Peds 2 Sherpath G & D/ Health Promotion Toddlers

Which report by a parent would indicate normal social development of the 2-year-old patient? "He doesn't care at all when I leave him." "He only talks to himself, and not to me." "I never really know what he is saying to me." "He will play next to another child and watch the child, but won't interact with the child."

"He will play next to another child and watch the child, but won't interact with the child."

The nurse is evaluating the teaching provided to the parents of a three-year-old. Which statements made by the parents about motor vehicle safety recommendations would indicate to the nurse that teaching has been effective? Select all that apply. "Our child should be positioned in a rear-facing car seat." "Our child should be positioned in a forward-facing car seat." "Our child should be fastened into the car seat with a five-point harness." "Our child's car seat should be secured in the passenger side, front-seat position." "Sometimes I forget my purse in the house. I leave the child in the car when I quickly run into the house. This is OK."

"Our child should be positioned in a forward-facing car seat." "Our child should be fastened into the car seat with a five-point harness."

The nurse is working with parents who have reported that their toddler has had several temper tantrums. Which statements by the nurse suggest appropriate strategies for responding to a temper tantrum? "Tell the child to stop acting childish." "Tell the child he has no reason to act that way." "Let the temper tantrum run its course. The child just needs to wear himself out." "Tell the child that temper tantrums are not okay and put the child in his room until he calms down."

"Tell the child that temper tantrums are not okay and put the child in his room until he calms down."

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." "We should remove any furniture that can be easily moved or tilted."

Which head circumference measurement would be expected for a two-year-old whose head circumference was 18 inches at the 12-month checkup? 18 inches 17 inches 19.5 inches 21.5 inches

19.5 inches

A toddler who weighs 22 lbs at 1 year of age would be expected to weigh approximately __ lbs by the third birthday.

32 The average weight gain is 5 lbs (2.26 kg) per year. Therefore, a toddler weighing 22 pounds at 1 year of age would be expected to weigh approximately 32 pounds (22 + 5 + 5) by the third birthday.

A toddler who was 33 inches in height on his or her second birthday would be expected to measure approximately __ inches in height on his or her third birthday.

36 The average toddler grows approximately 3 in. (7.62 cm) each year. The toddler would therefore be expected to be 36 inches (33 + 3) on his or her third birthday.

Which would be the expected adult height for a toddler who is 34 inches tall at the 30-month checkup?

68

What anticipatory guidance can the nurse give parents of a toddler to support the toddler's need for increasing autonomy? Take the food away if the toddler spills it. Continue feeding the toddler during mealtime. Give the toddler finger foods to decrease messes. Allow the toddler to practice feeding with a spoon.

Allow the toddler to practice feeding with a spoon.

In order for toilet training to be successful, a toddler should demonstrate which signs of toilet training readiness? Select all that apply. Child can undress without assistance. Child removes a soiled diaper without assistance. Child sits through a movie without wetting a diaper. Child can self-feed using a fork and spoon at all meals. Child brings a diaper to the mother for a change when asked.

Child can undress without assistance. Child removes a soiled diaper without assistance. Child sits through a movie without wetting a diaper.

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. 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.

Which cognitive advancements are expected between 19 and 24 months? Domestic mimicry Ability to relate to time of day Abstract thinking to solve problems Imitating an action only while another person is performing it

Domestic mimicry

The parents of a two-and-half-year-old-patient are frustrated by their child's preference for only chicken nuggets. The nurse suggests which action(s) to help their child appreciate new tastes and encourage the consumption of a variety of foods? Select all that apply. Eat a wide variety of foods as a family. Make the child eat everything on the plate. Create routine by serving the same foods daily. Talk with the child about the foods they like most. Serve only the foods the child will agree to eat.

Eat a wide variety of foods as a family. Talk with the child about the foods they like most.

Which one of the following developmental characteristics explains why a toddler frequently uses the words me, I, and mine? Animism Ritualism Negativism Egocentrism

Egocentrism

The parents of a three-year-old toddler report that the child refuses to eat dinner and will only eat once or twice a day. Which responses by the nurse are most appropriate? Select all that apply. Gather the child's weekly food history. Ask parents if child has a snack before dinner. Advise parents to offer smaller portions at mealtime. Encourage parents to offer only the child's favorite foods. Advise parents to make child sit at the table until all food has been consumed.

Gather the child's weekly food history. Advise parents to offer smaller portions at mealtime.

The nurse is providing discharge teaching to the mother of a two-day-old newborn. The mother expresses concern about how her three-year-old toddler will react to the new baby. The nurse explains that the toddler may experience which common reaction(s) to a new baby? Suspiciousness Intense joy and excitement Depression and withdrawn behavior Jealousy and feelings of resentment

Jealousy and feelings of resentment

Which characteristics are typical of the toddler's physical appearance? Select all that apply. Leaner Knees curved inward Flattened plantar arch Inward curve of the spine Mature abdominal muscles

Leaner Flattened plantar arch Inward curve of the spine

What important parental guidance advisory needs should caregivers be reminded of when discussing motor development in the toddler? Encourage the toddler to walk because he or she will fall down when running. Keep the toddler in a crib until 3 years of age, even if he or she tries to climb out. As motor development increases, allow the toddler to use a toothbrush unsupervised. Motor development in this age group is far ahead of development of judgment and perception.

Motor development in this age group is far ahead of development of judgment and perception.

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

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. 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. Provide pamphlets with information on preventing drowning deaths to community pool locations.

Which physical changes are normally seen as an infant transitions into a toddler? Select all that apply. Cherub appearance Protruding abdomen Increased adipose tissue Excessive curve of the back Wide gap between knees when standing erect

Protruding abdomen Excessive curve of the back Wide gap between knees when standing erect

The parents of a toddler ask the nurse how to ensure their child eats a well-rounded diet. Which mealtime practices does the nurse suggest to help encourage the toddler to try a variety of new foods? Select all that apply. Spoon-feed the child. Provide whole milk daily. Offer large servings of tasty foods. Provide small portions every two to three hours. Offer varieties of a single type of food.

Provide whole milk daily. Provide small portions every two to three hours.

When caring for a toddler in the hospital, which nursing intervention is most developmentally appropriate? Not allowing the child to have a pacifier while in the hospital. Allowing the child to decide if the nurse can perform a procedure. Asking the parents to leave the room when performing an assessment. Scheduling evening medications to follow the toddler's bedtime routine.

Scheduling evening medications to follow the toddler's bedtime routine

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. Establish a regular bedtime routine. Set a behavior expectation plan. Identify the triggers for the tantrums.

Which toy is appropriate to encourage cognitive development in the toddler? Card game Board game Stacking cups One-hundred-piece puzzle

Stacking cups

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 Taking medicine Climbing a tree Helping to cook in the kitchen

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 Teaching the parents about developmental signs of toilet training readiness

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. Recommend that the parents give the child an oral supplement of 0.25 mg of fluoride daily.

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

How does the ability for a 24-month-old to build a two-block tower demonstrate a toddler's fine motor development? The ability to stack one block on top of another demonstrates an improvement in the toddler's balance. The ability to stack one block on top of another demonstrates an improvement in the toddler's autonomy. The ability to stack one block on top of another demonstrates an improvement in the toddler's visual acuity. The ability to stack one block on top of another demonstrates an improvement in a toddler's hand-eye coordination.

The ability to stack one block on top of another demonstrates an improvement in a toddler's hand-eye coordination.

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. 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.

Which behaviors are expected in the toddler? Select all that apply. Throwing tantrums Crying when the toddler's parent leaves for work Developing a sense that bad behavior is punished Insisting on same book being read every morning Feeling guilty when they steal a toy from another child

Throwing tantrums Crying when the toddler's parent leaves for work Developing a sense that bad behavior is punished Insisting on same book being read every morning

Which safety recommendation for burn prevention is the most important to provide to the parents of an active three-year-old? Keep the household water lukewarm. Monitor the barbecue grill closely while cooking. Use a fireplace screen when you have a fire in the fireplace. Turn pot handles toward the center of the stovetop when you are cooking.

Turn pot handles toward the center of the stovetop when you are cooking.

Identify the gross motor capability of the toddler. Select all that apply. Riding a bicycle Ascending the stairs Jumping over objects Hop on one foot Throwing a ball overhand

ascending the stairs throwing a ball overhand

Identify fine motor capabilities for the toddler. Select all that apply. Drawing a circle Stacking blocks or toys Drinking from a sippy cup Using a spoon without difficulty Drawing a person with several body parts

drawing a circle stacking blocks or toys drinking from a sippy cup

Match the child safety seat recommendation with the child for which it is age and weight appropriate. Rear-facing in back seat Rear- or forward-facing, back seat Forward-facing in back seat Booster in back seat ______________________________________________ Booster in front seat six-month-old infant Forward facing in front seat School-age child 15-month-old toddler three-year-old toddler

six-month-old infant 15-month-old toddler three-year-old toddler School-age child