PrepU Chapter 30
Once a temper tantrum has started, which intervention is appropriate? Speak to the toddler during the tantrum. Have a long talk with the toddler regarding the tantrum. Move objects out of the way or move the toddler to prevent injury. Engage the toddler's behavior.
Move objects out of the way or move the toddler to prevent injury.
The mother of a 2-year-old boy asks the nurse about when she should begin toilet training. The nurse questions the mother about the boy's readiness. Which of the following statements by the mother would indicate that the child is ready? "His diaper usually stays dry for about an hour or less." "He often pulls at his diaper right before a bowel movement." "He moves his bowels at all different times." "He has trouble pulling his pants up and down."
"He often pulls at his diaper right before a bowel movement."
During a wellness check up for a 4-year-old client, the parents state, "We just moved into a new home and our child has begun wetting and defecating in the underwear. Which response by the nurse is appropriate? "Have you noticed an increase in urinary frequency?" "This is a normal response to stress during childhood." "Has your child reported any pain with urination or bowel movements?" "I will let the primary health care provider know of your concern."
"This is a normal response to stress during childhood."
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." "Be sure to inform the primary health care provider of your concern." "I believe your toddler is exhibiting signs of an autism spectrum disorder." "This behavior needs to be further assessed to ensure appropriate development."
"This is called parallel play and is normal for this age group."
A nurse observes a child engaged in parallel play in a nursery. What is an example of parallel play? A group of children playing hide and seek on the playground A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks A girl sitting by herself and alternating between playing with a doll for a time and then with a toy truck for a time Two boys playing cooperatively with stuffed animals, pretending that the toys are fighting each other
A boy sitting beside a girl in the floor, each playing independently with a separate set of blocks
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. House plant on a small table next to the sofa Prescribed medication sitting on countertop Small bowl of mixed nuts on the coffee table
All windows in the home have locked screens.
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? Respond negatively back to the child each tine the child responds to the parent in a negative fashion. Ask the child to please quit saying no to everything asked of her. Don't ask the child any questions and just tell her what to do each day. Allow the child choices when asking questions such as "Do you want to wear the red or the blue top?"
Allow the child choices when asking questions such as "Do you want to wear the red or the blue top?"
A parent tells the nurse that no matter what is asked of the toddler, the toddler says, "No." What suggestion might the nurse make to help the parent handle this situation? tell the toddler never to say "No" again ask no further questions of the toddler pretend the parent does not hear the toddler's response give the toddler secondary, not primary, choices
give the toddler secondary, not primary, choices
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? Ineffective coping related to lack of self-control of 2-year-old toddler Deficient parental knowledge related to inappropriate method for toilet training Total urinary incontinence related to delayed toilet training Excess fluid volume related to inability to control urination
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? Tell the child to never to say "no" again. Ask no further questions to the child. Give the child secondary, not primary, choices. Pretend she does not hear the child.
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? Clean-catch urine Height and weight measurements Blood pressure IQ testing
Height and weight measurements
Which of the following immunizations would you anticipate administering to a 15-month old at a health maintenance visit? MMR Tine test Oral polio Hib
MMR (Measles-mumps-rubella vaccine cannot be administered before 12 months because antibodies passively acquired across the placenta take this long to fade.)
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? Discipline the child for not eating by removing a toy from play. Reinforce that the child is to eat everything on the plate. Feed the child if refusing to eat the food on the plate independently. Place smaller amounts on the child's plate.
Place smaller amounts on the child's plate.
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? If she does not want to go to sleep at her normal bedtime, let her stay up for a little while longer. Instruct the toddler to stay in bed or she will have her favorite stuffed animal taken away from her. Place the child in her bed, tell her goodnight, and then lock the door. Read the child a book in bed and take time to calm the child down before turning out the lights.
Read the child a book in bed and take time to calm the child down before turning out the lights.
The 18-month-old toddler has most likely attained which gross motor skill? The ability to pedal a tricycle. The ability to walk up stairs alone. The ability to walk independently. The ability to balance on one foot.
The ability to walk independently.
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? The child hides behind her bedroom door when defecating. The child often removes her shoes and socks. The child frequently repeats words parents just said. The toddler walks with a wide, swaying gait.
The child hides behind her bedroom door when defecating.
The mother of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the mother about this type of play behavior? This is peer play and is abnormal. This is parallel play and is expected. This is premature play and should be stopped. This is adjacent play and is only seen in school-age children.
This is parallel play and is expected.
The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe? Toddler wearing tennis shoes Toddler wearing long pants Toddler not wearing a helmet Toddler wearing a helmet
Toddler not wearing a helmet
The nurse is watching toddlers at play. Which normal behavior would the nurse observe? Toddlers engage in solitary play. Toddlers engage in parallel play. Toddlers engage in cooperative play. Toddlers do not engage in play outside the home.
Toddlers engage in parallel play.
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: parallel play. solitary play. associative play. onlooker play.
parallel play.
