Growth and development part 2

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A 15-month-old toddler is brought to the pediatrician's office for a well-child checkup and the nurse is reviewing health promotion with the family. What recommendations would the nurse make to the family to help ensure the child's health? Select all that apply.

Keep all medications locked up and out of reach for the child. Turn the hot water heater temperature down to 120°F (48.9°C). Never allow the child to ride in the car unless he is secured in a car seat.

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?

Learn to act on ones own

A parent is giving the toddler a tub bath. What behavior is ​not​ recommended by healthcare personnel regarding bathing?

Let the toddler take bubble baths and play in the bubbles.

Which statement by a parent would ​best​ prepare the toddler for the parent's return if the parent must leave the hospital?

"I will be back after you eat your dinner and SpongeBob goes off.

A mother calls the pediatrician's office upset because her toddler has begun acting out now that the new baby is home. He wants to have a bottle like the newborn and has begun to have accidents in his pants. Which statement by the nurse would ​best ​address this problem?

"Set aside time to spend one-on-one with your older child and make him understand that he is still loved and very special."

he caregivers of a 2-year-old are concerned the child is not learning how to share and play well with other children. While acknowledging their concern and devotion, the nurse should point out which activity would be ​best​ for this child's developmental level?

Mowing the lawn with a toy lawnmower

The nurse is preparing to assess a 2-year-old at a well-child visit and notes the child was 22 lbs (9.98 kg) and 24 in (60.96 cm) tall at 1 year old. The nurse determines the child is following a normal pattern of growth after obtaining which set of current measurements?

30 lbs (13.60 kg) and 27 in (68.58 cm) tall

Every time a toddler's mother asks her a question, the response is "No!" regardless of what the mother asks the child. What would the nurse recommend to the mother to help alleviate this behavior?

Allow the child choices when asking questions such as "Do you want to wear the red or the blue top?"

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? Select all that apply.

Consistency in the rules is important so the child understands what is expected. If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. Even at this young age, children need boundaries.

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most​ beneficial to assist the toddler in adapting to the hospital?

Follow the child's home routines as much as possible while in the hospital.

Parents are beginning potty training their 2-year-old child and seek advice from the nurse on how to be successful in this endeavor. Which statement by the parents indicates that further teaching is needed?

He wants to accompany me to the bathroom but I prefer to go alone."

A mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg) and grown 2.5 in (6.25 cm) since his last visit a year ago. How should the nurse respond to this mother's concerns?

Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.

A 2-year-old child is reported to be a "picky eater" by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? Select all that apply

Offer small portions of 1 to 2 teaspoons to the child. Mealtime for a toddler should not exceed 20 minutes. Do not use sweets as a reward for cleaning their plate.

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 ​prioritize​ to 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.

A first-time parent asks the nurse what toys would be appropriate for her son's second birthday next month. What recommendations would be nurse make?

Play lawn mower

A mother tells the nurse that her toddler does not want to go to bed at night and keeps getting back up when she is put to bed. What recommendations would the nurse make to this mother to foster sleep in the toddler?

Read the child a book in bed and take time to calm the child down before turning out the lights.

A 2-year-old child is shopping with her mother when she suddenly falls to the ground and begins to scream, "I want it!" over and over regarding a bag of candy. What would the nurse recommend to the mother to deal with this behavior? Select all that apply.

Remain calm and ignore the tantrum. Do not reward the behavior by giving into the toddler's demands and buying the candy. Pick the toddler up and move her to a safe environment but do not give in to her desires.

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?

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."


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