PEDI CH. 17 NCLEX QUESTIONS

Which statement by the parent would indicate a need for further guidance? 1. I use a car seat for my toddler whenever we are in the car, and he is right beside me as I drive so I can keep an eye on him 2. I use a car seat for my toddler whenever we are in the car and secure it onto the rear seat of the car 3. I use a car seat for my toddler that is designed to hold children up to 40 lb 4. I use a car seat for my toddler that is designed to fasten with the seat belt

1. I use a car seat for my toddler whenever we are in the car, and he is right beside me as I drive so I can keep an eye on him Car safety is important during childhood. A toddler's child seat placed in the front car seat close to the passenger air bag can be dangerous. Page reference: Page 414

What guideline should parents of a toddler follow when feeding solid food? 1. One tablespoon of food per year of age 2. Allow toddler to eat until full 3. Set a timer for a predetermined amount of time 4. One tablespoon of protein and vegetables at each meal

1. One tablespoon of food per year of age The recommendation is one tablespoon of food per year of age. The others are not recommended strategies.REF: Page 413

The nurse assesses the vital signs of a 2-year-old. A normal respiratory rate (per minute) would be: 1. 18-20 2. 25-30 3. 35-40 4. 45-50

2. 25-30 The respiratory rate slows to 25 breaths/min and breathing continues to be abdominal during the toddler years. Page reference: Pages 407-408

What is the cause of most childhood deaths? 1. Sudden infant death syndrome 2. Accidents 3. Leukemia 4. Influenza

2. Accidents Accidents kill and cripple more children than any disease and are the leading cause of death in childhood.REF: Page 414

Which characteristics are displayed when a child experiences separation anxiety? Select all that apply. 1. Frustration 2. Protest 3. Despair 4. Attachment 5. Detachment 5. Forgiveness

2. Protest 3. Despair 5. Detachment Separation anxiety, which consists of protest, despair, and detachment, develops in infancy and continues throughout toddlerhood.REF: Page 408

At what age do toddlers usually recognize sexual differences? 1. 12 months 2. 18 months 3. 24 months 4. 36 months

3. 24 months By 2 years of age there is recognition of sexual differences.REF: Page 408

A parent states that she is having a conflict with her toddler who seems to "always want to do things his way." He insists on putting on his right sock and shoe before his left and has a tantrum if the parent tries to put on the left sock and shoe first. The parent asks the nurse why the child is acting this way. The best response of the nurse would be to: 1. Explain to the child that it really doesn't matter which sock and shoe is donned first 2. Put the child in "time-out" for the appropriate time. 3. Explain that this is normal ritualistic behavior at this age 4. Let the child walk barefoot and take the shoes away.

3. Explain that this is normal ritualistic behavior at this age Ritualism is another characteristic of toddler behavior. Toddlers increase their sense of security by making compulsive routines of simple tasks, and therefore their rituals should be respected. Page reference: Page 406

According to Erikson, what is the correct stage of development for the toddler? 1. Initiative vs. guilt 2. Trust vs. mistrust 3. Industry vs. inferiority 4. Autonomy vs. shame and doubt

4. Autonomy vs. shame and doubt The toddler is in Erikson's stage of autonomy vs. shame and doubt, which is based on a continuum of trust established during infancy. According to Erikson, the toddler's task is to acquire a sense of self-control while overcoming shame and doubt.REF: Page 406

One of the developmental hallmarks of the toddler that most frequently gives rise to safety hazards is: 1. Brief attention span 2. Need for ritual 3. Fluctuating appetite 4. Need to explore

4. Need to explore Nurses have an important responsibility to review injury prevention with parents during each clinic visit. The normal characteristics of a toddler, including curiosity, mobility, and negativity, make the toddler more prone to injuries. These injuries often occur in and around the home. Page reference: Pages 414-416

A mother tells a nurse that her 2-year-old toddler often has temper tantrums at the family dinner table and asks how to handle the behavior. The best response by the nurse would be: 1. Temper tantrums are normal for a 2-year-old, and the child will grow out of it 2. The toddler should be removed from the family dinner table until he or she is old enough to behave 3. Strict discipline and corporal punishment are appropriate to help the child to gain self-control 4. Parents should agree on a method of discipline, such as time-out, and use it when the child misbehaves

4. Parents should agree on a method of discipline, such as time-out, and use it when the child misbehaves Discipline for the toddler involves guidance. The length of a time-out is usually based on 1 minute per year of age, and maintenance of consistency of expectations from both parents is needed. Page reference: Pages 408, 410, and 411; Table 17-4

Parents of a 2-year-old child verbalize frustration over their child's behavior. They report that he is inconsistent and frequently says no to their requests. What education should the nurse provide at this time? 1. The child must be getting ill. 2. The physician should be notified immediately. 3. Behavioral therapy is indicated. 4. This is called negativism and is normal behavior.

4. This is called negativism and is normal behavior. The toddler's behavior is inconsistent and often frustrating. Toddlers alternate between dependence and independence. They test their power by saying no frequently. This is called negativism.REF: Page 406

____________ play is typical during the initial toddler years.

Parallel Toddlers engage in parallel play, which is playing next to, but not with, their peers. They gradually develop cooperative play, which involves imagination and sharing skills.REF: Page 414