Chapter 26: Growth and Development of the Toddler
A mother expresses surprise to the nurse that her daughter has begun masturbating. The mostimportant initial nursing response is that: this is a normal and expected activity best treated matter-of-factly. there may be undue stress in your child's life. toilet teaching places much focus on the genitals. girls as well as boys will masturbate.
this is a normal and expected activity best treated matter-of-factly.
The toddler grows about how many inches (centimeters) in height per year? 5 in (12.5 cm) 1 in (2.5 cm) 3 in (7.5 cm) 7 in (17.5 cm)
3 in (7.5 cm)
The nurse is discussing proper discipline with the parent of a 15-month-old toddler. Which teaching is most important? Only use praise after the child has corrected a wrong behavior. Physical punishment such as spanking is discouraged. Toddlers are unable to follow instructions easily. Rules and limits should be simple and few.
Physical punishment such as spanking is discouraged
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: with seizures, cyanosis rarely develops. seizures are not provoked; temper tantrums are. seizures typically occur with fever; temper tantrums do not. seizures rarely occur in toddlers.
seizures are not provoked; temper tantrums are.
The parent of a 2-year-old client states it is the child's naptime. The child is refusing to take a nap and cries, "I have to put my babies to sleep first!" The parent states, "I am so sorry, I do not know what is wrong. My child does not act this way at home. My child has 2 baby dolls we rock to sleep each day at home before nap." Which response by the nurse is most appropriate? "I am sure your child is just acting out since your child is in the hospital and not at home." "Your child's behavior indicates discipline occurring at home is not consistent." "You need to have someone bring the baby dolls to the hospital." "A 2-year-old child's behavior can be greatly altered if rituals are not maintained."
"A 2-year-old child's behavior can be greatly altered if rituals are not maintained."
In working with the toddler, which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism? "Are you getting hungry and ready for lunch?" "Do you want help getting into your chair so we can have lunch?" "You love having the same food every day. Do you want apples again with lunch?" "It is time for lunch. I am going to put your bib on."
"It is time for lunch. I am going to put your bib on."
The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan? Assure there are no empty buckets in the home/play area that could result in accidental drowning. Utilize a front-facing car seat with appropriate harness straps until at least the age of 24 months. Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach. If the child reaches to touch a firearm, gently slap the child's hand and firmly state 'No.'
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.
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? Remained relatively calm even though embarrassed Reasoned with the child to stop the behavior Made sure the child was rested and not hungry before going to the mall Tried to refocus the child's attention as tantrum behavioral cues appeared
Reasoned with the child to stop the behavior
What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition? "New foods are offered along with ones she likes." "When she doesn't eat well at meals we give her nutritious snacks." "She drinks three 6-ounce cups of whole milk each day." "I give my daughter juice at breakfast and when she is thirsty during the day."
"I give my daughter juice at breakfast and when she is thirsty during the day."
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? "We will ignore our child while having the tantrum." "We will attempt to reason with our child to limit tantrums." "We will offer our child a treat to stop having the tantrum." "We will place our child in time-out for 5 minutes after the tantrum."
"We will ignore our child while having the tantrum."
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. Fruits such as peaches, pears, and kiwi Hard foods such as nuts, raw carrots, and popcorn Sticky foods like peanut butter alone, gummy candies, and marshmallows Round foods such as hot dogs, whole grapes, and cherry tomatoes Vegetables such as corn, green beans, and peas
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
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? Turning on the bath water Undressing himself Eating a mid-afternoon snack Playing in the basement
Undressing himself
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? playing on the picnic table deciding one's bedtime schedule choosing one's own foods exploring one's body
exploring one's body
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? Learning to trust Learning to understand and respond to discipline Learning to speak Learning to act on one's own
Learning to act on one's own
The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child? The child demonstrates separation anxiety. The child follows directions when made one at a time. The child imitates the nurse in use of a stethoscope. The child copies a circle on a piece of paper.
The child demonstrates separation anxiety.
The nurse is assessing speech development in the 2-year-old whose family uses both Spanish and English in the home. What finding is of concern? The parents understand the child much of the time. The toddler speaks 15 words between the two languages. Some words the toddler speaks are a blend of English and Spanish. The child mixes words from the two languages within a sentence.
The toddler speaks 15 words between the two languages.
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. onlooker play. associative play. solitary play.
parallel play.
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? "When my toddler falls down, he or she always wants me to pick him or her up." "My toddler uses the potty chair and is dry all day long." "Every night my toddler follows the same routine at bedtime." "My toddler has temper tantrums when we go to the store."
"My toddler uses the potty chair and is dry all day long."
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. "Establishing a routine for saying goodbye to your toddler will be helpful." "As your toddler begins to learn that you will return the toddler will become less upset." "Your care providers may be frightening to your toddler." "This is actually a regression for your toddler because separation anxiety normally occurs in infancy." "This is a normal happening for a toddler of this age."
"This is a normal happening for a toddler of this age." "As your toddler begins to learn that you will return the toddler will become less upset." "Establishing a routine for saying goodbye to your toddler will be helpful."
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? "Don't worry, your daughter will probably give you very definite signals." "You'll probably notice that your daughter is uncomfortable in wet diapers." "Most children are ready for toilet training by the time they are 18 months old." "Your daughter can understand holding urine and stool by about 1 year of age."
"You'll probably notice that your daughter is uncomfortable in wet diapers."
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? "We use the time-out chair when our child gets tired but does not want to take a nap." "My child is 3 years old now and I put my child in time-out for 5 to 10 minutes when misbehaving." "When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a time-out." "Our time-out chair is in the master bedroom so my child cannot see anyone else in the family."
"When my child starts getting frustrated and aggressive, I remind the child throwing a fit will end up in a 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? "She's well past the age to begin toilet training; most children are ready by age 1, when they have developed the needed nervous system control." "When she starts tugging on a wet or dirty diaper, she is letting you know she's ready." "It is best to wait a little longer, until she is 3; only then will she be socially developed enough to understand what you are asking her to do." "The best time to start toilet training is as soon as the child begins walking."
"When she starts tugging on a wet or dirty diaper, she is letting you know she's ready."
Parents of 3-year-old boy ask the nurse for suggestions on how to deal with their son's nightmares. Which suggestion would be least effective? Try having him sleep with a night-light on in his room. Talk to him that night about the details of the dreams. Search the room to show him that there aren't any monsters. Try reassuring him that it was a dream and not real.
Talk to him that night about the details of the dreams.
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. Maintaining a consistent daily routine can help to reduce tantrums. Tantrums at this age can signal the development of an aggression disorder in a toddler. Ignoring the behavior is often helpful in reducing the duration of the tantrum. Tapping the toddler on the hands and voicing displeasure in the toddler's actions can successfully interrupt the behavior. Tantrums are a common occurrence for a toddler of this age.
Tantrums are a common occurrence for a toddler of this age. Maintaining a consistent daily routine can help to reduce tantrums. Ignoring the behavior is often helpful in reducing the duration of the tantrum.
The nurse is assessing a healthy 2-year-old client. Which assessment finding most concerns the nurse? The child is pointing to named body parts The child can stand on tiptoe The child has difficulty with stairs The child speaks in one-word sentences
The child speaks in one-word sentences
The nurse is assessing a healthy 2-year-old client. Which assessment finding most concerns the nurse? The child is pointing to named body parts The child speaks in one-word sentences The child has difficulty with stairs The child can stand on tiptoe
The child speaks in one-word sentences
The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene? The family's medications are located in a kitchen drawer. The toddler in not allowed in the kitchen while food is being prepared. All of the windows in the home are locked. The toddler goes to the bathroom alone to urinate.
The family's medications are located in a kitchen drawer.
The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene? The toddler in not allowed in the kitchen while food is being prepared. The family's medications are located in a kitchen drawer. The toddler goes to the bathroom alone to urinate. All of the windows in the home are locked.
The family's medications are located in a kitchen drawer.
A pediatric nurse is providing care to several children. The nurse is reviewing the assessment findings for each of the children. Which finding requires the nurse to intervene? 9-month-old infant who can pull self up to a standing position 24-month-old toddler who engages in parallel play 14-month-old toddler who walks with a parent's assistance 3-year-old preschool-aged child who goes up stairs on hands and knees
3-year-old preschool-aged child who goes up stairs on hands and knees
The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this? Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly. A sense of control can be provided through offering limited choices. Aggressive behaviors such as hitting and biting are common in toddlers. A regular routine and rituals will provide stability and security.
A regular routine and rituals will provide stability and security.
The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse learns that the toddler was frustrated and angry immediately preceding the seizure. The nurse suspects the toddler had a breath-holding spell. Which parental report suggests breath-holding? The event took place during a nap. A tantrum preceded the event. The toddler was lethargic afterward. The toddler became unconscious.
A tantrum preceded the event
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: Trust versus mistrust Autonomy versus shame and doubt Industry versus inferiority Initiative versus guilt
Autonomy versus shame and doubt
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: Trust versus mistrust Initiative versus guilt Industry versus inferiority Autonomy versus shame and doubt
Autonomy versus shame and doubt
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson? Autonomy versus shame and doubt Initiative versus guilt Industry versus inferiority Trust versus mistrust
Autonomy versus shame and doubt
Which suggestion by the nurse meant to promote good dental health in the 15-month-old is inappropriate? Avoid grazing (continual snacking) throughout the day. Wean the child from the bottle. Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste. Arrange for your child's first dental visit as soon as possible.
Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste.
The parent of a 2-year-old toddler tells the nurse she needs to constantly scold the toddler for having wet pants. The parent says the toddler was potty trained at 12 months, but since starting to walk, the toddler wets the pants all the time. Which nursing diagnosis would be most applicable? Total urinary incontinence related to delayed toilet training Ineffective coping related to lack of self-control of 2-year-old toddler Excess fluid volume related to inability to control urination Deficient parental knowledge related to inappropriate method for toilet training
Deficient parental knowledge related to inappropriate method for toilet training
The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? Occupying the toddler's time while the parents are meeting with the physician Distracting the toddler from expending too much energy with active playing Utilizing clinical time when the unit is not busy Developing a trusting relationship with the nurse
Developing a trusting relationship with the nurse
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? Ask the parent if the child has been ill recently. Refer the child to a developmental specialist for evaluation. Explain that children can take their first steps as late as 18 months of age. Explain that the child could start walking any day.
Explain that children can take their first steps as late as 18 months of age.
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? Encourage the toddlers to play to allow for observation. Document the finding in the medical records. Determine when this form of play was first noted. Explain that this is normal behavior for toddlers.
Explain that this is normal behavior for toddlers.
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? Continue to correct him because he needs discipline. Saying no is your son's way of trying to exert his independence and is expected. This is a normal part of toddlerhood. You may need to lessen the amount of correction being given to the child as he seems to be responding to feeling "overly restricted".
Saying no is your son's way of trying to exert his independence and is expected.
The parents of an overweight 2-year-old boy admit that their child is a bit "chubby," but argue that he is a picky eater who will eat only junk food. Which response by the nurse is best to facilitate a healthier diet? "Calorie requirements for toddlers are less than infants." "Serve only healthy foods. He'll eat when he's hungry." "You may have to serve a new food 10 or more times." "Give him more healthy choices with less junk food available."
"Give him more healthy choices with less junk food available."
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 wasn't bothered by the paint smell." "He doesn't respond if I wave to him." "He was licking the dishwashing soap." "I dropped a pan behind him and he cried."
"He doesn't respond if I wave to him."
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." "Co-sleeping is viewed acceptable by some professionals, but as interfering with the child's independence by others." "I will note this in your child's chart for the doctor to see." "Have you thought about just trying to let your child sleep in his own bed to see how it goes?"
"It must be difficult for the two of you to both feel strongly about what is best for you and your child."
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. "Make a statement instead of asking a question." "Use time-out every other time she tells you no." "Limit the number of questions you ask of her." "Offer her two options from which to choose." "Offer her something she would like, such as ice cream, to distract her."
"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."
What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums? Mimic the toddler's behavior by also holding the breath Distract the toddler with a toy when the toddler begins holding the breath Promise the toddler a special activity if the toddler will stop Appear to ignore the toddler
Appear to ignore the toddler
A single mother with three young children is reluctant to leave her crying and upset 16-month-old daughter overnight in the hospital but needs to go home to care for the other children. Which suggestion from the nurse will best address the fears and concerns of both the child and mother? Tell both the mother and child that the child will be carefully guarded and won't be in as much danger as she might be if she were home exploring her environment. Remind them staying in the hospital now will help the child get well quicker and be home soon, but the other children should not be alone. Encourage the mother to give the child a personal item of the mother's to hold on to until she returns and to tell the child a specific time she will return, such as "when breakfast comes in the morning." Distract the child with a special blanket, stuffed animal, or other "lovey" from home while the mother quietly slips out.
Encourage the mother to give the child a personal item of the mother's to hold on to until she returns and to tell the child a specific time she will return, such as "when breakfast comes in the morning."
A toddler's mother reports that her child will only eat peanut butter and jelly sandwiches for several days in a row. The child will then refuse to eat them for several weeks. Which term would the nurse use to document this behavior? Egocentrism Physiologic anorexia Food jag Echolalia
Food jag
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? Include dark greens and spinach in her meals. Give her slices of cheddar cheese as a snack. Use unsweetened applesauce as a dessert. Offer chocolate milk to increase milk 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? Goes from calm to tantrum suddenly Has persistent separation anxiety Sucks his thumb periodically Is unable to share toys with others
Has persistent separation anxiety
Once a temper tantrum has started, which intervention is appropriate? Have a long talk with the toddler regarding the tantrum. Engage the toddler's behavior. Speak to the toddler during the tantrum. Move objects out of the way or move the toddler to prevent injury.
Move objects out of the way or move the toddler to prevent injury.
The parents of a 2-year-old boy report to the nurse that their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child? Encouraging the parents to eat a variety of wholesome foods themselves. Advising the parents to minimize distractions at mealtime. Offering a variety of foods along with the foods the child likes. Assuring the parents that food jags are normal, and they can be honored safely.
Offering a variety of foods along with the foods the child likes.
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 prioritizeto help older siblings, especially toddlers, understand the change in the family dynamics? Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant. Move the toddler to a new bedroom with a "grown-up-bed." Have a grandparent or another special adult in the child's life take the toddler on an errand or a special visit. Plan time for the secondary caregiver to focus on the toddler while the primary caregiver focuses on the infant.
Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.
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? Watching a movie with other children their age Pretending to be mommies and daddies in the play house Painting pictures in the art corner of the room Playing with the plastic vacuum cleaner and pushing it around the room
Playing with the plastic vacuum cleaner and pushing it around the room
The nurse is providing education to a teen mother about her 20-month-old daughter's growth. The teen says her daughter seems to have such a big head. What information should the nurse include in the response? Explain that the child looks normal. Share that the heads of children at this age are large in proportion to the rest of their body. Some children have large heads but that does not signal a problem. Teach the mother that this larger head than body appearance will be this way until the child is about 6 years old.
Share that the heads of children at this age are large in proportion to the rest of their body.
The nurse is assessing the language development of a 3-year-old girl. Which finding would suggest a problem? Speaks in 2- to 3-word sentences Makes simple conversation Tells the nurse she saw Na-Na today Tells the nurse her name
Speaks in 2- to 3-word sentences
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. Tantrums are a common occurrence for a toddler of this age. Tapping the toddler on the hands and voicing displeasure in the toddler's actions can successfully interrupt the behavior. Ignoring the behavior is often helpful in reducing the duration of the tantrum. Maintaining a consistent daily routine can help to reduce tantrums. Tantrums at this age can signal the development of an aggression disorder in a toddler.
Tantrums are a common occurrence for a toddler of this age. Maintaining a consistent daily routine can help to reduce tantrums. Ignoring the behavior is often helpful in reducing the duration of the tantrum
The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child? The child demonstrates separation anxiety. The child imitates the nurse in use of a stethoscope. The child copies a circle on a piece of paper. The child follows directions when made one at a time.
The child demonstrates separation anxiety.
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. The toddler walks with a wide, swaying gait. The child frequently repeats words parents just said. The child often removes her shoes and socks.
The child hides behind her bedroom door when defecating.
A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern? This is normal toddler behavior; sharing is learned later. Play time with other toddlers should be cut back until your toddler learns to share. The toddler is probably reacting to some family crisis. Behavior modification techniques can change the toddler's behavior.
This is normal toddler behavior; sharing is learned later.
A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess? Verbalization of 4 to 6 words Use of a two-word noun-verb sentence Ability to name one color Knowledge of full name
Use of a two-word noun-verb sentence
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? Talks about a past event Uses two-word sentences or phrases Half of speech understood by outsider Asks "why" often
Uses two-word sentences or phrases
A nurse is presenting a class on toilet training to a group of parents with toddlers. Which information would the nurse include in the class? Select all that apply. Using training pants that slide down easily and quickly Praising the child when he or she urinates or defecates Putting the child on the potty chair at regular intervals during the day Keeping the child on the potty chair for as long as necessary Allowing at least 6 weeks to prepare the child psychologically for the training
Using training pants that slide down easily and quickly Praising the child when he or she urinates or defecates Putting the child on the potty chair at regular intervals during the day
The mother of an 18-month-old girl voices concerns about her child's social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated? "Does your child have opportunities to socialize much with other children?" "It is normal for children to engage in play alongside other children at this age." "Perhaps you should consider a preschool to promote more socialization opportunities." "Has your child displayed any aggressive tendencies toward other children?"
"It is normal for children to engage in play alongside other children at this age."
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? "We will place our child in time-out for 5 minutes after the tantrum." "We will offer our child a treat to stop having the tantrum." "We will ignore our child while having the tantrum." "We will attempt to reason with our child to limit tantrums."
"We will ignore our child while having the tantrum."
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? "Once discharged, your child will quickly learn to use the toilet again." "Why do you believe your child is refusing to use the potty?" "Your child is experiencing regression as a result of stress." "Do not worry. This is a normal response to being in the hospital."
"Your child is experiencing regression as a result of stress."
The mother of an 18-month-old girl voices concerns about her child's social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated? "Perhaps you should consider a preschool to promote more socialization opportunities." "Does your child have opportunities to socialize much with other children?" "Has your child displayed any aggressive tendencies toward other children?" "It is normal for children to engage in play alongside other children at this age."
"It is normal for children to engage in play alongside other children at this age."
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? "Why do you believe your child is refusing to use the potty?" "Your child is experiencing regression as a result of stress." "Do not worry. This is a normal response to being in the hospital." "Once discharged, your child will quickly learn to use the toilet again."
"Your child is experiencing regression as a result of stress."
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. What should the nurse say to the parents? "Has your daughter started turning book pages on her own yet." "I notice your daughter is using her index finger to point. This is something we should tell the doctor." "How long has your daughter used her index finger to point to objects?" "Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger."
"Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger."
The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan? Assure there are no empty buckets in the home/play area that could result in accidental drowning. Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach. If the child reaches to touch a firearm, gently slap the child's hand and firmly state 'No.' Utilize a front-facing car seat with appropriate harness straps until at least the age of 24 months.
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.
The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan? Utilize a front-facing car seat with appropriate harness straps until at least the age of 24 months. If the child reaches to touch a firearm, gently slap the child's hand and firmly state 'No.' Assure there are no empty buckets in the home/play area that could result in accidental drowning. Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.
