Chapter 30 questions peds

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? A. Talks about a past event B. Half of speech understood by outsider C. Uses two-word sentences or phrases D. Asks "why" often

C. Uses two-word sentences or phrases

The 18-month-old toddler has most likely attained which gross motor skill? A. The ability to walk up stairs alone. B. The ability to pedal a tricycle. C. The ability to walk independently. D. The ability to balance on one foot.

C. The ability to walk independently.

The mother of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the mother about this type of play behavior? A. This is adjacent play and is only seen in school-age children. B. This is premature play and should be stopped. C. This is parallel play and is expected. D. This is peer play and is abnormal.

C. This is parallel play and is expected.

The parents are asking their health care provider to give them some advice on how to start toilet training their toddler. Which information is most appropriate to share with this family? Select all that apply. A. Don't let the child use the potty chair as a place to sit at the play table since it might confuse the child of its purpose. B. Allow the child to sit on the potty chair for up to 30 minutes until the child actually defecates or urinates. C. Praise the child every time the child sits on the potty chair and tries to defecate. D. Begin training with urination since this is the most frequent and costly part of potty training. E. Flush bowel movements right away to keep the child from playing with the stool.

A. Don't let the child use the potty chair as a place to sit at the play table since it might confuse the child of its purpose. C. Praise the child every time the child sits on the potty chair and tries to defecate. D. Begin training with

Parents of a toddler are expressing concern about their child's extreme negativism. Every question is answered with a forceful, "no." Which information would be most appropriate for the nurse to share with this couple about their toddler's negativity? Select all that apply. A. Rather than ask, "Do you want to come to dinner now?" instead state, "It's dinner time. Do you want to drink milk or water with your dinner?" B. With regards to bath time, ask the child "Will you please go get ready to take your bath?" C. This is not only normal for toddlers but demonstrates a positive stage of development. D. After one warning, place the child in time-out if they say "no" again in response to questions. E. This is a step in the child's development toward independence and to take care of his or her own needs.

A. Rather than ask, "Do you want to come to dinner now?" instead state, "It's dinner time. Do you want to drink milk or water with your dinner?" C. This is not only normal for toddlers but demonstrates a positive stage of development. E. This is a step in the child's development toward independence and to take care of his or her own needs.

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: A. parallel play. B. solitary play. C. associative play. D. onlooker play.

A. parallel play.

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. Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly. D. A sense of control can be provided through offering limited choices.

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

A mother brings a 15-month-old child to the clinic for a routine health maintenance visit. Which immunization should the nurse prepare to administer to this child? A. Rinne test B. MMR C. Oral polio D. Hepatitis A

B. MMR

A family has recently moved into the area and is bringing their 18-month-old son in to the office for his first visit. The father is in dusty work clothes and explains that they are in the process of restoring the house they recently moved into, which was built in the 1920s and which had been vacant for many years. The nurse urges the father to have a blood test done on the son. Which of the following is the best rationale for this intervention? A. Risk for ingestion of cleaning products they may have been left out due to the renovation B. Risk for lead paint poisoning due to the age of the house C. Risk for development of diabetes due to all of the high-calorie fast foods the family is consuming while their kitchen is under construction D. Risk for developing tetanus due to all of the construction going on

B. Risk for lead paint poisoning due to the age of the house

A nurse is assessing a 15 month old at a well-child visit. Which actions demonstrate that the child is achieving milestones? Select all that apply. A. Walks up the stairs by holding on to rail B. Understands and follows simple commands C. Demonstrates parallel play D. Scribbles with a crayon E. Climbs down from chair independently F. Uses 4 to 6 words when speaking

B. Understands and follows simple commands D. Scribbles with a crayon F. Uses 4 to 6 words when speaking

A nurse observes a child engaged in parallel play in a nursery. What is an example of parallel play? A. A girl sitting by herself and alternating between playing with a doll for a time and then with a toy truck for a time B. A group of children playing hide and seek on the playground C. A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks D. Two boys playing cooperatively with stuffed animals, pretending that the toys are fighting each other

C. A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks

Which activity would the nurse expect to find in an 18-month-old? A. Carrying a large toy while walking B. Pedaling a tricycle C. Climbing stairs with assistance D. Standing on tiptoes

C. Climbing stairs with assistance

Which gross motor developmental milestone is least likely for a 2-year-old? A. Stands on one foot with help B. Climbing stairs with assistance C. Rides a tricycle D. Jumps in place

C. Rides a tricycle

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. Feeds herself with a spoon B. Runs to her mother C. Stands alone D. Points to her nose and mouth

C. Stands alone

A grandmother who is the primary caregiver of a 2-year-old is expressing concern about how to best handle the temper tantrums that can occur two or three times a day, often in public places. She explains she spanked her own children for this but she is worried this is not the best way to handle the situation. Which response from the nurse will best address this concern? A. "Remind the child that she is in a public place and ask her to respect those around her; reward her if she responds by calming herself." B. "Spanking is controversial but sometimes necessary, so use it if it works." C. "Warn the child that she will be punished when she is back at home then follow through with the punishment." D. "Remain calm, pick the child up, and move to a quiet and neutral place until she gains self-control; don't give in to her demands."

D. "Remain calm, pick the child up, and move to a quiet and neutral place until she gains self-control; don't give in to her demands."

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? A. The toddler walks with a wide, swaying gait. B. The child often removes her shoes and socks. C. The child frequently repeats words parents just said. D. The child hides behind her bedroom door when defecating.

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

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler? A. The toddler should say two words plus "ma-ma" and "da-da." B. The toddler should be able to count out loud to 20. C. The toddler should say 20 nouns and 4 pronouns. D. The toddler should speak in two-word sentences ("Me go").

D. The toddler should speak in two-word sentences ("Me go")