PrepU Chapter 26 Growth and Development Toddler Peds

The nurse is assessing a toddler's fine motor skills. Which finding by the nurse could be a safety concern? Ability to turn door knobs Put shapes into matching openings Able to use a spoon to self-feed Ability to hold a crayon to write

Ability to turn door knobs

The parent of a 2-year-old client states it is the child's naptime. The child is refusing to take a nap and cries, "I have to put my babies to sleep first!" The parent states, "I am so sorry, I do not know what is wrong. My child does not act this way at home. My child has 2 baby dolls we rock to sleep each day at home before nap." Which response by the nurse is most appropriate? "A 2-year-old child's behavior can be greatly altered if rituals are not maintained." "You need to have someone bring the baby dolls to the hospital." "I am sure your child is just acting out since your child is in the hospital and not at home." "Your child's behavior indicates discipline occurring at home is not consistent."

"A 2-year-old child's behavior can be greatly altered if rituals are not maintained."

A mother is concerned because her 14-month-old son, who had a big appetite when breastfeeding a few months ago, seems uninterested in eating solid food. She still breastfeeds him daily but is thinking of weaning him soon. How should the nurse respond to this mother? "It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate." "It is normal for toddlers to lose their appetites; try weaning him all at once so that he will be more interested in the solid food." "It is not normal for toddlers to lose their appetites; spoon feed him yourself to make sure he gets proper nutrition." "It is not normal for toddlers to lose their appetites; have him tested for a gastrointestinal condition."

"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."

In working with the toddler, which statement would be most appropriate to say to the toddler to decrease the behavior known as negativism? "It is time for lunch. I am going to put your bib on." "Are you getting hungry and ready for lunch?" "Do you want help getting into your chair so we can have lunch?" "You love having the same food every day. Do you want apples again with lunch?"

"It is time for lunch. I am going to put your bib on."

The parents of a 3-year-old boy have asked the nurse for advice about a preschool for their child. Which suggestion is most important for the nurse to make? "Look for a preschool that is clean and has a loving staff." "Check to make sure your child can attend with the sniffles." "Make sure that you can easily get an appointment to visit." "The staff should be trained in early childhood development."

"The staff should be trained in early childhood development."

The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this? A regular routine and rituals will provide stability and security. Emotions of a 12-month-old are labile. He can move from calm to a temper tantrum rapidly. A sense of control can be provided through offering limited choices. Aggressive behaviors such as hitting and biting are common in toddlers.

A regular routine and rituals will provide stability and security.

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? pretend the parent does not hear the toddler's response ask no further questions of the toddler tell the toddler never to say "No" again give the toddler secondary, not primary, choices

give the toddler secondary, not primary, choices

The nurse is assessing the language development of a 3-year-old girl. Which finding would suggest a problem? makes simple conversation tells the nurse she saw Na-Na today speaks in 2- to 3-word sentences tells the nurse her name

speaks in 2- to 3-word sentences

A 13-month-old child is brought to the clinic for a well-child visit. The child's parent expresses concern that the child has not started to walk yet. What is the best action should the nurse take? Refer the child to a developmental specialist for evaluation. Explain that the child could start walking any day. Ask the parent if the child has been ill recently. Explain that children can take their first steps as late as 18 months of age.

Explain that children can take their first steps as late as 18 months of age.

The nurse is assessing 2-year-old twins. The parent states, "My twins will not play together, only alongside each other." Which action will the nurse take first? Explain that this is normal behavior for toddlers. Encourage the toddlers to play to allow for observation. Document the finding in the medical records. Determine when this form of play was first noted.

Explain that this is normal behavior for toddlers.

Parents of a toddler describe how they handled their child's temper tantrum in a shopping mall. What action of the parents indicates need for additional teaching? Reasoned with the child to stop the behavior Tried to refocus the child's attention as tantrum behavioral cues appeared Made sure the child was rested and not hungry before going to the mall Remained relatively calm even though embarrassed

Reasoned with the child to stop the behavior

The 18-month-old toddler has most likely attained which gross motor skill? The ability to walk independently. The ability to walk up stairs alone. The ability to balance on one foot. The ability to pedal a tricycle.

The ability to walk independently.

The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child? The child demonstrates separation anxiety. The child imitates the nurse in use of a stethoscope. The child copies a circle on a piece of paper. The child follows directions when made one at a time.

The child demonstrates separation anxiety.

When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler? The toddler should say two words plus "ma-ma" and "da-da." The toddler should speak in two-word sentences ("Me go"). The toddler should be able to count out loud to 20. The toddler should say 20 nouns and 4 pronouns.

The toddler should speak in two-word sentences ("Me go").

A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern? This is normal toddler behavior; sharing is learned later. Behavior modification techniques can change the toddler's behavior. Play time with other toddlers should be cut back until your toddler learns to share. The toddler is probably reacting to some family crisis.

This is normal toddler behavior; sharing is learned later.

Parents and their nearly 3-year-old child have returned to the clinic for a follow-up appointment. Which of the findings may signal a speech delay? Uses two-word sentences or phrases Talks about a past event Half of speech understood by outsider Asks "why" often

Uses two-word sentences or phrases