Health Promo Sherpath- Toddlers
The nurse is evaluating the teaching provided to parents about fall prevention for toddlers. Which statement(s) by the parents indicate that the teaching was effective? Select all that apply. "We need to install screen guards in our windows." "We should let our child freely explore and learn from experience." "We should remove any furniture that can be easily moved or tilted." "We should make sure our child doesn't climb on any breakable furniture." "We should check on our children periodically, so they learn how to maintain safety independently."
"We need to install screen guards in our windows." This is an important safety precaution. Toddlers can easily fall from windows, and screen guards are an important way to prevent these accidents. "We should remove any furniture that can be easily moved or tilted." This is necessary to protect toddlers, especially as they grow more curious and begin to meet their motor development milestones. Toddlers often pull on furniture to stand, and furniture may topple and fall on them.
The parents of a toddler are worried that the child is not eating at meal times. Which suggestions should the nurse make to promote healthy eating for the child? Offer three meals and two snacks per day. Offer the child a routine menu of nutritious food each day. Offer a treat, such as a cupcake, with meals to encourage a healthy appetite. Serve a large breakfast with a high protein content to increase the child's metabolism.
Offer three meals and two snacks per day. This will help the child build a regular appetite. Setting meal times will train the toddler to eat at regular times, and limited snacks will help ensure an appetite at those times.
Which role does the nurse play in toilet training? Select all that apply. Explaining Piaget's and Freud's stages of development Teaching parents the importance of physical readiness Providing the parents with one-on-one toilet training coaching Making home visits to ensure the child is reaching appropriate milestones Teaching the parents about developmental signs of toilet training readiness
Teaching parents the importance of physical readiness There are physical and psychological signs of readiness that the nurse can explain to the parents, such as voluntary control of the bladder and bowel and recognition of the need to void. This will help the parents determine when their child is ready and will decrease frustration. Teaching the parents about developmental signs of toilet training readiness The nurse can inform the parents of physical and psychological signs of readiness, such as the child showing interest in the toilet or the child disliking a wet or soiled diaper.
The parent of a two-and-a-half-year-old with 19 teeth reports that they do not have fluoridated city water at home and do not have access to a dentist for preventative care. Which actions should the nurse take? Select all that apply. Tell the parents to apply a topical fluoride varnish daily. Tell the parents to apply a topical fluoride varnish every six months. Recommend that the parents give the child an oral supplement of 0.5 mg of fluoride daily. Recommend that the parents give the child an oral supplement of 0.25 mg of fluoride daily. Recommend that the parents give the child and oral supplement of 0.5 mg of fluoride every six months.
Tell the parents to apply a topical fluoride varnish every six months. The application of fluoride varnish should be every three to six months during early childhood if the child does not have access to a dentist. Recommend that the parents give the child an oral supplement of 0.25 mg of fluoride daily. A supplement containing 0.25 mg of fluoride is recommended for children without access to fluoridated water.
The parent of a toddler reports that the two-year-old sometimes screams and hits himself in the head with a toy when it is close to bedtime. How would the nurse describe this behavior? Acting out Temper tantrum Tourette's syndrome Developmental disability
Temper tantrum This child is having a temper tantrum, which is a common behavior pattern seen in toddlers. Children of this age lack the verbal ability to express themselves well or to reason with parents and often resort to tantrums and aggressive outbursts.
A three-year-old girl is brought to the emergency department with a third-degree burn on her hand. The mother is extremely distressed and says to the nurse: "My daughter is so active and curious—it is hard to predict her behavior." Why is it important for the nurse to discuss developmental milestones when advising this parent about safety measures? Select all that apply. Developmental milestones do not need to be discussed, since they are not related to this child's third-degree burn. Discuss the importance of keeping the child close at all times and preventing exploration and wandering to prevent injury. Discussing developmental milestones will help the mother prepare for the type of behavior the child will exhibit now and in the future. Discussing motor milestones, including increased motor capacity, explains why the child will be reaching and moving quickly, making the child more prone to accidents. Discussing cognitive milestones, including increased curiosity and the desire to explore without understanding the consequences of actions, will help the parent understand the need for child-proofing the home and close supervision of the child at this age.
Discussing developmental milestones will help the mother prepare for the type of behavior the child will exhibit now and in the future. Preparing for the future by providing anticipatory (ie, anticipatory guidance) is an important reason for the nurse to discuss developmental milestones when advising this mom. This can help to prevent injury in the future anticipate behavior associated with. Discussing motor milestones, including increased motor capacity, explains why the child will be reaching and moving quickly, making the child more prone to accidents. Motor milestones are important for the nurse to discuss when advising this mother about safety measures. This will help the mother consider ways to make the child's environment safe (eg, keeping poisonous substances out of reach, restricting access to climbing hazards). Discussing cognitive milestones, including increased curiosity and the desire to explore without understanding the consequences of actions, will help the parent understand the need for child-proofing the home and close supervision of the child at this age. Cognitive milestones are important for the nurse to discuss when advising a parent about safety measures. At this age, children do not have the capacity to anticipate consequences so they should be watched closely, and appropriate measures should be taken to make her environment as safe as possible.
The nurse is preparing a community program to decrease the incidence of water-related accidents and deaths. The nurse should plan to implement teaching about water-safety issues in which ways? Select all that apply. Prepare handouts with parent education about home water safety precautions. Promote education about life jacket use on boats among summer camp populations. Organize community outreach sessions and material on swimming classes for children and water safety programs. Perform inspections at community pools and condo associations to check for pool safety issues. Provide pamphlets with information on preventing drowning deaths to community pool locations.
Prepare handouts with parent education about home water safety precautions. Handouts are a good way to provide water safety recommendations. The nurse can inform parents of simple in-home water safety precautions, including guidelines such as installing toilet lid locks and never allowing a child to bathe unattended. Promote education about life jacket use on boats among summer camp populations. The nurse can target certain populations, such as summer camps and other communities where children are at a higher risk for water-related accidents, to provide educational materials to address this risk. Organize community outreach sessions and material on swimming classes for children and water safety programs. The nurse can plan outreach education about swimming and water safety classes. The nurse can recommend certain organizations, such as the American Red Cross and the YMCA, for assistance. Provide pamphlets with information on preventing drowning deaths to community pool locations. Providing education to those using community pools will work to decrease the rates water-related injury.
The nurse makes which recommendation(s) to the parents of a three-year-old who throws a tantrum every night at bedtime? Select all that apply. Set appropriate limits. Establish a regular bedtime routine. Set a behavior expectation plan. Allow the tantrums as a sign of autonomy. Identify the triggers for the tantrums.
Set appropriate limits. Appropriate limit-setting will help the toddler better understand the boundaries with regard to his or her behavior. Establish a regular bedtime routine. A regular bedtime routine will be predictable and thereby make the transition from waking to sleeping time smoother. Set a behavior expectation plan. Having a behavior expectation plan in place will help the parents respond in a consistent manner to the tantrums. It shows what behaviors the parents will not tolerate and the expected consequences. Identify the triggers for the tantrums. It is important for the parents to identify specific triggers for the toddler's tantrums (eg., sleepiness) so that they can be addressed. Prevention is the best intervention.
The nurse is teaching the mother of a toddler about safety precautions necessary to prevent accidents and injuries. The nurse determines that the teaching has been effective when the mother identifies which situation(s) as requiring close supervision? Select all that apply. Taking a nap Taking a bath Taking medicine Climbing a tree Helping to cook in the kitchen
Taking a bath Infants, toddlers, and young children should be watched closely throughout their baths to prevent drowning. It takes only seconds to drown in only one inch of water. Taking medicine Taking medicine is a situation that warrants close supervision. Children should be given medicine by a parent or another responsible adult. In addition, parents should be sure all medications and poisonous items are kept securely in a locked medicine box or cabinet. Climbing a tree Toddlers should be watched closely when they are climbing. Toddlers are curious and as their gross motor skills increase, they are often eager to climb, making them prone to falls. Providing effective supervision is an excellent way to let children grow and explore yet keep them safe. Helping to cook in the kitchen Helping prepare food is a situation that warrants close supervision. Toddlers and small children should not be left alone in the kitchen or around hot water to prevent thermal injuries such as scalds and burns.
The pediatric nurse is teaching a new nurse how to recognize signs that a toddler is ready for toilet training. The nurse includes which indicators as signs of readiness for toilet training? Select all that apply. The child shows an interest in toilets and putty chairs. The child is able to pull up and remove his or her pants. The child is eager to please the parents with a dry diaper. The child notices his or her own wet diaper and may try to remove it. When placed on the toilet, the child will sit for a short time.
The child shows an interest in toilets and putty chairs. It is a sign of readiness when the toddler shows an interest in the toilet and how it works. This shows that the child may be ready to learn about the process and practice of using the toilet or potty chair. The child is able to pull up and remove his or her pants. This demonstrates physical maturation and is one sign of readiness for toilet training. The child is eager to please the parents with a dry diaper. This scenario reflects readiness for toilet training, since the child is showing signs of psychological maturation as well as the physical ability to hold their urine for a while. The child notices his or her own wet diaper and may try to remove it. This reflects readiness for toilet training because the child understands the difference between being wet and dry and shows a preference for being clean and dry.
