Toddler Prep U practice questions

The nurse begins the physical exam to obtain the child's vital signs. Which would the nurse assess first? pulse respirations temperature blood pressure

respirations

Which statement by a parent would best prepare the toddler for the parent's return if the parent must leave the hospital? "I will come back when it is time for your bath tonight." "I will be back in the morning. Mommy loves you." "I will be back later this afternoon." "I will be back after you eat your dinner and SpongeBob goes off."

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

After teaching the mother of a 13-month-old boy old about suggestions for bathing and hygiene, the nurse determines that the teaching was successful when the mother states which of the following? "I'll drain the tub while he's still in it so he won't fall." "It might be best to give him a bath in the evening." "I'll wash his hair every day with just plain soap." "I can use bubble baths to lure him into the tub."

"It might be best to give him a bath in the evening."

The nurse is reviewing sleep and rest activities of a 16-month-old child with the parents. The father states, "I have told my wife it is unhealthy for our child to sleep with us. It's time for him to sleep in his own bed. What do you think?" What is the nurse's best initial response? "Co-sleeping is viewed acceptable by some professionals, but as interfering with the child's independence by others." "I will note this in your child's chart for the doctor to see." "It must be difficult for the two of you to both feel strongly about what is best for you and your child." "Have you thought about just trying to let your child sleep in his own bed to see how it goes?"

"It must be difficult for the two of you to both feel strongly about what is best for you and your child."

The nurse is preparing to assess the internal ear structures of a 3-year-old. The child is resistant to the otoscope. How should the nurse respond? "Please sit still so I can see inside your ears." "May I please look inside your ears?" "Let's see if I can find some puppies or kittens." "Come, sit on this pretty, little red chair."

"Let's see if I can find some puppies or kittens."Explanation: The nurse should try to gain the youngster's cooperation by playing a funny pretend game using the "puppies or kittens" to engage the child. It is more likely the preschool-age child would prefer to sit on a parent's lap even though a red chair was offered. Politely asking the child to sit still is respectful but not likely to gain cooperation. Asking permission to look into the child's ear is an invitation for the young preschool-age child to answer "no."

During a well-child visit, the nurse observes the child saying "no" to her mother quite frequently. The mother asks the nurse, "How do I deal with her saying no all the time?" What would be appropriate for the nurse to suggest? Select all that apply. "Offer her two options from which to choose." "Limit the number of questions you ask of her." "Offer her something she would like, such as ice cream, to distract her." "Make a statement instead of asking a question." "Use time-out every other time she tells you no."

"Offer her two options from which to choose." "Limit the number of questions you ask of her." Make a statement instead of asking a question."

The parents of a toddler ask the nurse about disciplining their 2-year-old toddler. What suggestions will the nurse provide? Select all that apply. "It is better to praise correct behavior than to punish wrong behavior." "If you allow an unwanted behavior one time at this age, it is difficult to reverse later." "You need to wait until the toddler is old enough to understand the rules." "Avoid using physical punishment unless your toddler's behavior is really out of line." "Try using time-out, assigning 1 minute per year of your toddler's age."

"Try using time-out, assigning 1 minute per year of your toddler's age." "It is better to praise correct behavior than to punish wrong behavior." "If you allow an unwanted behavior one time at this age, it is difficult to reverse later."

The mother of a 15-month-old son is returning to work and wants to place her son in the day care close to work; however, they will only accept potty-trained children. Which response from the nurse will best address this situation in answering the mother's questions of how best to potty train her son? "Get your son a potty chair and have him sit on it for a few minutes each day." "Each time you change his diaper, tell your son how important and fun it is to use the potty chair." "Wait a few more months until your son has more muscle control and shows signs that he's ready to be potty trained." "Encourage your son to watch his older siblings use the toilet."

"Wait a few more months until your son has more muscle control and shows signs that he's ready to be potty trained." - Toilet training doesn't begin until around 2 yrs ( 24months)

A nurse is providing care for a child who will be undergoing a painful procedure. When developing the child's plan of care, which of the following would be appropriate? Select all that apply. Emphasize that pain is not a punishment. Tell the child if pain is anticipated with a procedure. Reinforce actions that the child should not do. Ensure that procedures are performed in the child's room. Allow the child to participate when possible.

Allow the child to participate when possible. Emphasize that pain is not a punishment. Tell the child if pain is anticipated with a procedure. - Using training pants that slide down easily and quickly- Praising the child when he or she urinates or defecates- Putting the child on the potty chair at regular intervals during the dayFor effective toilet training, parents should allow 1 to 2 weeks to psychologically prepare the child for training, using training pants that slide down easily and quickly, praising the child when he or she urinates or defecates, limiting the time spent on the potty chair to no longer than 10 minutes (or less if the child is resistant), and putting the child on the potty chair at regular intervals during the day.

What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums? Mimic the toddler's behavior by also holding the breath Appear to ignore the toddler Promise the toddler a special activity if the toddler will stop Distract the toddler with a toy when the toddler begins holding the breath

Appear to ignore the toddler

Which activity would the nurse expect to find in an 18-month-old? Pedaling a tricycle Climbing stairs with assistance Carrying a large toy while walking Standing on tiptoes

Climbing stairs with assistance Explanation: Toddlers continue to progress with motor skills. An 18-month-old should be able to climb stairs with assistance. A 24-month-old should be able to stand on his or her tiptoes and carry a large toy while walking. A 36-month-old would be able to pedal a tricycl

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. Even at this young age, children need boundaries. If a child hits or bites another child, the parents should scold them, saying such things as "You are very naughty for biting Rachel." 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. Toddlers cannot learn self-control until at least 3 to 4 years of age.

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.

The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group? Remove children's security blankets at this stage to help them assert their autonomy. Distract toddlers from exploring their own body parts, particularly their genitals. Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior. Offer toddlers many choices to foster control over their environment.

Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior. Explanation: Toddlers should not be blamed for their aggressive behavior; adults can assist the toddler in building empathy by pointing out when someone is hurt and explaining what happened. Adults should allow toddlers to rely upon a security item to self-soothe, as this is a function of autonomy and is viewed as a sign of a nurturing environment rather than one of neglect. Toddlers may question parents about the difference between male and female body parts and may begin to explore their own genitals. This is normal behavior in this age group. Offering limited choices is one way of allowing toddlers some control over their environment and helping them to establish a sense of mastery.

The nurse is examining the posture of a toddler and notes lordosis. What would be the appropriate reaction of the nurse to this finding? Refer the toddler to an orthopedic specialist. Do nothing; this is a normal condition for toddlers. Explain that the toddler will need a back brace. Refer the toddler to a physical therapist.

Do nothing; this is a normal condition for toddlers. The toddler demonstrates lordosis (swayback) and bowlegs, with a relatively large head and protuberant belly. This is a normal condition and requires no further attention. -- this is known as pot belly

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? Learning to speak Learning to act on one's own Learning to understand and respond to discipline Learning to trust

Learning to act on ones own - remeber toodler is in eriksons stage of autonmy vs guilt/shame. Learning to trust is part of his infants stage.

A nurse in a busy pediatric clinic is educating a group of parents with toddlers about the nutritional needs of this age group. Which concepts should be addressed in this educational presentation? Select all that apply. Children can have as many cookies they want if that is the only thing they will eat from breakfast. Milk is still important to incorporate in the diet for bone health. Try to limit the fat intake to less than 35% of total calories. There is no need to worry about the amount of trans fats in a toddler diet. Active, "busy" toddlers may need up to 1,400 cal/day.

Milk is still important to incorporate in the diet for bone health. Try to limit the fat intake to less than 35% of total calories. Active, "busy" toddlers may need up to 1,400 cal/day Active children in this age group may need up to 1,400 kcal daily. Children over 2 years old should have a total fat intake between 30% and 35% of calories, with most fat coming from sources of polyunsaturated and monounsaturated fatty acids, such as fish, nuts, and vegetable oils, the same as adults. Adequate calcium and phosphorus intake is important for bone mineralization. Milk should be whole milk until age 2 years, after which 2% milk can be introduced. Trans fats should be kept to a minimum. Diets high in sugar (like cookies) should be avoided to help prevent toddler obesity.

The nurse is describing the maturation of various organ systems during toddlerhood to the parents. What would the nurse correctly include in this description? Alveoli reach adult numbers by 3 years of age. Myelinization of the brain and spinal cord is complete at about 24 months. Toddlers typically have strong abdominal muscles by the age of 2. Urine output in a toddler typically averages approximately 30 ml/hour.

Myelinization of the brain and spinal cord is complete at about 24 months. Explanation: Myelinization of the brain and spinal cord continues to progress and is complete around 24 months of age. Alveoli reach adult numbers usually around the age of 7. Urine output in a toddler typically averages 1 ml/kg/hour. Abdominal musculature in a toddler is weak, resulting in a pot-bellied appearance.

The parents of a 2-year-old boy report to the nurse that their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child? Encouraging the parents to eat a variety of wholesome foods themselves. Assuring the parents that food jags are normal, and they can be honored safely. Offering a variety of foods along with the foods the child likes. Advising the parents to minimize distractions at mealtime.

Offering a variety of foods along with the foods the child likes. Explanation: Toddlers require fewer calories proportionately than infants, and their appetite decreases (physiologic anorexia). Offering a variety of healthy foods along with foods the child likes will acknowledge preferences while keeping the door open to new foods. Prolonged preferences for particular foods (food jags) are common. It is also important that mealtime be calm, pleasant, and focused on eating. Toddlers mimic behaviors observed. It is important that parents set a good example with their mealtime behaviors and food choices. All options encourage the development of healthy eating habits, but at this time, variety plus preferred foods will be most helpful.

The nurse is teaching the parents of a 3-year-old child how to help the child complete the developmental task of initiative versus guilt. Which nursing example is the appropriate task and instruction? Allow the child to brush the teeth at the child's own speed and when the child is ready. Praise the child when demonstrating correct dressing, eating, and toileting independently. Offer guidance and support as the child is playing with others to ensure respectful interaction. Provide the child with a structured play environment and instruct on cleaning when done.

Praise the child when demonstrating correct dressing, eating, and toileting independently Explanation: Successful completion of initiative vs guilt occurs when the preschool-aged child begins to assert one's power and control over the world. From successful completion of the first two levels, the child accepts that the world is trustworthy and that the child can act independently. To meet this task, the child takes initiative in planning activities, accomplishing tasks, and facing challenges. A nursing example and instruction of meeting this task is to praise the child's independent completion of the appropriate tasks of dressing, eating, and toileting. The child still requires assistance in brushing the teeth and does not have the reasoning skills to determine schedule. The parent remains in power when providing structured play and instruction and offering guidance and support.

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. Ensure 30 minutes of unstructured activity per day. Avoid sharing your snacks and candy with the child. Reduce the amount of high-fat food the child eats.

Remove high-calorie, low-nutrient foods from the diet. Explanation: The most effective intervention will be to remove high-calorie, low-nutrient foods from the diet in order to reduce the number of calories and increase the nutritional value. Exercise is also important, but a child this age should have 30 minutes of structured physical activity plus several hours of unstructured physical activity per day. The parents should set an example for good eating habits. Dietary fat should not be restricted for an 18-month-old child because it is necessary for nervous system development.

The nurse is caring for a 2-year-old child who has been hospitalized after being injured in an automobile accident. During the assessment the child is quiet and watchful of all the nurse's actions. When considering the level of pain being experienced by the child what inference can be made? The child is most likely tired. The child is feeling too shy to communicate any pain or discomfort. The child is not experiencing any significant level of pain or discomfort. The child's nonverbal behaviors may indicate the presence of discomfort.

The child's nonverbal behaviors may indicate the presence of discomfort. Explanation: Responses to pain can vary in children. A child of this age may present with vocal behaviors indicating pain. The child may be tearful or crying loudly. Being quiet can also signal pain

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 peer approval The need for love and belonging The need for safety and security The need for separation and control

The need for separation and control

The nurse is teaching a student how to instill ear drops into a 2-year-old. What technique does the nurse demonstrate to the student? The nurse pulls the pinna of the ear up and back. The nurse pulls the pinna of the ear down and back. The nurse pulls the pinna of the ear up. The nurse pulls the pinna of the ear back.

The nurse pulls the pinna of the ear down and back

A client is 2 years old. What toy would be appropriate for this client to play with? jewelry-making kit with beads marbles small Legos big stuffed animals

big stuffed animals Explanation: The safest toy would be the soft, stuffed animals. Toys that have small or loose parts are not recommended for children younger than 3 years old, because the small parts can be swallowed or aspirated.

A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should: insert a central intravenous line. teach the boy about the fact that he will feel much better after he takes his medications. offer a choice between liquid and chewable medications, if possible. have the mother hold the child firmly and soothe him while the drugs are administered.

offer a choice between liquid and chewable medications, if possible.

Parents share that their toddler often needs a snack in between meals. Which snack choice is nutritious enough to give the toddler energy but also may help prevent dental caries? Select all that apply. orange slices yogurt sugar-free candy bars cheese slices raisin oatmeal cookies

oranges, yogurt, cheese slices Explanation: Toddlers often need between-meal snacks. To help prevent dental caries from frequent snacking, encourage parents to offer fruit (e.g., bananas, pieces of apple, orange slices) or protein foods (e.g., cheese, pieces of chicken) for snacks rather than high-carbohydrate items such as cookies and candy bars to limit exposure of the child's teeth to carbohydrates. Calcium (found in large amounts in milk, cheese, and yogurt) is especially important for the development of strong teeth

The parent of a 3-year-old boy asks the nurse what he can do to get his son ready to play sports. Which of the following activities will the nurse describe as age-appropriate? doing somersaults and skipping running, stopping, turning games playing toss with a large, soft ball walking on a balance beam

playing toss with a large, soft ball

The nurse is observing a 36-month-old boy during a well-child visit. Which motor skill has he most recently acquired? pull a toy while walking push a toy lawnmower kick a ball undress himself

undress himself

A nurse is assessing the nutrition of a toddler. The parents state that the toddler only will eat grilled cheese sandwiches and macaroni and cheese. Which suggestion(s) would be most helpful? Select all that apply. "Start with a small amount of new foods on the plate at a time." "Try to use colorful foods on the plate." "Try giving foods like casseroles so the toddler gets all the nutrition needed." "Do not be alarmed if the child wants to eat the same food repeatedly." "Allow your toddler to choose among several different types of food."

"Do not be alarmed if the child wants to eat the same food repeatedly." "Try to use colorful foods on the plate." "Start with a small amount of new foods on the plate at a time." Explanation: Typically, a toddler's appetite is smaller than that of an infant. Offering small amounts of new foods regularly expands the diet and potential nutrients ingested. Also, because the actual amount of food eaten daily varies among toddlers, the nurse should suggest placing a small amount of food on the plate and allowing the toddler to eat it and ask for more, rather than serving a large portion of food the toddler cannot finish. Toddlers also prefer to eat the same type of food over and over because of the sense of security this offers. Toddlers usually do not like food that is "mixed up" such as casseroles. Often they prefer foods that do not touch one another. Moreover, they often prefer brightly colored to bland foods. Allowing choices is appropriate; however, parents should limit the choice to two types of food, rather than several.

During a health history, the nurse explores the sleeping habits of a 3-year-old boy by interviewing his parents. Which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group? "Our son still sleeps in a crib because we feel it is the safest place for him at night." "Our son occasionally experiences night walking so we allow him to stay up later when this happens." "We keep a strict bedtime ritual for our son, which includes a bath and bedtime story." "Our son sleeps through the night, and we insist that he takes two naps a day."

"We keep a strict bedtime ritual for our son, which includes a bath and bedtime story." Explanation: Consistent bedtime rituals help the toddler prepare for sleep; the parent should be advised to choose a bedtime and stick to it as much as possible. The nightly routine might include a bath followed by reading a story. A typical toddler should sleep through the night and take one daytime nap. Most children discontinue daytime napping at around 3 years of age. When the crib becomes unsafe (that is, when the toddler becomes physically capable of climbing over the rails), then he or she must make the transition to a bed. Attention during night waking should be minimized so that the toddler receives no reward for being awake at night.

After teaching a group of parents about language development in toddlers, which statement by a member of the group indicates successful teaching? "An 18-month-old would most likely use words and gestures to communicate." "A 15-month-old should be able to point to his eyes when asked to do so." "When my 3-year-old asks 'Why?' all the time, this is completely normal." "At age 2 years, my son should be able to understand things like under or on."

"When my 3-year-old asks 'Why?' all the time, this is completely normal."

The nurse is caring for an 18-month-old child who has had surgery. The medical record indicates the child weighs 23 pounds (10.45 kg). When monitoring his urinary output the nurse is aware that normal hourly output should be what value? 20 ml/hr 15 ml/hr 10 ml/hr 5 ml/hr

10mL/hr Explanation:The normal urinary output for a toddler is approximately 1 mL/kg/hr. This child weighs 23 pounds. This is 10.45 kg. This is approximately 10 mL/hr

Which suggestion by the nurse meant to promote good dental health in the 15-month-old is inappropriate? Arrange for your child's first dental visit as soon as possible. Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste. Avoid grazing (continual snacking) throughout the day. Wean the child from the bottle.

Brush your child's teeth with a pea-sized amount of fluoride-containing toothpaste.

The nurse is providing home care for a 1-year-old girl who is technologically dependent. Which intervention will best support the family process? Creating schedules for therapies and interventions. Teaching modifications of the medical regimen for vacation. Finding an integrated health program for the family. Assessing family expectations for the special needs child.

Creating schedules for therapies and interventions

The nurse is teaching the parents of a 2-year-old toddler methods of dealing with their child's "negativism." Based on Erikson's theory of development, what would be an appropriate intervention for this child? Use "time-outs" whenever the child says "no" inappropriately. Discourage solitary play; encourage playing with other children. Encourage the child to take turns when playing games. Encourage the child to pick out his own clothes.

Encourage the child to pick out his own clothes.

The nurse is discussing proper discipline with the parent of a 15-month-old toddler. Which teaching is most important? Only use praise after the child has corrected a wrong behavior. Toddlers are unable to follow instructions easily. Rules and limits should be simple and few. Physical punishment such as spanking is discouraged.

Physical punishment such as spanking is discouraged.

The nurse teaches the mother of a 2-year-old child how to instill antibiotic otic drops. The mother indicates understanding of the skill when she takes which action? She pulls up and forward on the earlobe before instilling the drops. She pulls down and outward on the earlobe before instilling the drops. She pulls up and backward on the earlobe before instilling the drops. She pulls down and backward on the earlobe before instilling the drops.

She pulls down and backward on the earlobe before instilling the drops.

The nurse is weighing a 20-month-old child who is in the clinic for a well-child visit. Which action by the nurse would be most appropriate for weighing this child? The nurse should have the child sit on the scale while keeping a hand close to but not touching the child. The nurse should weigh the parent on a standing scale and then weigh the parent again while holding the child. The nurse should ask the parent to lightly hold the child's hands while the child is sitting on the scale. The nurse should lay the parent on the scale covered with a clean paper and gently hold the child flat against the scale and let go just before reading the weight.

The nurse should have the child sit on the scale while keeping a hand close to but not touching the child. Explanation: The child who is able to sit can be weighed while sitting. Keep a hand within 1 in (2.5 cm) of the child at all times to be ready to protect the child from injury. Weighing the parent alone and then holding the child will not provide an accurate weight. Accurate weights are needed for medications and treatments. Holding the child's hands will cause a change in the weight and should not be done.

The pediatric nurse is presenting basic safety tips at a local health fair for families. The nurse should point out the majority of hospital visits for toddlers can be prevented by exercising which precaution? safely store all chemical substances properly use car seats close supervision during bath time use plastic protectors in all electrical outlets

safely store all chemical substances Explanation: Poisoning is still the most common medical emergency in children with the highest incidence between the ages of 1 to 4 years. Even with precautionary labeling and "child-resistant" packaging of medication and household cleaners, children display amazing ingenuity in opening bottles and packages that catch their curiosity. Medications such as acetaminophen, salicylates (aspirin), laxatives, sedatives, tranquilizers, analgesics, antihistamines, cold medicines, and birth-control pills are commonly associated with poisoning and also need to properly be stored out of reach of the toddler. The proper use of car seats, preventing access to electrical outlets, and bath time supervision are also noted to be the cause of medical emergencies. However, poisoning remains the number one reason.

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. seizures rarely occur in toddlers. with seizures, cyanosis rarely develops. seizures typically occur with fever; temper tantrums do not.

seizures are not provoked; temper tantrums are. Explanation: Temper tantrums are the natural result of toddler frustration. Toddlers are eager to explore new things but their efforts can be thwarted, especially for safety reasons. Toddlers do not behave badly on purpose. Temper tantrums occur out of anger and frustration. Seizures do not. Seizures can occur at any age. The client may or not be febrile. Depending upon how long a seizure lasts, cyanosis can occur.

Blood pressure monitoring becomes part of the routine health assessment at what age and older? 2 years 4 years 3 years birth 1 year

3

The student nurse is preparing a presentation on normal physical growth for toddlers. What information should the student include? Select all that apply. The anterior fontanel (fontanelle) should be closed by the time the child is 24 months old. Toddlers gain height and weight in spurts. Head size becomes more proportional to the rest of the body near 3 years. The average weight gain is 3 to 5 pounds per year. Toddlers generally reach half of their adult height by 3 years of age.

Head size becomes more proportional to the rest of the body near 3 years. The average weight gain is 3 to 5 pounds per year. Toddlers gain height and weight in spurts. Explanation: The average toddler weight gain is 3 to 5 pounds per year. The anterior fontanel (fontanelle) should be closed by the time the child is 18 months old, not 24 months. Toddler gains in height and weight tend to occur in spurts, rather than in a linear fashion. Toddlers generally reach about half of their adult height by 2 years of age, not 3 years of age. Head size becomes more proportional to the rest of the body near the age of 3 years.

Which statement by the mother of a 15-month-old with special needs alerts the nurse that more teaching is needed? "Sometimes she refuses her meds. I just wait and give them a little later." "She is good at shaking her head 'no.' Sometimes I can't help laughing." "She is so messy I don't let her feed herself." "She can roll around on the floor and get what she wants."

She is so messy I don't let her feed herself."Explanation:Not allowing her to feed herself interferes with development of this skill, as well as with achievement of autonomy. All the rest of the statements describe behaviors that are exhibited during the toddler stage of development and should be supported. Implied is that she does not walk or have speech, yet she is effectively compensating with rolling and head shaking. Toddler medication refusal is not unusual and is being handled appropriately.

The nurse is examining a 15-month-old child who was able to walk at the last visit and now can no longer walk. What would be the nurse's best intervention in this case? Schedule a full evaluation since this may indicate a neurologic disorder. Ask the parents if they have changed the child's schedule to a less active one. Document the findings as a developmental delay since this is a normal occurrence. Note the regression in the child's chart and recheck in another month.

"You'll probably notice that your daughter is uncomfortable in wet diapers." Explanation: The markers of readiness for toilet training are subtle, but as a rule, children are ready for toilet training when they begin to be uncomfortable in wet diapers. Although the rectal and urethral sphincters are mature by the end of the first year, children are not cognitively and socially ready. In fact, many children do not understand what is being asked of them until they are 2 or even 3 years old.

The nurse is preparing to assess a 2-year-old at a well-child visit and notes the child was 22 lb (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? 40 lbs (18.18 kg) and 33 in (83.82 cm) tall 38 lbs (17.27 kg) and 32 in (81.28 cm) tall 32 lbs (14.54 kg) and 30 in (76.20 cm) tall 27 lbs (12.27 kg) and 27 in (68.58 cm) tall

27 lbs (12.27 kg) and 27 in (68.58 cm) tall

A parent with a 2-year-old invites a friend with a toddler over for a play date when they notice their children are not really interacting while playing. The children are playing side-by-side when one toddler gets up and grabs a toy car out of the hands of the other toddler, which results in both toddlers crying. To prevent this from occurring again, which intervention should the parents make? Parents should ensure that toys in front of each child are "similar" to prevent fighting over one toy. Parent of the toddler who started the fight should put this child in "time out." Parents should decide that they need to wait about a year when the children are more ready to share toys. Sit the toddlers down and give a lecture about "sharing."

Parents should ensure that toys in front of each child are "similar" to prevent fighting over one toy. Explanation: All during the toddler period, children play beside other children, not with them. This side-by-side play (parallel play) is not unfriendly but is a normal developmental sequence that occurs during the toddler period. Caution parents that if two toddlers are going to play together, they must provide similar toys because an argument over one toy is likely to occur. Avoiding introducing playing with others, time out, or lecturing toddlers about "sharing" concept are inappropriate at this time

A stay-at-home father wants to purchase commercial toddler meals because his 16-month-old girl recently choked on table food. Which food items will the nurse suggest not be given to this child? Select all that apply. Hard foods such as nuts, raw carrots, and popcorn Round foods such as hot dogs, whole grapes, and cherry tomatoes Vegetables such as corn, green beans, and peas Sticky foods like peanut butter alone, gummy candies, and marshmallows Fruits such as peaches, pears, and kiwi

Sticky foods like peanut butter alone, gummy candies, and marshmallows Hard foods such as nuts, raw carrots, and popcorn Round foods such as hot dogs, whole grapes, and cherry tomatoes