Chapter 24

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 act on one's own

Parents are beginning to potty train their 2-year-old child and seek advice from the nurse on how to be successful in this endeavor. Which statement by the parents indicates that further teaching is needed?

"He wants to accompany me to the bathroom but I prefer to go alone."

Which statement by a parent would best prepare the toddler for the parent's return if the parent must leave the hospital?

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

The caregivers of a 2-year-old are concerned the child is not learning how to share and play well with other children. While acknowledging their concern and devotion, the nurse should point out which activity would be best for this child's developmental level?

Mowing the lawn with a toy lawnmower

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?

Allow the child choices when asking questions such as "Do you want to wear the red or the blue top?"

A nurse is reviewing important concepts related to bathing and tub baths with a parent of a toddler. Which statement by the parent indicates the need for additional teaching?

"It's okay to let my toddler take bubble baths and play in the bubbles."

A grandmother who is the primary caregiver of a 2-year-old is expressing concern about how to best handle the temper tantrums that can occur two or three times a day, often in public places. She explains she spanked her own children for this but she is worried this is not the best way to handle the situation. Which response from the nurse will best address this concern?

"Remain calm, pick the child up, and move to a quiet and neutral place until she gains self-control; don't give in to her demands."

A mother calls the pediatrician's office upset because her 2-year-old son has begun acting out now that the new baby is home. He wants to have a bottle like the newborn and has begun to have accidents in his pants. Which statement by the nurse would best address this problem?

"Set aside time to spend one-on-one with your older child and make him understand that he is still loved and very special."

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?

"Wait a few more months until your son has more muscle control and shows signs that he's ready to be potty trained."

The nurse is supervising a play group of children on the unit. The nurse expects the toddlers will most likely be involved in which activity?

Playing with the plastic vacuum cleaner and pushing it around the room

The nurse is preparing to assess a 2-year-old at a well-child visit and notes the child was 22 lbs (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?

32 lbs (14.54 kg) and 27 in (68.58 cm) tall

A 2-year-old child is reported to be a "picky eater" by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? Select all that apply. A. Offer small portions of 1 to 2 teaspoons to the child. B. Food jags needs to be addressed and not given in to. C. Mealtime for a toddler should not exceed 20 minutes. D. Do not use sweets as a reward for cleaning their plate. E. Feed the toddler before the rest of the family.

A) Offer small portions of 1 to 2 teaspoons to the child. C) Mealtime for a toddler should not exceed 20 minutes. D) Do not use sweets as a reward for cleaning their plate.

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. A. Toddlers cannot learn self-control until at least 3 to 4 years of age. B. Consistency in the rules is important so the child understands what is expected. C. If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. D. Even at this young age, children need boundaries. E. If a child hits or bites another child, the parents should scold them, saying such things as "You are very naughty for biting Rachel."

B, C, D

A 2-year-old child is shopping with her mother when she suddenly falls to the ground and begins to scream, "I want it!" over and over regarding a bag of candy. What would the nurse recommend to the mother to deal with this behavior? Select all that apply. A. Reason with the toddler and explain that the candy is not nutritious for her. B. Remain calm and ignore the tantrum. C. Acknowledge the behavior by giving into the toddler's demands and buying the candy. D. Pick the toddler up and take her to the restroom for a spanking. E. Stay nearby to ensure the child's safety without giving in to the child's desires.

B, E

A 15-month-old toddler is brought to the pediatrician's office for a well-child checkup and the nurse is reviewing health promotion with the family. What recommendation(s) would the nurse make to the family to help ensure the child's health? Select all that apply. A. Begin dental examinations at age 1 year. B. Provide foods rich in calories and carbohydrates for the child. C. Keep all medications locked up and out of reach for the child. D. Turn the hot water heater temperature down to 120°F (48.9°F). E. Never allow the child to ride in the car unless secured in a car seat.

C, D, E

A single mother with three young children is reluctant to leave her crying and upset 16-month-old daughter overnight in the hospital but needs to go home to care for the other children. Which suggestion from the nurse will best address the fears and concerns of both the child and mother?

Encourage the mother to give the child a personal item of the mother's to hold on to until she returns and to tell the child a specific time she will return, such as "when breakfast comes in the morning."

A toddler is hospitalized and the nurse wants to make the transition from home to hospital as easy as possible for him. Which action by the nurse would be most beneficial to assist the toddler in adapting to the hospital?

Follow the child's home routines as much as possible while in the hospital.

A mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg ) and grown 2.5 in (6.25 cm) since the child's last visit a year ago. How should the nurse respond to this mother's concerns?

Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.

The nurse is caring for a toddler in the pediatric unit and notes the child is responding according to expected developmental stages. Which characteristic will the nurse predict this toddler to exhibit while in the hospital?

Insists on doing a new skill and then asking for help

The nurse is preparing a presentation for a health fair which will illustrate various ways to help introduce siblings to a new member of the family. Which suggestion should the nurse prioritize to help older siblings, especially toddlers, understand the change in the family dynamics?

Plan time for the primary caregiver to focus on the toddler while the secondary caregiver focuses on the infant.

A first-time parent asks the nurse what toys would be appropriate for her son's second birthday next month. What recommendations would be nurse make?

Play lawn mower

The nurse is presenting an in-service training to a group of pediatric nurses on the topic of play. The nurse determines the session is successful when the group correctly chooses which example as best displaying toddlers playing?

Playing independently and are side by side

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?

Read the child a book in bed and take time to calm the child down before turning out the lights.

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

The nurse is conducting an assessment on a 1-year-old healthy child and commends the parents for maintaining routine visits. When questioned by the parents as to the recommended schedule for future visits, which schedule should the nurse recommend?

at 15 months and at least annually thereafter