CHILD 4 - G+D TODDLER
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 child hides behind her bedroom door when defecating. b) The child often removes her shoes and socks. c) The child frequently repeats words parents just said. d) The toddler walks with a wide, swaying gait.
A
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? a) "My child uses the potty chair and is dry all day long." b) "My child has temper tantrums when we go to the store." c) "When my child falls down, he always wants me to pick him up." d) "Every night my child follows the same routine at bedtime."
A
Question: Nursing students are reviewing developmental milestones for toddlers. They demonstrate understanding of these milestones when they put them in the proper sequence. Place the milestones in their proper sequence from earliest to latest. 1 Name one color 2 Engage in parallel play 3 Creep up stairs 4 Name one body part 5 Run and jump in place
3, 5, 4, 2, 1
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: a) seizures are not provoked; temper tantrums are. b) seizures typically occur with fever; temper tantrums do not. c) with seizures, cyanosis rarely develops. d) seizures rarely occur in toddlers.
A
A 3 ½-year-old girl is admitted to the hospital with a severe respiratory infection. The parents tell the nurse that they have noticed that their child has been using "baby talk" and has been wetting the bed. The parents are concerned and ask the nurse what they should do. How should the nurse respond? a) "It is normal for children to regress during a stressful event like a hospitalization. Just praise her good behavior and don't give attention to the regressive behavior." b) "I think it would be a good idea if you talked with your child to determine if there is anything that is bothering her." c) "There may be some underlying issues with developmental milestones. We should talk to the pediatrician about this." d) "It's advisable to discipline your child if she is displaying behaviors that are not typical of her daily routines so that she won't continue this behavior at home."
A
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? a) "The digestive tracts of toddlers are not totally mature causing this to happen." b) "A mild stool softener may help with this." c) "This is not something to worry about." d) "Your child may be eating foods that are too harsh for his digestive system."
A
A group of students is reviewing material about ways parents can help to foster a child's self-esteem. The students demonstrate a need for additional studying when they identify which method as promoting self-esteem? a) Limiting the choices and decisions that the child makes b) Acting as a coach rather than a cheerleader c) Using positive reinforcement while limiting criticism d) Showing respect and support to the child
A
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) "Most children are ready for toilet training by the time they are 18 months old." c) "Your daughter can understand holding urine and stool by about 1 year of age." d) "Don't worry, your daughter will probably give you very definite signals."
A
A mother who is returning to work outside the home has found a day care center close to her office and is eager to have her 15-month-old son placed there so he can be close by. The center will only take children who are potty-trained. The mother asks the nurse for advice about how to persuade her son to use the potty. What would be the most appropriate response for the nurse to give to this mother? a) "Wait a few more months until your son has more muscle control and shows signs that he's ready to be potty trained." b) "Get your son a potty chair and have him sit on it for a few minutes each day." c) "Encourage your son to watch his older siblings use the toilet." d) "Each time you change his diaper, tell your son how important and fun it is to use the potty chair."
A
A toddler's father is concerned because his son refuses to share. What is your best response concerning this? a) This is normal toddler behavior; sharing is learned later. b) Behavior modification techniques can change the child's behavior. c) His son is probably reacting to some family crisis. d) Play time with other children should be cut back until he learns to share.
A
In working with the toddler, which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism? a) "It is time for lunch, I am going to put your bib on." b) "You love having the same food every day, do you want apples again with lunch?" c) "Are you getting hungry and ready for lunch?" d) "Do you want help getting into your chair so we can have lunch?"
A
The best way for parents to aid a toddler in achieving his developmental task would be to: a) allow him to make simple decisions. b) urge him to dress himself completely alone. c) help him learn to count. d) give him small household chores to do.
A
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? a) "When she starts tugging on a wet or dirty diaper, she is letting you know she's ready." b) "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." c) "The best time to start toilet training is as soon as the child begins walking." d) "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."
A
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? a) "It is normal for children to engage in play alongside other children at this age." b) "Does your child have opportunities to socialize much with other children?" c) "Perhaps you should consider a preschool to promote more socialization opportunities." d) "Has your child displayed any aggressive tendencies toward other children?"
A
The nurse is caring for a 17-month-old child admitted to the acute care facility. The child is fretful and becomes calmer when given a tattered blanket from home. What inference can be made about the child's behavior in response to receiving the blanket? a) The ability of the child to soothe herself is a positive sign of development. b) The child is likely tired and has managed to "cry it out". c) No inferences can be made from the child's behavior. d) The child is likely neglected and best obtains comfort from objects rather than human contact.
A
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson? a) Autonomy versus shame and doubt b) Industry versus inferiority c) Trust versus mistrust d) Initiative versus guilt
A
The nurse is discussing proper discipline with the mother of a 15-month-old boy. Which statement is most important? a) Never spank the child for any reason. b) Toddlers are unable to learn rules easily. c) Use praise when the child is doing something right. d) Rules and limits should be simple and few.
A
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 doesn't respond if I wave to him." b) "I dropped a pan behind him and he cried." c) "He wasn't bothered by the paint smell." d) "He was licking the dishwashing soap."
A
The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful? a) Ask the child questions as you read. b) Read a different book if he knows the story. c) Keep story time a reward for being good. d) Have the child sit still during the story.
A
The way you would advise a toddler's mother to handle temper tantrums would be to a) appear to ignore them. b) distract him with a toy when he begins breath holding. c) mimic his behavior by also holding her breath. d) promise him a special activity if he will stop.
A
What statement by the mother of a 20-month-old indicates a need for further teaching about nutrition? a) "I give my daughter juice at breakfast and when she is thirsty during the day." b) "New foods are offered along with ones she likes." c) "She drinks three 6-ounce cups of whole milk each day." d) "When she doesn't eat well at meals we give her nutritious snacks."
A
When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old? a) He should speak in two-word sentences ("Me go"). b) He should say two words plus "ma-ma" and "da-da." c) He should be able to count out loud to 20. d) He should say 20 nouns and 4 pronouns.
A
Which action is appropriate to enhance a child's self-esteem? a) Include the child in activities that interest the adult. b) Utilize negative criticism as well as positive reinforcement. c) Avoid applauding for unsuccessful attempts. d) Utilize belittling techniques as opposed to time-outs.
A
The nurse is writing a care plan for the nursing diagnosis "Knowledge deficit related to proper seat belt use, as evidenced by improper buckling of seat belt." Choose goals that are appropriate for this diagnosis. Select all that apply. a) The parents will demonstrate the proper use of a car seat with a harness strap for the child under the age of 2. b) The parents will voice an understanding that in trucks the car seat will be placed in the back seat. c) The parents will demonstrate the proper use of the seat belt for securing the child car seat. d) The parents will voice an understanding that the child should not sit in the front seat of the vehicle. e) The parents will voice an understanding that a rear-facing car seat should be used until at least the age of 2.
A, B, C, D, E
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. a) "Offer her two options from which to choose." b) "Make a statement instead of asking a question." c) "Use timeout every other time she tells you no." d) "Limit the number of questions you ask of her." e) "Offer her something she would like, such as ice cream, to distract her."
A, B, D
The parents of a 3-year-old tell the nurse that their child constantly says "no" to everything and they are very frustrated. They ask the nurse what they should do. Which responses by the nurse are appropriate? Select all that apply. a) "Giving your child choices instead of posing "yes" or "no" questions may decrease the "no" response." b) "This is normal for this age. If measures to stop this behavior don't work, you should make the decision for your child on move on with whatever activity is occurring." c) "An occasional light spank on the bottom is often helpful when your child continually says 'no'." d) "Have you tried using "time-outs" for negative behavior?" e) "Asking your child the reason why most responses are 'no' might help you understand this negative behavior."
A, B, D
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. a) Cheese b) Orange slices c) Cookies d) Pieces of apples e) Yogurt
A, B, D, E
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. a) Putting the child on the potty chair at regular intervals during the day b) Praising the child when he or she urinates or defecates c) Keeping the child on the potty chair for as long as necessary d) Allowing at least 6 weeks to prepare the child psychologically for the training e) Using training pants that slide down easily and quickly
A, B, E
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) Hard foods such as nuts, raw carrots, and popcorn b) Vegetables such as corn, green beans, and peas c) Round foods such as hot dogs, whole grapes, and cherry tomatoes d) Fruits such as peaches, pears, and kiwi e) Sticky foods like peanut butter alone, gummy candies, and marshmallows
A, C, E
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? a) Increase in height of 5 inches in the past year b) Total weight gain of 15 lb in the past year c) Forward curve of the spine at the sacral area d) Prominent abdomen
B
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? a) "We use the time-out chair when our son gets tired but doesn't want to take a nap." b) "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." c) "Our time-out chair is in the master bedroom so she can't see anyone else in the family." d) "She is two years old now and I put her in time out for five to 10 minutes when she misbehaves."
B
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? a) "It is not normal for toddlers to lose their appetites; spoon feed him yourself to make sure he gets proper nutrition." b) "It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate." c) "It is normal for toddlers to lose their appetites; try weaning him all at once so that he will be more interested in the solid food." d) "It is not normal for toddlers to lose their appetites; have him tested for a gastrointestinal condition."
B
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? a) "Make sure to have your child securely fastened in a car seat." b) "Keep all cleaning products and drugs out of the reach of your child." c) "Have your child wear a helmet when beginning to ride a tricycle." d) "Turn the handles of your pots away from the edge of the stove when cooking."
B
A toddler's "no" can best be eliminated by asking a question instead of making a statement. a) True b) False
B
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: a) ask no further questions of him. b) give him secondary, not primary, choices. c) tell him never to say, "No" again. d) pretend she does not hear him.
B
According to Eric Erikson, the developmental task of the toddler is developing autonomy. What describes Erikson's psychosocial development task for the toddler? a) Learning to understand and respond to discipline b) Learning to act on one's own c) Learning to speak d) Learning to trust
B
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: a) "I'll wash his hair everyday with just plain soap." b) "It might be best to give him a bath in the evening." c) "I can use bubble baths to lure him into the tub." d) "I'll drain the tub while he's still in it so he won't fall."
B
Parents of a 2-year-old girl are having a conversation with the nurse about tantrums. Which technique would the nurse most likely to suggest? a) Promise a reward if she behaves. b) Use short "time-outs" and remain calm. c) Vary the response based on the situation. d) Tell her she is bad and will be punished.
B
The best way for a parent to handle a temper tantrum by a toddler is to calmly express disapproval and then ignore it. a) False b) True
B
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? a) Physiologic anorexia b) Echolalia c) Food jag d) Egocentrism
C
The caregivers of a 2 ½-year-old tell the nurse that they are working hard to teach her to share and communicate with other children. The nurse recognizes and acknowledges their devotion, but explains to them that a child this age is probably not at a developmental level to play and share with other children. Which activity would the nurse recommend as the most appropriate activity for a 2 ½-year-old? a) Looking at large print magazines b) Mowing the lawn with a toy lawnmower c) Throwing a baseball-sized ball d) Sharing finger paints and painting with the caregiver
B
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? a) She uses complete 3- to 4-word sentences. b) Her vocabulary is between 10 and 15 words. c) She asks many questions. d) She talks incessantly.
B
The nurse is assessing a 3-year-old child. The nurse notes the child is able to understand that objects hidden from sight still exist. The nurse correctly documents the child is displaying: a) mental combinations. b) object permanence. c) concrete thinking. d) preoperational thinking.
B
The nurse is caring for a 16-month-old child on the pediatric unit. The child's mother is a single mother who has two other young children at home. She must leave her 16-month-old daughter overnight in the hospital. Which action by the nurse will be most appropriate in helping the child feel secure and in reassuring this mother? a) Distract the child with a special blanket, stuffed animal, or other "lovey" from home while the mother quietly slips out. b) Encourage the mother to give her daughter 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." c) Remind the child and mother that by staying in the hospital now the child will get well and be home again soon, and that the other children also need their mother. d) 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.
B
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? a) Points to pictures in books when asked b) Understands approximately 200 words c) Inability to point to named body parts d) Inability to talk with the nurse about something that happened a few days ago
B
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? a) Turning on the bath water b) Undressing himself c) Eating a midafternoon a snack d) Playing in the basement
B
The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem? a) Goes from calm to tantrum suddenly b) Has persistent separation anxiety c) Is unable to share toys with others d) Sucks his thumb periodically
B
The nurse is reviewing the family medical history of a 2-year-old. The nurse notes that the mother has been diagnosed with depression. Based on this diagnosis, which assessment finding would be of most concern to the nurse? a) The child is pointing to named body parts. b) The child is not using sentences of two or three words. c) The child can stand on tiptoe. d) The child has difficulty with stairs.
B
The parents of a 3-year-old boy have asked the nurse for advice about a preschool for their child. Which suggestion is most important for the nurse to make? a) "Look for a preschool that is clean and has a loving staff." b) "The staff should be trained in early childhood development." c) "Make sure that you can easily get an appointment to visit." d) "Check to make sure your child can attend with the sniffles."
B
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) The child was lethargic afterward. b) A tantrum preceded the event. c) The event took place during a nap. d) The child became unconscious.
B
When leaving a child who has separation anxiety, parents should say goodbye firmly, explain that they will return, and then leave promptly. a) False b) True
B
Which gross motor developmental milestone is least likely for a 2 year old? a) Climbs b) Rides a tricycle c) Stands on one foot with help d) Jumps in place
B
The student nurse is preparing a presentation on normal physical growth for toddlers. What information should the student include? Select all that apply. a) The anterior fontanel should be closed by the time the child is 24 months old. b) Head size becomes more proportional to the rest of the body near 3 years. c) Toddlers generally reach half of their adult height by 3 years of age. d) Toddlers gain height and weight in spurts. e) The average weight gain is 3 to 5 pounds per year.
B, D, E
A mother expresses surprise to the nurse that her toddler daughter has begun masturbating. The most important initial nursing response is that: a) Toilet teaching places much focus on the genitals. b) There may be undue stress in your toddler's life. c) This is a normal and expected activity best treated matter-of-factly. d) Toddler girls as well as boys will masturbate.
C
A nurse is teaching the parents of a toddler how to handle the child's temper tantrums. The nurse determines that the teaching was successful when the parents state this is as an appropriate response to the tantrum. a) "I'll give you a hug if you stop right away." b) "I can kick as hard as you do." c) "I'll be in the kitchen. When you're done, you can come in, too. d) "If you stop screaming, you can have a cookie."
C
A toddler insists on brushing his own teeth and being left alone in the bathtub. What advice would you give his parents regarding this? a) His mother should continue to give full care in all aspects. b) Leaving him alone in the bathtub is a good way to encourage autonomy. c) Helping with his own tooth brushing allows him to experience autonomy. d) It is unusual for 2-year-olds to have such strong opinions.
C
During a visit to the pediatric clinic the mother of a 2 -ear-old tells the nurse that her husband is concerned that their son isn't potty trained yet. The mother states, "There is no way he could be potty trained. His bladder is too small." How should the nurse respond? a) "You should talk to the physician about your son not being potty-trained in case there are issues preventing him from being able to control his urine flow." b) "Two years old is rather early for a boy to be potty-trained." c) "The bladder of a 2-year-old is actually the size of an adult's bladder, but there are a lot of variables to when a child is potty-trained." d) "Your husband is correct, at the age of 2 your son should have a good amount of urine control."
C
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? a) Asks "why" often b) Talks about a past event c) Uses two-word sentences or phrases d) Half of speech understood by outsider
C
Parents are proud of their toddler's fast-developing fine motor skills. Which skill they describe should the nurse point out as a safety risk? a) Turn book pages b) Hold crayon to write c) Ability to turn knobs d) Put shapes into matching openings
C
The grandmother is the primary caregiver of her 2-year-old granddaughter. She expresses her concern that the child has temper tantrums two or three times a day, often in public places. She explains that she spanked her own children when they did this but now she is worried that spanking is not the best way to handle the situation. Which statement is the mostappropriate regarding dealing with the child who has a temper tantrum? a) "When the child has a tantrum in a public place, warn her that she will be punished when she is back at home then follow through with the punishment." b) "Remind her that she is in a public place and ask her to respect those around her; reward her if she responds by calming herself." c) "Remain calm, pick the child up, and move her to a quiet and neutral place until she gains self-control; don't give in to her demands." d) "Spanking is controversial but sometimes necessary, so use it if it works."
C
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? a) Ineffective coping related to lack of self-control of 2-year-old b) Total urinary incontinence related to delayed toilet training c) Deficient parental knowledge related to inappropriate method for toilet training d) Excess fluid volume related to inability to control urination
C
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? a) Offer chocolate milk to increase milk intake. b) Use unsweetened applesauce as a dessert. c) Give her slices of cheddar cheese as a snack. d) Include dark greens and spinach in her meals.
C
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: a) Industry versus inferiority b) Trust versus mistrust c) Autonomy versus shame and doubt d) Initiative versus guilt
C
The nurse is assessing the language development of a 3-year-old girl. Which finding would suggest a problem? a) Tells the nurse her name b) Makes simple conversation c) Speaks in 2- to 3-word sentences d) Tells the nurse she saw Na-Na today
C
The nurse is observing a play group of children of all ages. The toddlers in the group would most likely be doing which activity? a) Painting pictures in the art corner of the room b) Watching a movie with other children their age c) Playing with the plastic vaccum cleaner pushing it around the room d) Pretending to be mommies and daddies in the play house
C
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? a) Explain that the child looks normal. b) Some children have large heads but that does not signal a problem. c) Share that the heads of children at this age are large in proportion to the rest of their body. d) Teach the mother that this larger head than body appearance will be this way until the child is about 6 years old.
C
The nurse is talking to the mother of a 19-month-old girl about setting limits and supervising activities. In which situation will the nurse recommend letting the child do as she pleases? a) Deciding her bedtime schedule b) Playing on the picnic table c) Exploring her body d) Choosing her own foods
C
The toddler grows about how many inches in height per year? a) 5 inches b) 7 inches c) 3 inches d) 1 inch
C
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) solitary play. b) onlooker play. c) parallel play. d) associative play.
C
Which suggestion by the nurse meant to promote good dental health in the 15-month-old is inappropriate? a) Avoid grazing (continual snacking) throughout the day. b) Arrange for your child's first dental visit as soon as possible. c) Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste. d) Wean the child from the bottle.
C
A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess? a) Knowledge of full name b) Ability to name one color c) Verbalization of 4 to 6 words d) Use of a two-word noun-verb sentence
D
By what age should the child know his/her own gender? a) 4 b) 2 c) 1 d) 3
D
Nursing students reviewing information about discipline demonstrate a need for additional information when they identify what information as correct? a) Discipline helps children know what is expected. b) Discipline involves setting rules. c) When discipline breaks down, the consequence is punishment. d) Discipline and punishment are interchangeable.
D
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? a) Made sure the child was rested and not hungry before going to the mall b) Remained relatively calm even though embarrassed c) Tried to refocus the child's attention as tantrum behavioral cues appeared d) Reasoned with the child to stop the behavior
D
The 18-month-old has most likely attained which gross motor skill? a) The ability to pedal a tricycle. b) The ability to balance on one foot. c) The ability to walk up stairs alone. d) The ability to walk independently.
D
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? a) Continue to correct him because he needs discipline. b) You may need to lessen the amount of correction being given to the child as he seems to be responding to feeling "overly restricted". c) This is a normal part of toddlerhood. d) Saying no is your son's way of trying to exert his independence and is expected.
D
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) Runs to her mother b) Feeds herself with a spoon c) Points to her nose and mouth d) Stands alone
D
The nurse is examining a 2-year-old girl for speech and language development. Which finding would suggest a delay in speech development? a) The child does not speak clearly but shows understanding of what is said. b) The child repeats what the parents say out of context and at random moments. c) The child puts together sentences of two words. d) The child does not use the names of familiar objects.
D
The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child? a) The child copies a circle on a piece of paper. b) The child follows directions when made one at a time. c) The child imitates the nurse in use of a stethoscope. d) The child demonstrates separation anxiety.
D
The nurse is playing a game with a toddler in the hospital room. What is the most important benefit of this nurse-client interaction? a) Utilizing clinical time when the unit is not busy b) Occupying the toddler's time while the parents are meeting with the physician c) Distracting the toddler from expending too much energy with active playing d) Developing a trusting relationship with the nurse
D
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which recommendation should be the most helpful to the parents? a) Giving the child time out for 1 ½ minute b) Ignoring bad behavior and praising good behavior c) Slapping her hand using one or two fingers d) Describing proper behavior when she misbehaves
D
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) Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly. c) Aggressive behaviors such as hitting and biting are common in toddlers. d) A regular routine and rituals will provide stability and security.
D
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? a) "I will note this in your child's chart for the doctor to see." b) "Have you thought about just trying to let your child sleep in his own bed to see how it goes?" c) "Co-sleeping is viewed acceptable by some professionals, but interfering with the child's independence by others." d) "It must be difficult for the two of you to both feel strongly about what is best for you and your child."
D
The nurse is talking with the parents of a newborn who is being discharged following an uneventful delivery. The parents express their excitement about going home but have concerns about what they need to do to help their 2-year-old adjust to the new baby. Which suggestion would be most appropriate for the nurse to offer these parents? a) "You should plan some time for the secondary caregiver to focus on the toddler while the primary caregiver focuses on the infant." b) "It would be good to have a grandparent or another special adult in the child's life take the toddler on an errand or a special visit." c) "It would be helpful to move the toddler to a new bedroom with a "grown-up" bed." d) "You should plan some time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant."
D
The nurse is teaching the mother of a 2-year-old boy about age-appropriate toys. Which would be of most interest plus stimulating to the growth and development of this child? a) Giving the child a toy vacuum cleaner b) Offering the child a variety of large stuffed toys c) Providing a brightly colored plastic bucket and shovel d) Giving the child bowls, pot, pans, and large spoons
D
The nurse is visiting a day care center and watches two toddlers at play. What best describes the play observed? a) Playing for significant stretches of time in one activity b) Sharing stuffed animals c) Sitting quietly with several toys d) Playing alongside one another
D
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? a) Encouraging the parents to eat a variety of wholesome foods themselves b) Assuring the parents that food jags are normal, and they can be honored safely c) Advising the parents to minimize distractions at mealtime d) Offering a variety of foods along with the foods the child likes
D
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) The child became unconscious. b) The child was lethargic afterward. c) The event took place during a nap. d) A tantrum preceded the event.
D
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? a) "Serve only healthy foods. He'll eat when he's hungry." b) "Calorie requirements for toddlers are less than infants." c) "You may have to serve a new food 10 or more times." d) "Give him more healthy choices with less junk food available."
D
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? a) "How long has your daughter used her index finger to point to objects?" b) "I notice your daughter is using her index finger to point. This is something we should tell the doctor." c) "Has your daughter started turning book pages on her own yet?" d) "Your daughter is demonstrating fine motor skills appropriate to her age by pointing with her index finger."
D
