Question 1

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

Accepted Answer

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

Question 2

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.The nurse should recommend that the parents:

Accepted Answer

A) Use fluoridated mouth rinses in children older than 1 year. 
B) Have children 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) Have children 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 3

The leading cause of death during the toddler period is:

Accepted Answer

A) Injuries. 
B) Infectious diseases. 
C) Congenital disorders. 
D) Childhood diseases. 
A) Injuries. 
B) Infectious diseases. 
C) Congenital disorders. 
D) Childhood diseases.

Question 4

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 5

The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby.The nurse should recommend that the parents:

Accepted Answer

A) Ignore the "baby talk." 
B) Explain to the toddler that "baby talk" is for babies. 
C) Tell the toddler frequently, "You are a big kid now." 
D) Encourage the toddler to practice more advanced patterns of speech. 
A) Ignore the "baby talk." 
B) Explain to the toddler that "baby talk" is for babies. 
C) Tell the toddler frequently, "You are a big kid now." 
D) Encourage the toddler to practice more advanced patterns of speech.

Question 6

Which should the nurse teach to parents of toddlers about accidental poison prevention (select all that apply)?

Accepted Answer

A) Keep toxic substances in the garage. 
B) Discard empty poison containers. 
C) Know the number of the nearest poison control center. 
D) Remove colorful labels from containers of toxic substances. 
E) Caution child against eating nonedible items, such as plants. 
A) Keep toxic substances in the garage. 
B) Discard empty poison containers. 
C) Know the number of the nearest poison control center. 
D) Remove colorful labels from containers of toxic substances. 
E) Caution child against eating nonedible items, such as plants.

Question 7

A nurse places some x-ray contrast the toddler is to drink in a small cup instead of a large cup.Which concept of a toddler's preoperational thinking is the nurse using?

Accepted Answer

A) Inability to conserve 
B) Magical thinking 
C) Centration 
D) Irreversibility 
A) Inability to conserve 
B) Magical thinking 
C) Centration 
D) Irreversibility

Question 8

The nurse is planning care for a 17-month-old child.According to Piaget,in what stage would the nurse expect the child to be?

Accepted Answer

A) Trust 
B) Preoperations 
C) Secondary circular reaction 
D) Tertiary circular reaction 
A) Trust 
B) Preoperations 
C) Secondary circular reaction 
D) Tertiary circular reaction

Question 9

The most effective way to clean a toddler's teeth is for the:

Accepted Answer

A) Child to brush regularly with toothpaste of his or her choice. 
B) Parent to stabilize the chin with one hand and brush with the other. 
C) Parent to brush the mandibular occlusive surfaces, leaving the rest for the child. 
D) Parent to brush the front labial surfaces, leaving the rest for the child. 
A) Child to brush regularly with toothpaste of his or her choice. 
B) Parent to stabilize the chin with one hand and brush with the other. 
C) Parent to brush the mandibular occlusive surfaces, leaving the rest for the child. 
D) Parent to brush the front labial surfaces, leaving the rest for the child.

Question 10

The nurse is assessing parental knowledge of temper tantrums.Which are true statements regarding 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 11

Which are characteristic of the physical development of a 30-month-old child (select all that apply)?

Accepted Answer

A) Birth weight has doubled. 
B) Primary dentition is complete. 
C) Sphincter control is achieved. 
D) Anterior fontanel is open. 
E) Length from birth is doubled. 
A) Birth weight has doubled. 
B) Primary dentition is complete. 
C) Sphincter control is achieved. 
D) Anterior fontanel is open. 
E) Length from birth is doubled.

Question 12

A nurse is planning care for a hospitalized toddler in the preoperational thinking stage.Which characteristics should the nurse expect in this stage (select all that apply)?

Accepted Answer

A) Concrete thinking 
B) Egocentrism 
C) Animism 
D) Magical thinking 
E) Ability to reason 
A) Concrete thinking 
B) Egocentrism 
C) Animism 
D) Magical thinking 
E) Ability to reason

Question 13

The psychosocial developmental tasks of toddlerhood include:

Accepted Answer

A) Development of a conscience. 
B) Recognition of sex differences. 
C) Ability to get along with age mates. 
D) Ability to withstand delayed gratification. 
A) Development of a conscience. 
B) Recognition of sex differences. 
C) Ability to get along with age mates. 
D) Ability to withstand delayed gratification.

Question 14

An appropriate recommendation in preventing tooth decay in young children is to:

Accepted Answer

A) Substitute raisins for candy. 
B) Serve sweets after a meal. 
C) Use honey or molasses instead of refined sugar. 
D) Serve sweets between meals. 
A) Substitute raisins for candy. 
B) Serve sweets after a meal. 
C) Use honey or molasses instead of refined sugar. 
D) Serve sweets between meals.

Question 15

Which statement about toilet training is correct?

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 16

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

Accepted Answer

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

Question 17

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.The most appropriate recommendation is to:

Accepted Answer

A) Punish the child. 
B) Leave the child alone until the tantrum is over. 
C) Ignore the behavior, provided that it is not injurious. 
D) Explain to child that this is wrong. 
A) Punish the child. 
B) Leave the child alone until the tantrum is over. 
C) Ignore the behavior, provided that it is not injurious. 
D) Explain to child that this is wrong.

Question 18

Developmentally,most children at age 12 months:

Accepted Answer

A) Use a spoon adeptly. 
B) Relinquish the bottle voluntarily. 
C) Eat the same food as the rest of the family. 
D) Reject all solid food in preference to the bottle. 
A) Use a spoon adeptly. 
B) Relinquish the bottle voluntarily. 
C) Eat the same food as the rest of the family. 
D) Reject all solid food in preference to the bottle.

Question 19

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."

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 32: The Toddler and Family

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

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.The nurse should recommend that the parents:

The leading cause of death during the toddler period is:

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

The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby.The nurse should recommend that the parents:

Which should the nurse teach to parents of toddlers about accidental poison prevention (select all that apply)?

A nurse places some x-ray contrast the toddler is to drink in a small cup instead of a large cup.Which concept of a toddler's preoperational thinking is the nurse using?

The nurse is planning care for a 17-month-old child.According to Piaget,in what stage would the nurse expect the child to be?

The most effective way to clean a toddler's teeth is for the:

The nurse is assessing parental knowledge of temper tantrums.Which are true statements regarding temper tantrums (select all that apply)?

Which are characteristic of the physical development of a 30-month-old child (select all that apply)?

A nurse is planning care for a hospitalized toddler in the preoperational thinking stage.Which characteristics should the nurse expect in this stage (select all that apply)?

The psychosocial developmental tasks of toddlerhood include:

An appropriate recommendation in preventing tooth decay in young children is to:

Which statement about toilet training is correct?

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

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.The most appropriate recommendation is to:

Developmentally,most children at age 12 months:

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

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Infant and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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