PrepU ch.16
The nurse teaches a mother pain management techniques to use for a toddler with otitis media. Which statement indicates that the mother needs additional teaching? "Use of infant Tylenol is good for my toddler." "I don't have to give my child pain medication unless it is needed." "I should give my toddler one baby aspirin." "Ibuprofen can be purchased over the counter to use if my toddler needs it."
"I should give my toddler one baby aspirin."
Parents are beginning to potty train their 2-year-old child and seek advice from the nurse on how to be successful in this endeavor. Which statement by the parents indicates that further teaching is needed? "We will place him on the potty for 5 minutes for each session." "I bought him 'big boy' underwear for him to use instead of diapers." "He wants to accompany me to the bathroom but I prefer to go alone." "I will wait until he is off the toilet before flushing it."
"He wants to accompany me to the bathroom but I prefer to go alone."
The nurse is teaching the parents of a 2-year-old child how to handle the child's temper tantrums. The nurse determines that the teaching was successful if the parents make which statement? "We will place our child in time-out for 5 minutes after the tantrum." "We will offer our child a treat to stop having the tantrum." "We will attempt to reason with our child to limit tantrums." "We will ignore our child while having the tantrum."
"We will ignore our child while having the tantrum."
The nurse is visualizing the ear canal and tympanic membrane of a 14-month-old boy. Which finding would warrant further investigation? Visible bony landmarks behind the membrane A bubble behind the tympanic membrane A gray tympanic membrane A mobile tympanic membrane A pearly pink membrane
A bubble behind the tympanic membrane
Which is the best way for parents to aid a toddler in achieving the developmental task? Give the toddler small household chores to do Urge the toddler to dress oneself completely alone Help the toddler learn to count Allow the toddler to make simple decisions
Allow the toddler to make simple decisions
The nurse is preparing to conduct a physical examination of a 3-year-old child. Which assessment will the nurse introduce for the first time to this client? Snellen vision testing Observation of walking gait Blood pressure recording Standing height measurement
Blood pressure recording
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 young age, children need boundaries. If a child hits or bites another child, the parents should scold them, saying such things as "You are very naughty for biting Rachel." Consistency in the rules is important so the child understands what is expected. If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. Toddlers cannot learn self-control until at least 3 to 4 years of age.
Consistency in the rules is important so the child understands what is expected. If a child does something wrong, the parent must address the behavior immediately so the child understands what they did wrong. Even at this young age, children need boundaries.
The nurse is discussing proper discipline with the parent of a 15-month-old toddler. Which teaching is most important? Physical punishment such as spanking is discouraged. Toddlers are unable to follow instructions easily. Only use praise after the child has corrected a wrong behavior. Rules and limits should be simple and few.
Physical punishment such as spanking is discouraged.
A nurse is assessing a 2-year-old's language development. What would the nurse expect to assess? Ability to name one color Knowledge of full name Verbalization of 4 to 6 words Use of a two-word noun-verb sentence
Use of a two-word noun-verb sentence
When assessing the eyes of a toddler, the nurse notes the sclera shows above the pupil. Based on this finding what action should the nurse take? Report the finding to the health care provider. Instruct the mother on eye muscle exercises. Document the finding as normal. Refer the child to an ophthalmologist.
Report the finding to the health care provider.
The nurse is teaching a student how to instill ear drops into a 2-year-old. What technique does the nurse demonstrate to the student? The nurse pulls the pinna of the ear back. The nurse pulls the pinna of the ear down and back. The nurse pulls the pinna of the ear up. The nurse pulls the pinna of the ear up and back.
The nurse pulls the pinna of the ear down and back.
The nurse has brought a 3-year-old's oral medications into the room for administration. Upon approaching the child, the nurse said, "I have your medication. Would you rather have me hand it to you or Mommy?" In critiquing the nurse's actions, which is most accurate? The nurse's behavior is correct. The nurse provided the child a choice between two acceptable options with the outcome of taking the medication. The nurse's behavior is incorrect. The mother did not prepare the medication and should not have administered the medication. The nurse's behavior is incorrect. The nurse should have been firm in expecting the child to take the medication. The nurse's behavior is correct. Children are afraid of the nurse.
The nurse's behavior is correct. The nurse provided the child a choice between two acceptable options with the outcome of taking the medication.
A nurse is preparing to examine the ear of a 2-year-old child. The nurse would pull the pinna in which direction? up down and back up and back forward
down and back
Parents share that their toddler often needs a snack in between meals. Which snack choice is nutritious enough to give the toddler energy but also may help prevent dental caries? Select all that apply. sugar-free candy bars raisin oatmeal cookies cheese slices yogurt orange slices
orange slices cheese slices yogurt
After teaching the mother of a 13-month-old boy old about suggestions for bathing and hygiene, the nurse determines that the teaching was successful when the mother states which of the following? "I can use bubble baths to lure him into the tub." "It might be best to give him a bath in the evening." "I'll wash his hair every day with just plain soap." "I'll drain the tub while he's still in it so he won't fall."
"It might be best to give him a bath in the evening."
The nurse is reviewing sleep and rest activities of a 16-month-old child with the parents. The father states, "I have told my wife it is unhealthy for our child to sleep with us. It's time for him to sleep in his own bed. What do you think?" What is the nurse's best initial response? "Have you thought about just trying to let your child sleep in his own bed to see how it goes?" "It must be difficult for the two of you to both feel strongly about what is best for you and your child." "I will note this in your child's chart for the doctor to see." "Co-sleeping is viewed acceptable by some professionals, but as interfering with the child's independence by others."
"It must be difficult for the two of you to both feel strongly about what is best for you and your child."
During a well-child visit, the nurse observes the child saying "no" to her mother quite frequently. The mother asks the nurse, "How do I deal with her saying no all the time?" What would be appropriate for the nurse to suggest? Select all that apply. "Limit the number of questions you ask of her." "Offer her something she would like, such as ice cream, to distract her." "Offer her two options from which to choose." "Make a statement instead of asking a question." "Use time-out every other time she tells you no."
"Limit the number of questions you ask of her." "Make a statement instead of asking a question." "Offer her two options from which to choose."
During the toddler years, the child attempts to become autonomous. Which statement by a 3-year-old toddler's caregiver indicates that the toddler is developing autonomy? "When my toddler falls down, they always wants me to pick them up." "Every night my toddler follows the same routine at bedtime." "My toddler uses the potty chair and is dry all day long." "My toddler has temper tantrums when we go to the store."
"My toddler uses the potty chair and is dry all day long."
The nurse is teaching parents interventions appropriate to the emotional development of their toddlers. What is a recommended intervention for this age group? Offer toddlers many choices to foster control over their environment. Do not blame toddlers for aggressive behavior; instead, point out the results of their behavior. Remove children's security blankets at this stage to help them assert their autonomy. Distract toddlers from exploring their own body parts, particularly their genitals.
Do not blame toddlers for aggressive behavior; instead, point out the results of their
The nurse is examining the posture of a toddler and notes lordosis. What would be the appropriate reaction of the nurse to this finding? Explain that the toddler will need a back brace. Refer the toddler to an orthopedic specialist. Do nothing; this is a normal condition for toddlers. Refer the toddler to a physical therapist.
Do nothing; this is a normal condition for toddlers.
The nurse is administering otic medication to a 22-month-old with a diagnosis of otitis media. Which nursing action ensures that the medication is distributed appropriately? Place a cotton ball in the outer ear. Pull the pinna up and back. Place in a side-lying position. Pull the pinna down and back.
Pull the pinna down and back.
The nurse is caring for a 2-year-old child who has been hospitalized after being injured in an automobile accident. During the assessment the child is quiet and watchful of all the nurse's actions. When considering the level of pain being experienced by the child what inference can be made? The child is most likely tired. The child's nonverbal behaviors may indicate the presence of discomfort. The child is not experiencing any significant level of pain or discomfort. The child is feeling too shy to communicate any pain or discomfort.
The child's nonverbal behaviors may indicate the presence of discomfort.
The home health nurse is visiting a 2-year-old client's home. Which finding will cause the nurse to intervene? The family's medications are located in a kitchen drawer. All of the windows in the home are locked. The toddler goes to the bathroom alone to urinate. The toddler in not allowed in the kitchen while food is being prepared.
The family's medications are located in a kitchen drawer.
The nurse observing toddlers in a day care center notes that they may be happy and pleasant one moment and overreact to limit setting the next minute by throwing a tantrum. What is the focus of the toddler's developmental task that is driving this behavior? The need for separation and control The need for love and belonging The need for peer approval The need for safety and security
The need for separation and control
The nurse is completing an assessment on a 2-year-old child. The nurse notes the presence of a raised reddish purple spot on the back of the child's neck. Which statement about this finding is correct? Once the child has grown these lesions are usually removed by lasers. Biopsies of these areas are usually taken once the child is a teen. These lesions will normally fade as the child ages. These lesions are associated with the development of Sturge-Weber syndrome.
These lesions will normally fade as the child ages.
The nurse is observing a 3-year-old boy in a day care center. Which behavior might suggest an emotional problem? has persistent separation anxiety is unable to share toys with others goes from calm to tantrum suddenly sucks his thumb periodically
has persistent separation anxiety
During a regular checkup for a 24-month-old girl, the nurse observes that all incisors and cuspids and some first molars have erupted. This would be a good time to promote optimal oral care. Which of the following topics would be most appropriate for the nurse to include in the teaching plan for the parents? up-and-down brushing technique horizontal brushing technique plastic occlusal sealant flossing between teeth
horizontal brushing technique
The nurse is caring for a toddler in the pediatric unit and notes the child is responding according to expected developmental stages. Which characteristic will the nurse predict this toddler to exhibit while in the hospital? insists on doing a new skill and then asking for help learns new things quickly by asking questions will go home knowing how to do more things will be interested in an activity for a long period of time
insists on doing a new skill and then asking for help
A toddler is prescribed amoxicillin for bilateral otitis media. The parent reports that the toddler refuses to take the oral medication. The nurse knows that more education is needed when the parent makes which statement? "I will shake the medication well, and draw up the medication to the top of the syringe. My spouse and I will hold our toddler down and force the medication down his throat." "I will shake the medication well, and draw up the amount prescribed in the medicine spoon you gave me. I will hold my toddler upright so he does not choke, and I will let him drink the medicine off the spoon." "I will shake the medication well, and draw up the amount prescribed. I will allow my toddler to suck in the medication while I hold him." "I will shake the medication well, and draw up the amount prescribed in the syringe you gave me. I will hold my toddler upright so he does not choke, and I will squirt the medication along the gum line."
"I will shake the medication well, and draw up the medication to the top of the syringe. My spouse and I will hold our toddler down and force the medication down his throat."
A nurse is providing guidance to the parents of a toddler about way to help the child to achieve the developmental task of autonomy. The nurse determines that the teaching was successful based on which parental statement? "We should focus on teaching our child to count from 1 to 10." "We'll let our child get dressed every morning by himself." "We'll let our child pick from two choices for what to wear." "We will set up a short list of chores that our child needs to do."
"We'll let our child pick from two choices for what to wear."
A mother of a toddler asks the nurse, "How will I know that my daughter is ready for toilet training?" Which response by the nurse would be most appropriate? "Most children are ready for toilet training by the time they are 18 months old." "Don't worry, your daughter will probably give you very definite signals." "Your daughter can understand holding urine and stool by about 1 year of age." "You'll probably notice that your daughter is uncomfortable in wet diapers."
"You'll probably notice that your daughter is uncomfortable in wet diapers."
A nurse in a busy pediatric clinic is educating a group of parents with toddlers about the nutritional needs of this age group. Which concepts should be addressed in this educational presentation? Select all that apply. There is no need to worry about the amount of trans fats in a toddler diet. Active, "busy" toddlers may need up to 1,400 cal/day. Milk is still important to incorporate in the diet for bone health. Try to limit the fat intake to less than 35% of total calories. Children can have as many cookies they want if that is the only thing they will eat from breakfast.
Active, "busy" toddlers may need up to 1,400 cal/day. Try to limit the fat intake to less than 35% of total calories. Milk is still important to incorporate in the diet for bone health.
The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which guidance will be most helpful for toilet teaching? Telling them that curiosity is a sure sign of readiness. Advising them to use praise, not scolding. Assuring them that bladder control occurs first. Telling the child that either mommy or daddy may demonstrate toilet use.
Advising them to use praise, not scolding.
The parent of a toddler is frustrated because the toddler insists on brushing his own teeth and being left alone in the bathtub. What advice should the nurse provide to the parent about these expectations? A) Helping with teeth brushing encourages autonomy. B) It is unusual for a 2-year-old to have such strong opinions. C) The mother should continue to give full care in all aspects. D) Leaving the child alone in the bathtub is a good way to encourage autonomy.
Helping with teeth brushing encourages autonomy.
The father of a toddler reports his son says "no" every time he attempts to correct him. What is the best advice the nurse can offer to the parent? Saying no is your son's way of trying to exert his independence and is expected. You may need to lessen the amount of correction being given to the child as he seems to be responding to feeling "overly restricted." Continue to correct him because he needs discipline. This is a normal part of toddlerhood.
Saying no is your son's way of trying to exert his independence and is expected.
The nurse is providing guidance after observing a mother interact with her negative 2-year-old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly? Asking the child if he would please quit throwing toys Telling the child to stop tearing pages from magazines Telling the child firmly that we don't scream in the office Saying, "Please come over here and sit in this chair. OK?"
Telling the child firmly that we don't scream in the office
The nurse is weighing a 20-month-old child who is in the clinic for a well-child visit. Which action by the nurse would be most appropriate for weighing this child? The nurse should weigh the parent on a standing scale and then weigh the parent again while holding the child. The nurse should have the child sit on the scale while keeping a hand close to but not touching the child. The nurse should ask the parent to lightly hold the child's hands while the child is sitting on the scale. The nurse should lay the parent on the scale covered with a clean paper and gently hold the child flat against the scale and let go just before reading the weight.
The nurse should have the child sit on the scale while keeping a hand close to but not touching the child.
A nurse is presenting a class on toilet training to a group of parents with toddlers. Which information would the nurse include in the class? Select all that apply. Using training pants that slide down easily and quickly Allowing at least 6 weeks to prepare the child psychologically for the training Keeping the child on the potty chair for as long as necessary Praising the child when he or she urinates or defecates Putting the child on the potty chair at regular intervals during the day
Using training pants that slide down easily and quickly Praising the child when he or she urinates or defecates Putting the child on the potty chair at regular intervals during the day
The pediatric nurse is presenting basic safety tips at a local health fair for families. The nurse should point out the majority of hospital visits for toddlers can be prevented by exercising which precaution? close supervision during bath time properly use car seats use plastic protectors in all electrical outlets safely store all chemical substances
safely store all chemical substances
When assessing a 33-month-old, the nurse would expect to find how many teeth? 8 20 16 12
20
The parents of a 2-year-old boy report to the nurse that their child is "such a picky eater." Which recommendation would be most helpful for developing healthy eating habits in this child? Encouraging the parents to eat a variety of wholesome foods themselves. Assuring the parents that food jags are normal, and they can be honored safely. Offering a variety of foods along with the foods the child likes. Advising the parents to minimize distractions at mealtime.
Offering a variety of foods along with the foods the child likes
After teaching a group of parents about language development in toddlers, which statement by a member of the group indicates successful teaching? "A 15-month-old should be able to point to his eyes when asked to do so." "At age 2 years, my son should be able to understand things like under or on." "When my 3-year-old asks 'Why?' all the time, this is completely normal." "An 18-month-old would most likely use words and gestures to communicate."
"When my 3-year-old asks 'Why?' all the time, this is completely normal
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 the chld's last visit a year ago. How should the nurse respond to this mother's concerns? Tell her that her child's growth is less than is expected and gather a nutritional history on the child. Tell the mother that she needs to return to the pediatrician's office in 3 months to re-weigh the child and measure his height for any changes. Ask the mother if there are other small people in her family. Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.
Inform the mother that her toddler's growth is within normal limits and there is nothing to be worried about.
A nursing instructor is leading a class discussion exploring the various aspects of Erikson's theories of the developmental tasks of toddlers. The instructor determines the session is successful when the students correctly choose which task as a priority for toddlers? Learning to trust Learning to understand and respond to discipline Learning to act on one's own Learning to speak
Learning to act on one's own
A 3-year-old boy has developed otitis media and requires antibiotics. In order to increase the chance that the boy will take his prescribed medication, the nurse should: insert a central intravenous line. offer a choice between liquid and chewable medications, if possible. teach the boy about the fact that he will feel much better after he takes his medications. have the mother hold the child firmly and soothe him while the drugs are administered.
offer a choice between liquid and chewable medications, if possible.
Which statement by a parent would best prepare the toddler for the parent's return if the parent must leave the hospital? "I will be back in the morning. Mommy loves you." "I will be back later this afternoon." "I will come back when it is time for your bath tonight." "I will be back after you eat your dinner and SpongeBob goes off."
"I will be back after you eat your dinner and SpongeBob goes off."
A nurse is discussing safety measures with the parents of a toddler. What would the nurse emphasize to address the most frequent type of accident in toddlers? "Make sure to have your child securely fastened in a car seat." "Keep all cleaning products and drugs out of the reach of your child." "Have your child wear a helmet when beginning to ride a tricycle." "Turn the handles of your pots away from the edge of the stove when cooking."
"Keep all cleaning products and drugs out of the reach of your child."
The nurse is designing a nursing care plan for a toddler with lymphoma who is hospitalized for treatment. What is a priority intervention that the nurse should include in this child's nursing plan? Planning physical therapy for the child Monitoring the toddler for developmental delays Introducing the toddler to other toddlers in the unit Limiting visitors to scheduled visiting hours
Monitoring the toddler for developmental delays
During a wellness care visit, the parents of a 2-year-old toddler report that they are struggling to deal with their toddler's daily and increasing number of tantrums. What information should be provided to the parents? Select all that apply. Tapping the toddler on the hands and voicing displeasure in the toddler's actions can successfully interrupt the behavior. Tantrums are a common occurrence for a toddler of this age. Maintaining a consistent daily routine can help to reduce tantrums. Tantrums at this age can signal the development of an aggression disorder in a toddler. Ignoring the behavior is often helpful in reducing the duration of the tantrum.
Tantrums are a common occurrence for a toddler of this age. Maintaining a consistent daily routine can help to reduce tantrums. Ignoring the behavior is often helpful in reducing the duration of the tantrum.
