Chapter 26 PrepU Questions
"My toddler uses the potty chair and is dry all day long."
During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old toddler's caregiver indicates that the toddler is developing autonomy?
The child hides behind her bedroom door when defecating.
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?
"It is normal for children to engage in play alongside other children at this age."
The mother of an 18-month-old girl voices concerns about her child's social skills. She reports that the child does not play well with others and seems to ignore other children who are playing at the same time. What response by the nurse is indicated?
The child speaks in one-word sentences.
The nurse is assessing a healthy 2-year-old client. Which assessment finding most concerns the nurse?
Undressing himself
The nurse is explaining safety precautions for toddlers to the mother of a normal 30-month-old boy. Which activity might the nurse suggest may be done without supervision?
A regular routine and rituals will provide stability and security.
The nurse is providing parental anticipatory guidance to promote healthy emotional development in a 12-month-old boy. Which statement best accomplishes this?
Playing with the plastic vacuum cleaner and pushing it around the room
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?
"We will make sure she shares her toys with cousins her age."
The nurse is teaching parents how to avoid a power struggle with their 2-year-old girl. Which comment indicates that more teaching is needed?
"The staff should be trained in early childhood development."
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?
A tantrum preceded the event.
The parents of a 30-month-old toddler have brought the toddler into the emergency department because of a seizure. During the health history, the nurse learns that the toddler was frustrated and angry immediately preceding the seizure. The nurse suspects the toddler had a breath-holding spell. Which parental report suggests breath-holding?
The toddler should speak in two-word sentences ("Me go").
When assessing a toddler's language development, what is the standard against which you measure language in a 2-year-old toddler?
Allow the toddler to make simple decisions
Which is the best way for parents to aid a toddler in achieving the developmental task?
Explain that children can take their first steps as late as 18 months of age.
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?
"Your child is experiencing regression as a result of stress."
A 3-year-old child is hospitalized. The parents are concerned because the child is now refusing to use the potty and is wetting the bed even though the child has achieved toilet training. Which response by the nurse is most appropriate?
this is a normal and expected activity best treated matter-of-factly.
A mother expresses surprise to the nurse that her daughter has begun masturbating. The mostimportant initial nursing response is that:
This is normal toddler behavior; sharing is learned later.
A parent is concerned because the toddler refuses to share. What is the nurse's best response to the parent regarding this concern?
Uses two-word sentences or phrases
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?
The toddler speaks 15 words between the two languages.
The nurse is assessing speech development in the 2-year-old toddler whose family uses two languages in the home. What finding is of concern?
Autonomy versus shame and doubt
The nurse is caring for an 18-month-old child. The nurse is aware that the child is which stage according to Erikson?
"He doesn't respond if I wave to him."
The nurse is discussing sensory development with the mother of a 2-year-old boy. Which parental comment suggests the child may have a sensory problem?
has persistent separation anxiety
The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem?
Ask the child questions as you read.
The nurse is promoting language and cognitive development to the parents of a 3-year-old boy. Which guidance about reading with their child will be most helpful?
3-year-old preschool-aged child who goes up stairs on hands and knees
A pediatric nurse is providing care to several children. The nurse is reviewing the assessment findings for each of the children. Which finding requires the nurse to intervene?
Maintain supervision when the child is near stoves, ovens, irons and other hot items the child could reach.
The nurse is educating a parent regarding child safety for the 14-month-old toddler. What would the nurse include in the educational plan?
The child demonstrates separation anxiety.
The nurse is examining a 3-year-old girl during a regular visit. Which finding would disclose a developmental delay in this child?
"It is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate."
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?
Her vocabulary is between 10 and 15 words.
The nurse has completed an examination of a 32-month-old girl with normal gross and fine motor skills. Which observation would suggest the child is experiencing a problem with language development?
Ability to turn door knobs
The nurse is assessing a toddler's fine motor skills. Which finding by the nurse could be a safety concern?
