cyanosis rarely develops. C. seizures typically occur with fever; temper tantrums do not. D. seizures are not provoked; temper tantrums are.

D. seizures are not provoked; temper tantrums are.

A mother expresses surprise to the nurse that her daughter has begun masturbating. The most important initial nursing response is that: A. girls as well as boys will masturbate. B. toilet teaching places much focus on the genitals. C. there may be undue stress in your child's life. D. this is a normal and expected activity best treated matter-of-factly.

D. this is a normal and expected activity best treated matter-of-factly.

The nurse is assessing a 2-year-old toddler. Which observation(s) will alert the nurse that the child may be experiencing a developmental delay? Select all that apply. A. The toddler claps the hands in response to the nurse clapping hands. B. The toddler pushes and pulls the play vacuum cleaner in the toy room. C. The toddler is unable to stack more than four blocks on top of another. D.The toddler will not pick up a toy or touch the nose when directed by the nurse. E. The toddler's vocabulary consists of the words "ball," "dadda," "mum," "drink," and "up."

D.The toddler will not pick up a toy or touch the nose when directed by the nurse. E. The toddler's vocabulary consists of the words "ball," "dadda," "mum," "drink," and "up."