HESI Peds: Toddler
Which instruction is a nurse least likely to provide about nutrition while educating the parent of a 2-year-old child?
"You should enhance the daily sodium intake of your child."
Which developmental milestone related to feeding does a nurse anticipate for a 36-month-old client? Select all that apply.
Beginning to use a fork by holding it in the fist Spilling small amounts of food when using a spoon
A nurse is teaching the parents of a toddler with a recent diagnosis of hemophilia about the disease. What area of the body should the nurse include as the most common site for bleeding?
Joints
Which form of discipline should the nurse recommend for the parents of a toddler-age client who has an easy temperament?
Making sustained eye contact
Which stages would the nurse explain that a toddler goes through, according to Freud's theory? Select all that apply.
Oral Anal
Which social development tasks should the nurse anticipate when assessing a toddler-age client during a health maintenance visit? Select all that apply.
Separation Individuation
A nurse is caring for an 18-month-old toddler. What findings is the nurse likely to notice?
The toddler can hold urine for a period of 1 to 2 hours
Which should the nurse share with the parents of a toddler-age client regarding a predominant change that occurs to the gastrointestinal system during this stage of development?
Voluntary control of elimination
The parent of a 2-year-old child with just-diagnosed cystic fibrosis expresses concern about the child's frailty and low weight. What is the most appropriate reply by the nurse?
"Digestive enzymes will be given to help your child digest food."
The parents of a 2-year-old child who is being admitted to the hospital tell the nurse that their child is accustomed to sleeping with a favorite blanket. What should the nurse do, knowing that the blanket is worn and dirty?
Allow the parents to give it to the child
When teaching the parents of a toddler-age client about normal growth and development, which statements should the nurse include in the teaching session regarding learning through the senses? Select all that apply.
"The toddler often puts new objects in the mouth." "The toddler may inspect a new toy by turning it over." "The toddler will shake a new toy when it is first introduced to the play area."
A 2-year-old child who is hospitalized for repair of tetralogy of Fallot is seen squatting in the playroom. In response to this behavior, what should the nurse do?
Continue to observe the child if there are no other signs of distress
On the third day of a 2-year-old toddler's hospitalization the nurse notes that the child, who had been screaming and crying inconsolably, has begun to regress and is now lying quietly in the crib with a blanket. What stage of separation anxiety has developed?
Despair
Which statement should the nurse make when providing information to the parent of a toddler-age client who calls the pediatric clinic after dropping a mercury thermometer at home?
clean up the spill using paper towels and disposable gloves
Which intervention should the nurse include in the plan of care for a toddler-age client whose lead level is 18 mcg/dL?
Drawing labs at 1 month and then every 3 to 4 months
Which assessment data would cause the nurse to initiate treatment for a potential aspirin overdose for a toddler-age child who presents in the emergency department (ED)? Select all that apply.
Emesis Nausea Tinnitus
A toddler in the pediatric intensive care unit is on a ventilator. One of the nurses asks what should be done when condensation collects in the ventilator tubing. How should the nurse manager respond?
Empty the fluid and reconnect the tubing to the ventilator
Which assessment data indicates that a toddler-age client is experiencing stage 1 chemical pneumonia? Select all that apply.
Pallor Emesis Nausea
A nurse is teaching a group of parents about the sleep patterns of their children, who range in age from 18 to 36 months. What information is the nurse likely to provide? Select all that apply.
Total sleep averages 12 hours a day During this period, the toddler may be unwilling to go to bed at night
Which is the most appropriate toy for a nurse to offer a 2½-year-old child?
Wooden puzzle with large pieces
A nurse determines that a 22-month-old child uses two- or three-word phrases (telegraphic speech), has a vocabulary of about 20 words, and often uses the word "me." What does the nurse conclude about the child's language development?
appropriate
What would the nurse describe as a similarity between the growth and development of toddlers and preschoolers?
both gain 5-7 lbs per year
When reviewing the results of a toddler's complete blood count, a nurse concludes on the basis of decreased hemoglobin and hematocrit levels that the child has iron-deficiency anemia. Which other laboratory findings are indicative of iron-deficiency anemia? Select all that apply.
Microcytic red blood cells Slightly reduced reticulocyte count
Discharge planning for a toddler with newly diagnosed celiac disease includes instructions regarding dietary restrictions. What foods should the nurse recommend? Select all that apply.
Oatmeal Ice cream Rice cakes Corn crisps
Which should the nurse include information for at each health maintenance visit for the parents of a toddler-age client?
Plants
A nurse is admitting a 2-year-old toddler who ingested half of a bottle of aspirin tablets to the emergency department. What is the origin of the metabolic acidosis caused by aspirin toxicity?
Rapid absorption of salicylate
The parent of a 14-month-old toddler asks the nurse how to proceed with bowel training. What is the best response by the nurse?
Start by having the child sit on a potty chair