exam 2 ch 30 mat/ped
What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums?
Appear to ignore the toddler
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.
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:
seizures are not provoked; temper tantrums are.
A nurse is assessing a 2 1/2-year old toddler. When inspecting the toddler's teeth, which finding is expected?
20 deciduous teeth
When assessing a 2½ year old, the nurse would expect the toddler to have:
20 deciduous teeth.
The parent of a toddler notices the child plays nicely next to another toddler but does not play with that child. The parent expresses concern about this behavior to the nurse during an examination. Which response by the nurse is appropriate?
"This is called parallel play and is normal for this age group."
A nurse is providing guidance to the parents of a toddler about way to help the child to achieve the developmental task of autonomy. The nurse determines that the teaching was successful based on which parental statement?
"We'll let our child pick from two choices for what to wear."
The nurse had instructed the family of a toddler on home safety during a previous visit. During this current visit, what observation indicates that instruction has been effective?
All windows in the home have locked screens.
Which is the best way for parents to aid a toddler in achieving the developmental task?
Allow the toddler to make simple decisions
The parents of a toddler plan to begin toilet training. Which instruction should the nurse provide to the parents at this time?
Bowel training is easier than urine training.
The parent of a toddler is frustrated because the toddler insists on brushing his own teeth and being left alone in the bathtub. What advice should the nurse provide to the parent about these expectations?
Helping with teeth brushing encourages autonomy.
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?
Deficient parental knowledge related to inappropriate method for toilet training
The mother of a toddler is frustrated because no matter what she asks of the child, the response is "no." What can the nurse suggest to the mother to assist with this problem?
Give the child secondary, not primary, choices.
The nurse sees a 15-month-old at a health maintenance visit. Of the following assessments, which one is generally included in a 15-month checkup?
Height and weight measurements
Which immunization would you anticipate administering to a 15-month old at a health maintenance visit?
MMR
The parents of a toddler are worried that the child is not eating enough because food is always left on the child's plate. What should the nurse encourage the parents to do?
Place smaller amounts on the child's plate.
A mother is concerned that her 2-year-old child is having seizures. The child holds their breath until they pass out when the child wants something the mother does not want the child to have. How should the nurse respond to this mother's concern?
Seizures are not provoked; temper tantrums are.
The parent of a toddler is concerned because the child has taken the wheels off of a toy truck and placed them in a sandbox as stepping stones to walk. What should the nurse explain about this child's behavior?
This is assimilation.
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 should speak in two-word sentences ("Me go").
The toddler should speak in two-word sentences ("Me go").
When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler?
The toddler should speak in two-word sentences ("Me go").
The parent of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the parent about this type of play behavior?
This is parallel play and is expected
The nurse is assessing a toddler's language development. What finding would the nurse interpret as reflecting expected development for a 2-year-old?
a. able to count out loud to 20 d. speaks in two-word sentences using a noun and a verb
A toddler's parents want to begin toilet training. As a rule, the best instruction the nurse could give them is:
bowel training is easier than urine training.
The nurse is preparing to assess a toddler during a routine health maintenance visit. Which assessment will the nurse perform to determine the child's growth milestone?
height and weight
The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe?
toddler not wearing a helmet
