Chapter 30
seizures are not provoked; temper tantrums are
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:
20 deciduous teeth
A nurse is assessing a 2 1/2-year old toddler. When inspecting the toddler's teeth, which finding is expected?
"we'll let our child pick from two choices for what to wear"
A nurse is providing guidance to the parents of a toddler about way to help the childto achieve the developmental task of autonomy. The nurse determines that the teaching was successful based on which parental statement?
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?
give the toddler secondary, not primary, choices
A parent tells the nurse that no matter what is asked of the toddler, thetoddler says, "No." What suggestion might the nurse make to help the parent handle this situation?
bowel training is easier than urine training
A toddler's parents want to begin toilet training. As a rule, the bestinstruction the nurse could give them is:
the family's medication are located in a kitchen drawer
The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene?
all windows in the home have locked screens
The nurse had instructed the family of a toddler on home safety during a previous visit. During this current visit, what observation indicates thatinstruction has been effective?
Speaks in two word sentences using a noun and a verb
The nurse is assessing a toddler's language development. What findingwould the nurse interpret as reflecting expected development for a 2-year-old?
height and weight
The nurse is preparing to assess a toddler during a routine healthmaintenance visit. Which assessment will the nurse perform to determine the child's growth milestone?
toddler not wearing a helmet
The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe?
height and weight measurements
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?
Deficient parental knowledge related to inappropriate method for toilet training
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?
this is assimilation
The parent of a toddler is concerned because the child has taken the wheels off of a toy truck and placed them in a sandbox as stepping stones to walk. What should the nurse explain about this child's behavior?
helping with teeth brushing encourages autonomy
The parent of a toddler is frustrated because the toddler insists on brushinghis own teeth and being left alone in the bathtub. What advice should the nurse provide to the parent about these expectations?
"this is called parallel play and is normal for this age group"
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 parallel play and is expected
The parent of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the parent about this type ofplay behavior?
appear to ignore the toddler
What advice should the nurse provide the parent of a toddler, regarding how to handle temper tantrums?
20 deciduous teeth
When assessing a 2 1⁄2 year old, the nurse would expect the toddler to have:
the toddler should speak in two-word sentences ("me go")
When assessing a toddler's language development, what is the standardagainst which you measure language in a 2-year-old toddler?
MMR
Which immunization would you anticipate administering to a 15-month old at a health maintenance visit?
allow the toddler to make simple decisions
Which is the best way for parents to aid a toddler in achieving the developmental task?
place a smaller amount on the child's plate
the parents of a toddler are worried that the child is not eating enoughbecause food is always left on the child's plate. What should the nurse encourage the parents to do?
