PEDS QUIZ 1 CHAPTER 26
The parents of a 1-year-old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. Which is the best advice the nurse can provide?
Tell the parents to limit the child's eating to meal and snack times.
The nurse is providing guidance after observing a mother interact with her negative 2- year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?
Telling the child firmly that we don't scream in the office
The nurse is performing a cognitive assessment of a 2-year-old. Which of the following behaviors would alert the nurse to a developmental delay in this area?
The child does not point to named body parts.
The nurse is assessing a 2-year-old boy who has missed some developmental milestones. Which finding will point to the cause of motor skill delays?
The child is homeless and has no toys.
The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?
The child is unable to push a toy lawnmower.
The nurse is performing a physical assessment of a 3-year-old girl. Which of the following would be a concern for the nurse?
The toddler's anterior fontanel is not fully closed.
The nurse is watching toddlers at play. Which of the following normal behaviors would the nurse observe?
Toddlers engage in parallel play.
The nurse is teaching good sleep habits for toddlers to the mother of a 2-year-old boy. Which response indicates the mother understands sleep requirements for her son?
"He needs 13 hours of sleep per day including his nap."
The nurse is interviewing a 3-year-old girl who tells the nurse: "Want go potty." The parents tell the nurse that their daughter often speaks in this type of broken speech. What would be the nurse's appropriate response to this concern?
"This is a normal, common speech pattern in the 3-year-old and is called telegraphic speech."
During a health history, the nurse explores the sleeping habits of a 3-yearold boy by interviewing his parents. Which of the following statements from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
"We keep a strict bedtime ritual for our son, which includes a bath and bedtime story."
After teaching a group of parents about language development in toddlers, which of the following if stated by a member of the group indicates successful teaching?
"When my 3-year-old asks 'why?' all the time, this is completely normal."
The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which of the following are safety interventions that the nurse should address?
Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the backseat of the car.
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching?
Advising them to use praise, not scolding
When instructing the parents of a toddler about appropriate nutrition, which of the following would the nurse recommend?
Approximately 16 to 24 ounces of milk per day
The nurse is helping parents prepare a healthy meal plan for their toddler. Which of the following guidelines for promoting nutrition should be followed when planning meals? Select all answers that apply.
B) Extending breastfeeding into toddlerhood is believed to be beneficial to the child. D) Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. E) The toddler requires an average intake of 500 mg calcium per day.
Which of the following would the nurse expect to find in an 18-month-old?
Climbing stairs with assistance
The nurse is choosing foods for a toddler's diet that are high in vitamin A. Which of the following could be added to the menu? Select all answers that apply.
D) Sweet potatoes E) Spinach F) Carrots
The nurse is assessing a 3-year-old boy's development during a well-child visit. Which response by the child indicates the need for further assessment?
He laughs when his brother cries getting vaccinated.
The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. Which of the following is a recommended intervention for this age group?
Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior.
The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's "negativism." Based on Erokson's theory of development, which of the following would be an appropriate intervention for this child?
Encourage the child to pick out his own clothes.
The nurse is teaching the parents of a 2-year-old girl how to deal with common toddler situations. Which is the best advice?
Have the child help clean up a bowel accident.
The nurse is caring for a toddler who is in Piaget's sensorimotor stage of cognitive development. Which of the following tasks would the nurse expect the toddler to be able to perform?
Knowing which are his or her toys
The nurse is designing a nursing care plan for a toddler with lymphoma, who is hospitalized for treatment. Which of the following is a priority intervention that the nurse should include in this child's nursing plan?
Monitoring the toddler for developmental delays
The pediatric nurse is planning quiet activities for hospitalized 18-month-olds. Which of the following would be an appropriate activity for this age group?
Stacking blocks
The nurse is describing the maturation of various organ systems during toddlerhood to the parents. Which would the nurse correctly include in this description?
Myelinization of the brain and spinal cord is complete at about 24 months.
The parents of a 2-year-old girl are frustrated by the frequent confrontations they have with their child. Which is the best anticipatory guidance the nurse can offer them?
"You need to adhere to various routines."
The nurse is teaching the parents of an overweight 18-month-old girl about diet. Which intervention will be most effective for promoting proportionate growth?
Remove high-calorie, low-nutrient foods from the diet.
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior?
The need for separation and control
The nurse emphasizes that a toddler younger than the age of 18 months should never be spanked primarily for which reason?
There is an increased risk for physical injury in this age group.
The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. Which of the following might alert the nurse to a potential problem with the child's sensory development?
The toddler does not respond to commands whispered in his ear.
