CP+ : Ch. 17 - Care of the Toddler

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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?

"Inform the child that you are going out but the regular babysitter will care for them and put them to bed."

a nurse is interviewing a parent regarding the 2-year-old child's recent illness; the nurse would like the parent to elaborate about any symptoms of the illness noticed - which would be the most effective question for the nurse to ask the parent in this situation?

"What symptoms has your child exhibited?"

the parents of a 2-year-old child are frustrated by the frequent confrontations they have with their child - which anticipatory guidance can the nurse offer to prevent confrontations?

"You need to adhere to various routines."

a mother asks the nurse about how much television her 3- and 4-year olds should be watching each day - which of the following would the nurse suggest?

1-2 hours

when assessing a 33-month-old, the nurse would expect to find how many teeth?

20

the nurse is visualizing the ear canal and tympanic membrane of a 14-month-old boy- which finding would warrant further investigation?

a bubble behind the tympanic membrane

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.

when preparing a program for a group of parents about children and television, which of the following would the nurse expect to include?

children who watch a great deal of television have an increased risk for obesity.

the nurse is helping explain the dietary plan to the mother of an 18-month-old girl who has diabetes - which of the following food categories would the nurse explain as being affected by the child's condition?

dairy products

the nurse is providing anticipatory guidance to the parents of an 18-month-old child - which recommendation should be the most helpful to the parents?

describe proper behavior when the child misbehaves.

the nurse is teaching parents interventions appropriate to the emotional development of their toddlers - what is a recommended intervention for this age group?

do not blame toddlers for aggressive behavior; instead, point out the results of their behavior.

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

during a regular checkup for a 24-month-old girl, the nurse observes that all incisors and cuspids and some first molars have erupted -this would be a good time to promote optimal oral care - which of the following topics would be most appropriate for the nurse to include in the teaching plan for the parents?

horizontal brushing technique

the nurse is discussing proper discipline with the parent of a 15-month-old toddler - which teaching is most important?

physical punishment such as spanking is discouraged.

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."

a nurse is assessing a 15-month-old and his gross motor ability - which of the following would the nurse expect to assess?

- ability to throw a ball - ability to stoop and recover

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

what is a true statement regarding the developmental milestones of the 30-month-old child?

full set of primary teeth

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

when assessing the eyes of a toddler, the nurse notes the sclera shows above the pupil - based on this finding what action should the nurse take?

report the finding to the health care provider.

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 performing a cognitive assessment of a 2-year-old child - which behavior alerts the nurse to a developmental delay in this area?

the child does not point to named body parts.


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