PN108 PrepU Chapter 24
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?
Advising them to use praise, not scolding
A toddler insists on brushing his own teeth and being left alone in the bathtub. What advice would you give his parents regarding this?
Helping with his own tooth brushing allows him to experience autonomy.
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?
Stands alone
A 15-month-old boy has been brought to the clinic because he is pale and listless. Iron deficiency anemia is suspected. The nurse interviews the mother about the child's diet. Which of the following would the nurse identify as possible contributing factor?
The child drinks 4 cups of milk per day
Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching?
Reasoned with the child to stop the behavior
The best way for parents to aid a toddler in achieving his developmental task would be to:
allow him to make simple decisions.
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").
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 hides behind her bedroom door when defecating.
What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition?
"I give my daughter juice at breakfast and when she is thirsty during the day."
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?
The need for separation and control
A nurse is talking with the mother of a 2 ½ -year-old who is starting toilet training. The nurse determines that the child is the stage of toilet learning when the mother states which of the following? Select all that apply.
'He says he wants to wear "big-boy" pants' "He can pull his pants up and down by himself."
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?
"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."
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."
A nurse is teaching parents of a 2-year-old child about discipline and limit setting. When describing the use of time out, the nurse would inform the parents that the maximum duration of time out should be how many minutes per each year of age?
1 minute
The maximum time-out duration is how many minutes for each year of age?
1 minute
The toddler grows about how many inches in height per year?
3 inches
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.
The parents of a 30-month-old girl have brought her into the emergency department because she had a seizure. During the health history, the nurse suspects the child had a breath-holding spell. Which parental report suggests breath-holding?
A tantrum preceded the event.
The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which safety intervention should the nurse address?
Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the backseat of the car.
While awaiting an appointment at the doctor's office for his 20-month-old daughter, a young father is astonished to see his daughter assume a proper stance and swing a toy golf club in the play area of the waiting room. A nurse also observes the behavior, and the father recalls that his daughter saw him practicing his golf swing in their back yard a few days ago. The nurse explains that this is an instance of which of the following?
Deferred imitation
The mother of a 2-year-old tells you she is constantly scolding him for having wet pants. She says her son was trained at 12 months, but since he started to walk, he wets all the time. Which nursing diagnosis would be most applicable?
Deficient parental knowledge related to inappropriate method for toilet training
A toddler's father is concerned because his son refuses to share. What is your best response concerning this?
This is normal toddler behavior; sharing is learned later.
The nurse is explaining safety precautions for toddlers to the mother of a normal 30-month-old boy. Which activity might the nurse suggest may be done without supervision?
Undressing himself
Once temper tantrums have started, which intervention is appropriate?
Move objects out of the way or move the child to prevent injury.
The way you would advise a toddler's mother to handle temper tantrums would be to:
appear to ignore them.
After teaching a group of parents about language development in toddlers, what if stated by a member of the group indicates successful teaching?
"When my 3-year-old asks 'Why?' all the time, this is completely normal."
The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor skills. Which observation would suggest the child is experiencing a problem with language development?
Her vocabulary is between 10 and 15 words.
During a regular check up 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?
Horizontal brushing technique
A nurse is assisting the parents of 2-year-old who is having temper tantrums. Which of the following would the nurse encourage the parents to do once temper tantrums have started?
Move objects out of the way or move the child to prevent injury
The 18-month-old has most likely attained which gross motor skill?
The ability to walk independently.
A nurse is discussing oral care with the parents of 4-year-old. The nurse determines that the parents are performing this aspect of their child's care appropriately when they state that they use which amount of toothpaste?
Pea-sized
The nurse is teaching the parents of an overweight 18-month-old girl about diet. Which intervention will be most effective for promoting proportionate growth?
Remove high-calorie, low-nutrient foods from the diet.
A father brings his 2-year-old son in for a well visit. The nurse assesses his growth since the last appointment. Which finding should concern the nurse?
Total weight gain of 15 lb in the past year
T/F: The best way for a parent to handle a temper tantrum by a toddler is to calmly express disapproval and then ignore it.
True
T/F: When leaving a child who has separation anxiety, parents should say goodbye firmly, explain that they will return, and then leave promptly.
True
Parents of a 2-year-old girl are having a conversation with the nurse about tantrums. Which technique would the nurse most likely suggest?
Use short "time-outs" and remain calm.
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
During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."
The developmental task of the toddler period, according to Erikson, is achieving a sense of:
autonomy.
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.
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?
The child is unable to push a toy lawnmower.
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."
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:
parallel play.
When childproofing the home for a toddler, the most important thing her parents should consider is to:
put medicine in a locked cupboard.
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.
