Question 1

Which statement,made by a 4-year-old child's father,is true about the care of the preschooler's teeth?

Accepted Answer

A)  "Because the 'baby teeth' are not permanent, they are not important to the child." 
B)  "My son can be encouraged to brush his teeth after I have thoroughly cleaned his teeth." 
C)  "My son's 'permanent teeth' will begin to come in at 4 to 5 years of age." 
D)  "Fluoride supplements can be discontinued when my son's 'permanent teeth' erupt." 
A)  "Because the 'baby teeth' are not permanent, they are not important to the child." 
B)  "My son can be encouraged to brush his teeth after I have thoroughly cleaned his teeth." 
C)  "My son's 'permanent teeth' will begin to come in at 4 to 5 years of age." 
D)  "Fluoride supplements can be discontinued when my son's 'permanent teeth' erupt." B

Question 2

Which is the priority concern in developing a teaching plan for the parents of a 15-month-old child?

Accepted Answer

A)  Toilet training guidelines 
B)  Guidelines for weaning children from bottles 
C)  Instructions on preschool readiness 
D)  Instructions on a home safety assessment 
A)  Toilet training guidelines 
B)  Guidelines for weaning children from bottles 
C)  Instructions on preschool readiness 
D)  Instructions on a home safety assessment D

Question 3

The mother of a 14-month-old child is concerned because the child's appetite has decreased.The best response for the nurse to make to the mother is

Accepted Answer

A)  "It is important for your toddler to eat three meals a day and nothing in between." 
B)  "It is not unusual for toddlers to eat less." 
C)  "Be sure to increase your child's milk consumption, which will improve nutrition." 
D)  "Giving your child a multivitamin supplement daily will increase your toddler's appetite." 
A)  "It is important for your toddler to eat three meals a day and nothing in between." 
B)  "It is not unusual for toddlers to eat less." 
C)  "Be sure to increase your child's milk consumption, which will improve nutrition." 
D)  "Giving your child a multivitamin supplement daily will increase your toddler's appetite." B

Question 4

Which statement by a mother of a toddler indicates a correct understanding of the use of discipline?

Accepted Answer

A)  "I always include explanations and morals when I am disciplining my toddler." 
B)  "I always try to be consistent when disciplining the children, and I correct my children at the time they are misbehaving." 
C)  "I believe that discipline should be done by only one family member." 
D)  "My rule of thumb is no more than one spanking a day." 
A)  "I always include explanations and morals when I am disciplining my toddler." 
B)  "I always try to be consistent when disciplining the children, and I correct my children at the time they are misbehaving." 
C)  "I believe that discipline should be done by only one family member." 
D)  "My rule of thumb is no more than one spanking a day."

Question 5

Which toy is the most developmentally appropriate for an 18- to 24-month-old child?

Accepted Answer

A)  A push-and-pull toy 
B)  Nesting blocks 
C)  A bicycle with training wheels 
D)  A computer 
A)  A push-and-pull toy 
B)  Nesting blocks 
C)  A bicycle with training wheels 
D)  A computer

Question 6

Which statement is correct about toilet training?

Accepted Answer

A)  Bladder training is usually accomplished before bowel training. 
B)  Wanting to please the parent helps motivate the child to use the toilet. 
C)  Watching older siblings use the toilet confuses the child. 
D)  Children must be forced to sit on the toilet when first learning. 
A)  Bladder training is usually accomplished before bowel training. 
B)  Wanting to please the parent helps motivate the child to use the toilet. 
C)  Watching older siblings use the toilet confuses the child. 
D)  Children must be forced to sit on the toilet when first learning.

Question 7

A 17-month-old child is expected to be in what stage according to Piaget?

Accepted Answer

A)  Trust 
B)  Preoperations 
C)  Secondary circular reaction 
D)  Sensorimotor period 
A)  Trust 
B)  Preoperations 
C)  Secondary circular reaction 
D)  Sensorimotor period

Question 8

The nurse is assessing parental knowledge of temper tantrums.Which are true statements about temper tantrums? Select all that apply.

Accepted Answer

A)  Temper tantrums are a common response to anger and frustration in toddlers. 
B)  Temper tantrums often include screaming, kicking, throwing things, and head banging. 
C)  Parents can effectively manage temper tantrums by giving in to the child's demands. 
D)  Children having temper tantrums should be safely isolated and ignored. 
E)  Parents can learn to anticipate times when tantrums are more likely to occur. 
A)  Temper tantrums are a common response to anger and frustration in toddlers. 
B)  Temper tantrums often include screaming, kicking, throwing things, and head banging. 
C)  Parents can effectively manage temper tantrums by giving in to the child's demands. 
D)  Children having temper tantrums should be safely isolated and ignored. 
E)  Parents can learn to anticipate times when tantrums are more likely to occur.

Question 9

The most fatal type of burn in the toddler age-group is

Accepted Answer

A)  Flame burn from playing with matches 
B)  Scald burn from high-temperature tap water 
C)  Hot object burn from cigarettes or irons 
D)  Electric burn from electrical outlets. 
A)  Flame burn from playing with matches 
B)  Scald burn from high-temperature tap water 
C)  Hot object burn from cigarettes or irons 
D)  Electric burn from electrical outlets.

Question 10

A father tells the nurse that his daughter wants the same plate and cup used at every meal,even if they go to a restaurant.The nurse should explain that this is

Accepted Answer

A)  A sign the child is spoiled 
B)  A way to exert unhealthy control 
C)  Regression, common at this age 
D)  Ritualism, common at this age 
A)  A sign the child is spoiled 
B)  A way to exert unhealthy control 
C)  Regression, common at this age 
D)  Ritualism, common at this age

Question 11

A parent asks the nurse about negativism in toddlers.The most appropriate recommendation is to

Accepted Answer

A)  Punish the child 
B)  Provide more attention 
C)  Ask the child to not always say "no" 
D)  Reduce the opportunities for a "no" answer 
A)  Punish the child 
B)  Provide more attention 
C)  Ask the child to not always say "no" 
D)  Reduce the opportunities for a "no" answer

Question 12

Which assessment finding in a preschooler suggests the need for further investigation?

Accepted Answer

A)  The child is able to dress independently. 
B)  The child rides a tricycle. 
C)  The child has an imaginary friend. 
D)  The child has a 2-lb weight gain in 12 months. 
A)  The child is able to dress independently. 
B)  The child rides a tricycle. 
C)  The child has an imaginary friend. 
D)  The child has a 2-lb weight gain in 12 months.

Question 13

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.What should the nurse recommend?

Accepted Answer

A)  Use fluoridated mouth rinses in children older than 1 year. 
B)  Brush teeth with fluoridated toothpaste unless fluoride content of water supply is adequate. 
C)  Give fluoride supplements to breastfed infants beginning at age 1 month. 
D)  Determine whether water supply is fluoridated. 
A)  Use fluoridated mouth rinses in children older than 1 year. 
B)  Brush teeth with fluoridated toothpaste unless fluoride content of water supply is adequate. 
C)  Give fluoride supplements to breastfed infants beginning at age 1 month. 
D)  Determine whether water supply is fluoridated.

Question 14

In providing anticipatory guidance to parents whose child will soon be entering kindergarten,which is a critical factor in preparing a child for kindergarten entry?

Accepted Answer

A)  The child's ability to sit still 
B)  The child's sense of learned helplessness 
C)  The parent's interactions and responsiveness to the child 
D)  Attending a preschool program 
A)  The child's ability to sit still 
B)  The child's sense of learned helplessness 
C)  The parent's interactions and responsiveness to the child 
D)  Attending a preschool program

Question 15

The nurse is teaching parents of a toddler about language development.Which statement best identifies the characteristics of language development in a toddler?

Accepted Answer

A)  Language development skills slow during the toddler period. 
B)  The toddler understands more than he can express. 
C)  Most of the toddler's speech is not easily understood. 
D)  The toddler's vocabulary contains approximately 600 words. 
A)  Language development skills slow during the toddler period. 
B)  The toddler understands more than he can express. 
C)  Most of the toddler's speech is not easily understood. 
D)  The toddler's vocabulary contains approximately 600 words.

Question 16

Motor vehicle injuries are a significant threat to young children.Knowing this,the nurse plans a teaching session with a toddler's parents on car safety.Which will she teach? Select all that apply.

Accepted Answer

A)  Secure in a rear-facing, upright car safety seat. 
B)  Place the car safety seat in the rear seat, behind the driver's seat. 
C)  Harness safety straps should fit snugly. 
D)  Place the car safety seat in the front passenger seat equipped with an airbag. 
E)  After the age of 2 years, toddlers can be placed in a forward-facing car seat. 
A)  Secure in a rear-facing, upright car safety seat. 
B)  Place the car safety seat in the rear seat, behind the driver's seat. 
C)  Harness safety straps should fit snugly. 
D)  Place the car safety seat in the front passenger seat equipped with an airbag. 
E)  After the age of 2 years, toddlers can be placed in a forward-facing car seat.

Question 17

The parents of a newborn say that their toddler "hates the baby…he suggested that we put him in the trash can so the trash truck could take him away." The nurse's best reply is

Accepted Answer

A)  "Let's see if we can figure out why he hates the new baby." 
B)  "That's a strong statement to come from such a small boy." 
C)  "Let's refer him to counseling to work this hatred out. It's not a normal response." 
D)  "That is a normal response to the birth of a sibling. Let's look at ways to deal with this." 
A)  "Let's see if we can figure out why he hates the new baby." 
B)  "That's a strong statement to come from such a small boy." 
C)  "Let's refer him to counseling to work this hatred out. It's not a normal response." 
D)  "That is a normal response to the birth of a sibling. Let's look at ways to deal with this."

Question 18

A mother asks when toilet training is most appropriately initiated.What is the nurse's best response?

Accepted Answer

A)  "When your child is 12 to 18 months of age." 
B)  "When your child exhibits signs of physical and psychological readiness." 
C)  "When your child has been walking for 9 months." 
D)  "When your child is able to sit on the 'potty' for 10 to 15 minutes." 
A)  "When your child is 12 to 18 months of age." 
B)  "When your child exhibits signs of physical and psychological readiness." 
C)  "When your child has been walking for 9 months." 
D)  "When your child is able to sit on the 'potty' for 10 to 15 minutes."

Question 19

The parent of 16-month-old Chris asks,"What is the best way to keep Chris from getting into our medicines at home?" The nurse should advise that

Accepted Answer

A)  "All medicines should be locked away securely." 
B)  "The medicines should be placed in high cabinets." 
C)  "Chris just needs to be taught not to touch medicines." 
D)  "Medicines should not be kept in the homes of small children." 
A)  "All medicines should be locked away securely." 
B)  "The medicines should be placed in high cabinets." 
C)  "Chris just needs to be taught not to touch medicines." 
D)  "Medicines should not be kept in the homes of small children."

Question 20

Which comments indicate that the mother of a toddler needs further teaching about dental care?

Accepted Answer

A)  "We use well water so I give my toddler fluoride supplements." 
B)  "My toddler brushes his teeth with my help." 
C)  "My child will not need a dental checkup until his permanent teeth come in." 
D)  "I use a small nylon bristle brush for my toddler's teeth." 
A)  "We use well water so I give my toddler fluoride supplements." 
B)  "My toddler brushes his teeth with my help." 
C)  "My child will not need a dental checkup until his permanent teeth come in." 
D)  "I use a small nylon bristle brush for my toddler's teeth."

Exam 7: Health Promotion during Early Childhood

Which statement,made by a 4-year-old child's father,is true about the care of the preschooler's teeth?

Which is the priority concern in developing a teaching plan for the parents of a 15-month-old child?

The mother of a 14-month-old child is concerned because the child's appetite has decreased.The best response for the nurse to make to the mother is

Which statement by a mother of a toddler indicates a correct understanding of the use of discipline?

Which toy is the most developmentally appropriate for an 18- to 24-month-old child?

Which statement is correct about toilet training?

A 17-month-old child is expected to be in what stage according to Piaget?

The nurse is assessing parental knowledge of temper tantrums.Which are true statements about temper tantrums? Select all that apply.

The most fatal type of burn in the toddler age-group is

A father tells the nurse that his daughter wants the same plate and cup used at every meal,even if they go to a restaurant.The nurse should explain that this is

A parent asks the nurse about negativism in toddlers.The most appropriate recommendation is to

Which assessment finding in a preschooler suggests the need for further investigation?

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.What should the nurse recommend?

In providing anticipatory guidance to parents whose child will soon be entering kindergarten,which is a critical factor in preparing a child for kindergarten entry?

The nurse is teaching parents of a toddler about language development.Which statement best identifies the characteristics of language development in a toddler?

Motor vehicle injuries are a significant threat to young children.Knowing this,the nurse plans a teaching session with a toddler's parents on car safety.Which will she teach? Select all that apply.

The parents of a newborn say that their toddler "hates the baby…he suggested that we put him in the trash can so the trash truck could take him away." The nurse's best reply is

A mother asks when toilet training is most appropriately initiated.What is the nurse's best response?

The parent of 16-month-old Chris asks,"What is the best way to keep Chris from getting into our medicines at home?" The nurse should advise that

Which comments indicate that the mother of a toddler needs further teaching about dental care?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating With Children and Families

Health Promotion for the Developing Child

Health Promotion for the Infant

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family With Special Needs

Pregnancy-Related Complications

Concurrent Disorders During Pregnancy

The Woman With an Intrapartum Complication

The Woman With a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s Health Care

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child With a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child With a Fluid and Electrolyte Alteration

The Child With an Infectious Disease

The Child With an Immunologic Alteration

The Child With a Gastrointestinal Alteration

The Child With a Genitourinary Alteration

The Child With a Respiratory Alteration

The Child With a Cardiovascular Alteration

The Child With a Hematologic Alteration

The Child With Cancer

The Child With an Alteration in Tissue Integrity

The Child With a Musculoskeletal Alteration

The Child With an Endocrine or Metabolic Alteration

The Child With a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With a Developmental Disability

The Child With a Sensory Alteration

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