Pediatrics PrepU Chapter 26.

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, they will become less upset." b. "This is a normal happening for a toddler of this age." c. "Your care providers may be frightening to your toddler." d. "This is actually a regression for your toddler because separation anxiety normally occurs in infancy." e. "Establishing a routine for saying goodbye to your toddler will be helpful."

a. "As your toddler begins to learn that you will return, they will become less upset." b. "This is a normal happening for a toddler of this age." e. "Establishing a routine for saying goodbye to your toddler will be helpful."

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

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

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

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

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 understand and respond to discipline. c. Learning to act on one's own. d. Learning to trust.

c. Learning to act on one's own.

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. Explain that the child could start walking any day. c. Ask the parent if the child has been ill recently. d. Refer the child to a developmental specialist for evaluation.

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

The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan? a. Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach. b. Assure there are no empty buckets in the home/play area that could result in accidental drowning. c. If the child reaches to touch a firearm, gently slap the child's hand and firmly state 'No.' d. Utilize a front-facing car seat with appropriate harness straps until at least the age of 24 months.

a. Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.

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 are a common occurrence for a toddler of this age. d. Tantrums at this age can signal the development of an aggression disorder in a toddler. e. Tapping the toddler on the hands and voicing displeasure with the toddler's actions can successfully interrupt the behavior.

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 are a common occurrence for a toddler of this age.

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

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

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. Round foods such as hot dogs, whole grapes, and cherry tomatoes. b. Hard foods such as nuts, raw carrots, and popcorn. c. Sticky foods like peanut butter alone, gummy candies, and marshmallows. d. Vegetables such as corn, green beans, and peas. e. Fruits such as peaches, pears, and kiwi.

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

The nurse is assessing the development of a 15-month-old girl during a well-child visit. Which skill would the nurse expect to see? a. Stands alone. b. Runs to her mother. c. Points to her nose and mouth. d. Feeds herself with a spoon.

a. Stands alone.

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 in not allowed in the kitchen while food is being prepared. c. The toddler goes to the bathroom alone to urinate. d. All of the windows in the home are locked.

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

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

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

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? a. exploring one's body. b. choosing one's own foods. c. playing on the picnic table. d. deciding one's bedtime schedule.

a. exploring one's body.

The mother of a 3-year-old is considering the following purchases as a birthday present. Which toy would the nurse suggest as the most age appropriate choice? a. Memory games. b. Pounding bench. c. 100-piece jigsaw puzzles. d. Bicycle with training wheels.

b. Pounding bench.

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 often removes her shoes and socks. a. The child frequently repeats words parents just said. b. The child hides behind her bedroom door when defecating. c. The toddler walks with a wide, swaying gait. d. The child removes her own shoes and socks.

b. The child hides behind her bedroom door when defecating.

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? a. "He wasn't bothered by the paint smell." b. "He was licking the dishwashing soap." c. "He doesn't respond if I wave to him." d. "I dropped a pan behind him and he cried."

c. "He doesn't respond if I wave to him."

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 place our child in time-out for 5 minutes after the tantrum." b. "We will offer our child a treat to stop having the tantrum." c. "We will ignore our child while having the tantrum." d. "We will attempt to reason with our child to limit tantrums."

c. "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. A sense of control can be provided through offering limited choices. b. Aggressive behaviors such as hitting and biting are common in toddlers. c. A regular routine and rituals will provide stability and security. d. Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly.

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

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

c. Autonomy versus shame and doubt.

The nurse is teaching the parent of a 2-year-old about age-appropriate toys. Which would be of most interest plus stimulating to the growth and development? a. Offering the child a variety of large stuffed toys. b. Giving the child a toy vacuum cleaner. c. Giving the child bowls, pot, pans, and large spoons. d. Providing a brightly colored plastic bucket and shovel.

c. Giving the child bowls, pot, pans, and large spoons.

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. there may be undue stress in your child's life. c. this is a normal and expected activity best treated matter-of-factly. d. toilet teaching places much focus on the genitals.

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

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. "Our time-out chair is in the master bedroom so my child cannot see anyone else in the family." b. "My child is 3 years old now and I put my child in time-out for 5 to 10 minutes when misbehaving." 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."

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. Give the toddler small household chores to do. c. Help the toddler learn to count. d. Allow the toddler to make simple decisions.

d. Allow the toddler to make simple decisions.

The nurse is assessing 2-year-old twins. The parent states, "My twins will not play together, only alongside each other." Which action will the nurse take first? a. Determine when this form of play was first noted. b. Encourage the toddlers to play to allow for observation. c. Document the finding in the medical records. d. Explain that this is normal behavior for toddlers.

d. Explain that this is normal behavior for toddlers.

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

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

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

d. has persistent separation anxiety.