Question 1

The mother of an 18-month-old child is concerned because the child's appetite has decreased.Which is the best response for the nurse to make to the mother?

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 during this developmental stage." 
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 during this developmental stage." 
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 2

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.What recommendation should the nurse make to 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

A parent of an 18 month old tells the nurse that the child says "no" to everything and has rapid mood swings.If scolded,the child shows anger and then immediately wants to be held.What is the nurse's best interpretation of this behavior?

Accepted Answer

A)  This is normal behavior for the child's age. 
B)  This is unusual behavior for the child's age. 
C)  The child is not effectively coping with stress. 
D)  The child is showing the need for more attention. 
A)  This is normal behavior for the child's age. 
B)  This is unusual behavior for the child's age. 
C)  The child is not effectively coping with stress. 
D)  The child is showing the need for more attention.

Question 4

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.What intervention is the most appropriate recommendation?

Accepted Answer

A)  Punish the child with an age appropriate punishment. 
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 with an age appropriate punishment. 
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 5

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 6

Developmentally,most children at age 12 months demonstrate what behavior?

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 foods 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 foods in preference to the bottle.

Question 7

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 8

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

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 9

Parents have been using a rearward-facing,convertible car seat since their baby was born.The parents should be taught that most car seats can be safely switched to the forward-facing position when the child reaches which age?

Accepted Answer

A)  1 year 
B)  2 years 
C)  3 years 
D)  4 years 
A)  1 year 
B)  2 years 
C)  3 years 
D)  4 years

Question 10

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

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 11

Which should the nurse expect for a toddler's language development at age 18 months?

Accepted Answer

A)  Vocabulary of 25 words 
B)  Increasing level of comprehension 
C)  Use of phrases 
D)  Approximately one third of speech understandable 
A)  Vocabulary of 25 words 
B)  Increasing level of comprehension 
C)  Use of phrases 
D)  Approximately one third of speech understandable

Question 12

A father tells the nurse that his toddler 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 result of what factor?

Accepted Answer

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

Question 13

Which factor is most important in predisposing toddlers to frequent infections such as otitis media,tonsillitis,and upper respiratory tract infections?

Accepted Answer

A)  Respirations are abdominal. 
B)  Pulse and respiratory rates are slower than those in infancy. 
C)  Defense mechanisms are less efficient than those during infancy. 
D)  The presence of short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue. 
A)  Respirations are abdominal. 
B)  Pulse and respiratory rates are slower than those in infancy. 
C)  Defense mechanisms are less efficient than those during infancy. 
D)  The presence of short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue.

Question 14

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 15

Which gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)

Accepted Answer

A)  Jumps in place with both feet 
B)  Takes a few steps on tiptoe 
C)  Throws ball overhand without falling 
D)  Pulls and pushes toys 
E)  Stands on one foot momentarily 
A)  Jumps in place with both feet 
B)  Takes a few steps on tiptoe 
C)  Throws ball overhand without falling 
D)  Pulls and pushes toys 
E)  Stands on one foot momentarily

Question 16

What information should a nurse provide a mother who is concerned about preventing sleep problems in her 2-year-old child?

Accepted Answer

A)  Have the child always sleep in a quiet, darkened room. 
B)  Provide high-carbohydrate snacks before bedtime. 
C)  Communicate with the child's daytime caregiver about eliminating the afternoon nap. 
D)  Use a night-light in the child's room. 
A)  Have the child always sleep in a quiet, darkened room. 
B)  Provide high-carbohydrate snacks before bedtime. 
C)  Communicate with the child's daytime caregiver about eliminating the afternoon nap. 
D)  Use a night-light in the child's room.

Question 17

Although a 14 month old received a shock from an electrical outlet recently,the parents find the child about to place a paper clip in another outlet.What is the best interpretation of this behavior?

Accepted Answer

A)  Her cognitive development is delayed. 
B)  This is typical behavior because toddlers are not very developed. 
C)  This is typical behavior because of inability to transfer knowledge to new situations. 
D)  This is not typical behavior because toddlers should know better than to repeat an act that caused pain. 
A)  Her cognitive development is delayed. 
B)  This is typical behavior because toddlers are not very developed. 
C)  This is typical behavior because of inability to transfer knowledge to new situations. 
D)  This is not typical behavior because toddlers should know better than to repeat an act that caused pain.

Exam 32: The Toddler and Family

The mother of an 18-month-old child is concerned because the child's appetite has decreased.Which is the best response for the nurse to make to the mother?

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.What recommendation should the nurse make to the parents?

A parent of an 18 month old tells the nurse that the child says "no" to everything and has rapid mood swings.If scolded,the child shows anger and then immediately wants to be held.What is the nurse's best interpretation of this behavior?

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.What intervention is the most appropriate recommendation?

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.)

Developmentally,most children at age 12 months demonstrate what behavior?

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

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

Parents have been using a rearward-facing,convertible car seat since their baby was born.The parents should be taught that most car seats can be safely switched to the forward-facing position when the child reaches which age?

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

Which should the nurse expect for a toddler's language development at age 18 months?

A father tells the nurse that his toddler 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 result of what factor?

Which factor is most important in predisposing toddlers to frequent infections such as otitis media,tonsillitis,and upper respiratory tract infections?

Which statement about toilet training is correct?

Which gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)

What information should a nurse provide a mother who is concerned about preventing sleep problems in her 2-year-old child?

Although a 14 month old received a shock from an electrical outlet recently,the parents find the child about to place a paper clip in another outlet.What is the best interpretation of this behavior?

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum 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 and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Infant and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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