NUR 3465 Developing Family Peds Chapter 26: Growth and Development of the Toddler

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."

The toddler grows about how many inches in height per year?

3 inches

Parents of 3-year-old son ask the nurse for suggestions on how to deal with their son's nightmares. Which suggestion would be least effective?

Talk to him that night about the details of the dreams.

After teaching the mother of a 13-month boy old about suggestions for bathing and hygiene, the nurse determines that the teaching was successful when the mother states:

"It might be best to give him a bath in the evening."

The nurse is reviewing sleep and rest activities of a 16-month-old child with the parents. The father states, "I have told my wife it is unhealthy for our child to sleep with us. It's time for him to sleep in his own bed. What do you think?" What is the nurse's best initial response?

"It must be difficult for the two of you to both feel strongly about what is best for you and your child."

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?

"Keep all cleaning products and drugs out of the reach of your child."

A group of caregivers of toddlers are discussing the form of discipline in which the child is placed in a "time-out" chair. Which statement made by these caregivers is most appropriate related to this form of discipline?

"When my son starts getting frustrated and aggressive, I remind him that if he throws a fit he will have to go to time out."

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."

While observing a 13-month-old and her parents in the playroom of the hospital unit, the nurse notes that the toddler is using her index finger to point towards a toy. How should the nurse respond?

"Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger."

The nurse is caring for a 18-month-old child who has had surgery. The medical record indicates the child weighs 23 pounds (10.45 kg). When monitoring his urinary output the nurse is aware that normal hourly output should be what value?

10 mL/hr

By what age should the child know his/her own gender?

3

The nurse is assessing a 2-year-old boy during a well child visit. The nurse correctly identifies the child's current stage of Erickson's growth and development as:

Autonomy versus shame and doubt

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

Full set of primary teeth

The nurse finds the diet of a 30-month-old girl to be low in calcium. What suggestion can significantly increase this toddler's calcium intake?

Give her slices of cheddar cheese as a snack.

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

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old?

He should speak in two-word sentences ("Me go").

The parents of a 2-year-old boy report to the nurse because 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

A mother of a 2-year-old asks the nurse, "What would be a good between-meal snack?" What foods would be appropriate for the nurse to suggest? Select all that apply.

Pieces of apples Orange slices Cheese Yogurt

The nurse is supervising a play group of children on the unit. The nurse expect the toddlers will most likely be involved in which activity?

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

Which gross motor developmental milestone is least likely for a 2 year old?

Rides a tricycle

The father of a toddler reports his son says "no" every time he attempt to correct him. What is the best advice can the nurse offer to the parent?

Saying no is your son's way of trying to exert his independence and is expected.

The nurse is assessing a 2-year-old toddler. Which observations would alert the nurse that the child may be developmentally delayed? Select all that apply.

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

A mother expresses surprise to the nurse that her toddler daughter has begun masturbating. The most important initial nursing response is that:

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

The nurse is discussing the activities of a 20-month-old child with his mother. The mother reports the children of her friends seem to have more advanced speech abilities than her child. After assessing the child, which finding is cause for follow up?

Understands approximately 200 words

The nurse is observing a 36-month-old boy during a well-child visit. Which motor skill has he most recently acquired?

Undress himself

Parents and their 35-month-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

A 2-year-old holds his breath until he passes out when he wants something his mother does not want him to have. You would base your evaluation of whether these temper tantrums are a form of seizure on the basis that:

seizures are not provoked; temper tantrums are.

A toddler's mother tells you that no matter what she asks of her child, he says, "No." A suggestion you might make to help her handle this problem is for her to:

give him secondary, not primary, choices.

Which action is appropriate to enhance a child's self-esteem?

Include the child in activities that interest the adult.

During a well-child visit, the nurse observes the child saying "no" to her mother quite frequently. The mother asks the nurse, "How do I deal with her saying no all the time?" What would be appropriate for the nurse to suggest? Select all that apply.

"Limit the number of questions you ask of her." "Make a statement instead of asking a question." "Offer her two options from which to choose."

During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old's caregiver indicates that the child is developing autonomy?

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

A 3-year-old child is seen at the clinic for a check up. When collecting information from the child's mother she reports concern about her child's stools. She states he sometimes passes what appears to be undigested food. What response by the nurse is most appropriate?

"The digestive tracts of toddlers are not totally mature causing this to happen."