PEDs Chapter 26 ATI 4

a client who is at 7 weeks of gestation is experiencing nausea and vomitting in the morning. which of the following information should the nurse include

eat crackers or plain toast before getting out of bed.

what is the best advice about nutrition for the toddler, what is the best approach by the nurse

encourage cup drinking and give ware between meals and snacks.

A nurse is presenting a class on discipline for a group of parents of toddlers. What information would be important for the nurse to teach this group? Select all that apply.

even at this age child need boundaries. if a child does something wrong a parent must address the behavior immediately. consistency in the rules is important.

The nurse is talking to the mother of a 19-month-old girl about setting limits and supervising activities. In which situation will the nurse recommend letting the child do as she pleases?

exploring her body

A toddler insists on brushing his own teeth and being left alone in the bathtub. What advice would you give his parents regarding this?

helping with his own tooth brushing allows for autonomy

the stomach and small intestine, bones

increase in size

A mother is concerned because her 14-month-old son, who had a big appetite when breast-feeding a few months ago, seems uninterested in eating solid food. She still breast-feeds him daily, but is thinking of weaning him soon. How should the nurse respond to this mother?

it is normal for toddlers to lose their appetites; try starting him with just a tablespoonful of food on his plate

a client who is at 8 weeks gestation tells the nurse that she is not sure she is happy about being pregnant

it is normal to feel like this in the first few months

in discussing their 2 year old behaviors with the nurse, which of the parents statements suggest the child may be ready fro toilet training

the child hides behind her bedroom door when defacating

a mother expresses surprise to th nurse that her toddler has begun masturbating. the most important initial nursing response is that

this is a normal and expected activity best treated matter of factly

the toddler grows how many inches a year

3in

how much juice should a toddler have

4-6oz

at 30 months how heavy are they

4x birth weight

the nurse finds the diet of a 30 month old girl to be low in Ca. what suggestion can significantly increase this toddlers Ca intake

give slices of cheese

what statement by the mother of a 20 month old indicated a need for further teaching

I give my daughter juice at breakfast and when she is thirsty

stool passage

narrows

Piaget

sensorimotor-preoperational

height and weight increases steadily in spurts at a _______ rate than the infant

slower

when is the first dental appointment

1 year old

how much sleep does 3 year old need

12hr

how much sleep does a 18 month old need

13.5 hr

how much sleep does a 24 month old need

13hr

what is the approbate teacher:toddler ratio

1:4

brain reaches 90% of size by age

2

at what age should you stop day time napping

3 years old

what is the average weight gain

3-5lbs

how many months until a toddler has a full set of teeth

30 months

the nurse is reviewing sleep and rest activities of a 16 month old. the father states its unhealthy for the child to sleep with us. whats the best response

it must be difficult for the two of you to both feel strongly about what is best for you and your child.

to gain cooperation from a toddler, what is the best approach by the nurse

kneel infront of the toddler while he or she is on the mothers lap.

Kohlberg

Preconventional

A group of students is reviewing material about ways parents can help to foster a child's self-esteem. The students demonstrate a need for additional studying when they identify which method as promoting self-esteem?

limiting the choices and decisions that the child makes

what fine motor skills do toddlers possess

manage utensils, hold crayon, string bead, use computer.

Once temper tantrums have started, which intervention is appropriate?

move objects out of the way of child to prevent injury

the nurse is discussing proper discipline with the mother of a 15 month old boy. which statement is most important

never spank the child

A nurse observes a child engaged in parallel play in a nursery. What is an example of parallel play?

a boy sitting besides a girl in the floor, each playing independently with a operate set of blocks

the nurse is providing parental anticipatory guidance to promote healthy emontial developmental in a 12 month old. which statement best accomplishes this

a regular routine and tituals will provide stability and security

parents are proud of their fast developing fine motor skills. which purposes a risk

ability to turn door knobs

When should you use toothpaste on child

after 2 years old

The best way for parents to aid a toddler in achieving his developmental task would be to:

allow to make simple decison

the nurse is promoting language and cognitive development to the parents of a 3 year old. which guidance about reading with their child would be most helpful

as questions as you read

Erickson

autonomy vs shame and doubt

The nurse is assessing a 2-year-old boy during a well child visit. The nurse correctly identifies the child's current stage of Erickson's growth and development as:

autonomy vs shame and doubt (Erickson)

a nurse is teaching a client who is at 6 weeks of gestation about common discomforts of pregnancy.

breast tenderness, urinary frequency, epistaxis

which suggestion by the nurse meant to promote good dental health In a 15 month old inappropriate

brush Childs teeth with pea sized amount of tooth paste fluoride containing

Telegraphic speech

contains essential words. "me hungry"

The mother of a 2-year-old tells the nurse she is constantly scolding him for having wet pants. She says her son was trained at 12 months, but since he started to walk, he wets all the time. Which nursing diagnosis would be most applicable?

deficient parental knowledge related to inapporitae method for toilet training

the nurse is playing a game with a toddler in the hospital room. what is the most important benefit of this nurse client interaction

developing a trusting relationship with the nurse.

Nursing students reviewing information about discipline demonstrate a need for additional education when they identify what information as correct?

discipline and punishment are interchangeable

A toddler's mother reports that her child will only eat peanut butter and jelly sandwiches for several days in a row. The child will then refuse to eat them for several weeks. Which term would the nurse use to document this behavior?

food jag

The parents of an overweight 2-year-old boy admit that their child is a bit "chubby," but argue that he is a picky eater who will eat only junk food. Which response by the nurse is best to facilitate a healthier diet?

give him more healthy food choices with less junk food avliable

the nurse Is teaching the mother of a 2 year old about age apporiate toys. which would be the most interest plus stimulating to the growth and development of this child

giving the child pots, pans and large spoons

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?

he doesn't respond if I wave at him

A mother brings her 2-year-old child to the pediatrician's office, voicing concerns about her toddler's growth over the last year. According to the child's records, the toddler has gained 6 pounds (2.7 kg ) and grown 2.5 in (6.25 cm) since his last visit a year ago. How should the nurse respond to this mother's concerns?

normal

A toddler's father is concerned because his son refuses to share. What is your best response concerning this?

normal behavior sharing is learned

The parents of a 3-year-old tell the nurse that their child constantly says "no" to everything and they are very frustrated. They ask the nurse what they should do. Which responses by the nurse are appropriate? Select all that apply

normal for this age. if measures to stop this behavior don't work you should make the decision for your child move on with whatever activity is occurring. have you tried time outs for negative behavior. giving choices instead of yes or no questions

The nurse is assessing a 3-year-old child. The nurse notes the child is able to understand that objects hidden from sight still exist. The nurse correctly documents the child is displaying

object permanence

the parents of a 2 year ikd report to the nurse because their child is a picky eater. which recommendation would be most helpful for developing healthy eating habits

offering a variety of foods along with the foods the child likes

the nurse is recommending food items for a 18 month old. which ones will benefit the child's neurological system

peanut butter on crackers, cheese, whole milk

parents of a toddler describe how they handled their Childs temper tantrum in a shopping mall. what action of the parents indicates need for additional teaching

reasoned with the child to stop the behavior

the mother of a 15 month old is concerned aboutt a speech delay. sometimes she understands commands, but only using one or two words consistently

receptive language develops faster than expressive language

parents who just removed into their dream home are concerned because there toddler who had achieved daytime bowel and bladder control has begun wetting and defecting in his underwear.

regression

Frued

satisfaction or frustration of expelling feces (anal stage)

what are typical behaviors of 3 year old

security item, gender differences, aggressive, self aware, fear of losing parents, no clear body boundaries.

Sense of self

seeing oneself as separate from parent, egocentrism.

A 2-year-old holds his breath until he passes out when he wants something his mother does not want him to have. You would base your evaluation of whether these temper tantrums are a form of seizure on the basis that:

seizures are not provokes, tantrum are

the student nurse is assigned to care for a 15 month old child. when developing a care plan addressing the nutritional needs of the toddler, which client goals demonstrate the student nurse's understanding of these needs.

the child will drink amounts suggested by the pediatrician of milk and other flies. the child will learn to drink from a cup within the next month. the child will stop drinking from the bottle while in bed in the next two week.

the nurse is assessing a 2 year ild. which observation would alert the nurse that the child may be developmentally delayed.

the child will not pick up a toy or touch nose when directed. the Childs vocabulary consists of the words, ball, daddy, mum, drink and up.

A nurse, who is also a mother of a 2-year-old child, attends a party at a friend's house and notes some safety concerns that she would like to share with the other mother privately. Which observations during the party would be considered a safety concern that should be addressed privately when appropriate? Select all that apply.

the parent is busy entertaining guest and did not notice toddler running out in the street. the nurse notices that car seat in the front passenger. the parent allows the child to climb on the counter and watch food stirred over stove.

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?

the staff should be trained in early childhood devolpment

a 2 year old is having a temper tantrum. what advice should the nurse give the mother

the tantrum should be ignored as long as the toddler is safe

the nurse is assessing the development in the 2 year old whose family uses both Spanish and English in the hide. what finding is of conern

the toddler speaks 15 words between the 2 languages

what type of gait do toddlers have

wide gait

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?

undressing self

parents and their 35 month old child have returned for a follow up appointment. which of the finding may signal a speech delay.

uses two word sentences or phrases

a nurse is caring for a client who is pregnant and reviewing signs of complications the client should promptly report to the provider. which of the following complications should the nurse include in the teaching

vaginal bleeding

the nurse is teaching parents how to avoid a power struggle with their 2 year old. which comment indicates that more teaching is needed

we will make sure she shares her toys with cousins her age.

The father of a 2-year-old girl tells the nurse that he and his wife would like to begin toilet training their daughter soon. He asks when the right time is to begin this process. What should the nurse say in response?

when she starts tugging on a wet or dirty diaper, she is letting you know she's ready.

the mother of a preschooler reports that her daughter seems to believe in magic, she voices conner that this fantasy world may be come a problem. what response by the nurse is indicated

your daughter is engaging in what we call magical thinking. this type of thought process allows your daughter to being to observe the differences in the world.

the nurse is examing a 2 year old girl for speech and language development. which finding would suggest a delay in speech devolpment

the child does not use the names of familiar objects

the nurse is caring for a hospitalized 30 month old who is resistant to care, angry and screams no. the nurse identifies this toddlers behavior as

normal for this stage of growth and devolpment

When observing a group of toddlers playing in a child care setting, it is noted that the toddlers are all playing with buckets and shovels but are not playing with each other. This type of play is referred to as:

parallel play

The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem?

persistent operation anxiety

a mother reports her 2 year old has gradually eaten more poorly since her 1 year old. the nurse assesses the child growth and development is normal. what concept explains the mother's concern.

physiologic anorexia a

the nurse is visiting a day care center and watches twi toddler play.

playing along side each other

a nurse is teaching a group of women who are pregnant about measures to relieve backache during pregnancy. which of the following measures should the nurse incldue

preform pelvic rock exercise everyday, use proper body mechanism

The nurse is providing education to a teen mother about her 20-month-old daughter's growth. The teen says her daughter seems to have such a big head. What information should the nurse include in the response?

share that the heads of children this age are large and in proportion to the rest of their body

the mother states she is tired of her child telling her no. what is the best intervention

simple choices (red shirt or blue), coding questions ending with Okay, avoid yes or no. make statements

If having another child when you have a toddler what should you do

spend individual time with toddler, have toddler help out with baby

a stay at home father wants to purchase commercial toddler meals because his 16 month old recently chocked on table food. which food items will the nurse suggest not be given to this child

sticky foods like peanubutter aline, gummy candies, marshmallows, round foods such as hot dogs, whole grapes and cherry tomatoes, hard foods such as nuts, raw carrots and popcorn.

the nurse is examining a 3 year old, which finding would disclose developmental delay

the child demonstrates separation anxiety