Question 1

The nurse is assessing a 3-year-old toddler.What is the expected weight gain for this age child?

Accepted Answer

A)  2 times the birth weight 
B)  2.5 times the birth weight 
C)  3 times the birth weight 
D)  4 times the birth weight 
A)  2 times the birth weight 
B)  2.5 times the birth weight 
C)  3 times the birth weight 
D)  4 times the birth weight D

Question 2

How would the nurse advise a parent who states,"I never know how much food to feed my child"?

Accepted Answer

A)  Serving sizes should not exceed 1 teaspoon of each type of food. 
B)  Food quantities must be carefully measured to avoid overfeeding. 
C)  Use 1 tablespoon of each food for each year of age as a guideline. 
D)  A toddler should eat three balanced meals.Snacks are not necessary. 
A)  Serving sizes should not exceed 1 teaspoon of each type of food. 
B)  Food quantities must be carefully measured to avoid overfeeding. 
C)  Use 1 tablespoon of each food for each year of age as a guideline. 
D)  A toddler should eat three balanced meals.Snacks are not necessary. C

Question 3

What would be an expected finding when assessing language development in a 2-year-old child?

Accepted Answer

A)  A 900-word vocabulary 
B)  Use of two-word sentences 
C)  Use of pronouns and prepositions 
D)  100% of speech is understandable 
A)  A 900-word vocabulary 
B)  Use of two-word sentences 
C)  Use of pronouns and prepositions 
D)  100% of speech is understandable B

Question 4

What would the nurse assessing growth and development of a 2-year-old child expect to find?

Accepted Answer

A)  The child jumps with both feet. 
B)  Twenty deciduous teeth have erupted. 
C)  The child can hop on one foot. 
D)  The child has a vocabulary of 900 words. 
A)  The child jumps with both feet. 
B)  Twenty deciduous teeth have erupted. 
C)  The child can hop on one foot. 
D)  The child has a vocabulary of 900 words.

Question 5

Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them.What does the nurse explain as the term for when a toddler tests their own power?

Accepted Answer

A)  Negativism 
B)  Dawdling 
C)  Tantrums 
D)  Food fads 
A)  Negativism 
B)  Dawdling 
C)  Tantrums 
D)  Food fads

Question 6

What does the nurse consider as an appropriate snack for a 2-year-old child?

Accepted Answer

A)  Hot dog sections 
B)  Grapes 
C)  Popcorn 
D)  Applesauce 
A)  Hot dog sections 
B)  Grapes 
C)  Popcorn 
D)  Applesauce

Question 7

A 16-month-old child is attending a well-child visit at a pediatric clinic.Which assessment would indicate the biggest cause for concern?

Accepted Answer

A)  Does not walk independently 
B)  Prefers finger feeding 
C)  Limited to single words 
D)  Is unable to climb steps 
A)  Does not walk independently 
B)  Prefers finger feeding 
C)  Limited to single words 
D)  Is unable to climb steps

Question 8

The nurse assessing a 2-year-old is satisfied to see that the present weight of the child is _____________ times their birth weight.

Accepted Answer

3
The birth weight h

Question 9

Which finding would concern the nurse assessing vital signs on a 2-year-old child?

Accepted Answer

A)  Temperature of 37.1° C (98.8° F) 
B)  Pulse at 100 beats/minute 
C)  Respirations of 36 breaths/minute 
D)  Blood pressure of 90/60 mm Hg 
A)  Temperature of 37.1° C (98.8° F) 
B)  Pulse at 100 beats/minute 
C)  Respirations of 36 breaths/minute 
D)  Blood pressure of 90/60 mm Hg

Question 10

The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child.How many minutes will the nurse indicate is appropriate for a child of this age?

Accepted Answer

A)  3 
B)  6 
C)  10 
D)  15 
A)  3 
B)  6 
C)  10 
D)  15

Question 11

The nurse points out which physiological change(s)in the toddler that serve(s)as protection against disease? (Select all that apply. )

Accepted Answer

A)  Toughening of the skin 
B)  Increased capillary response for thermoregulation 
C)  Stabilization of body temperature 
D)  Elevation in white blood cell count 
E)  Enlarged adenoids and tonsils 
A)  Toughening of the skin 
B)  Increased capillary response for thermoregulation 
C)  Stabilization of body temperature 
D)  Elevation in white blood cell count 
E)  Enlarged adenoids and tonsils

Question 12

What is the most appropriate toy for the nurse to select for a normal 2-year-old child?

Accepted Answer

A)  Bicycle with training wheels 
B)  Dump truck 
C)  Wind-up toy 
D)  Building block set 
A)  Bicycle with training wheels 
B)  Dump truck 
C)  Wind-up toy 
D)  Building block set

Question 13

A parent remarks,"My 18-month-old daughter carries her blanket around everywhere.Is this normal?" What is the best explanation a nurse who has an understanding of toddler development might give?

Accepted Answer

A)  She carries her blanket because she is ritualistic. 
B)  Carrying her favorite blanket is self-consoling behavior. 
C)  This behavior can be discouraged by offering new toys to the child. 
D)  This could be indicative of emotional distress. 
A)  She carries her blanket because she is ritualistic. 
B)  Carrying her favorite blanket is self-consoling behavior. 
C)  This behavior can be discouraged by offering new toys to the child. 
D)  This could be indicative of emotional distress.

Question 14

The nurse observed three toddlers playing side by side with dolls.Closer observation revealed that the children were not interacting with one another.What type of play is this?

Accepted Answer

A)  Solitary 
B)  Parallel 
C)  Associative 
D)  Cooperative 
A)  Solitary 
B)  Parallel 
C)  Associative 
D)  Cooperative

Question 15

The nurse is discussing toilet training with parents.What behavior by the child would identify toilet training readiness?

Accepted Answer

A)  Willing to sit on the potty for 15 to 20 minutes 
B)  Dry in the daytime for 4-hour periods 
C)  Able to communicate that he or she is wet 
D)  Curious about bathroom activities 
A)  Willing to sit on the potty for 15 to 20 minutes 
B)  Dry in the daytime for 4-hour periods 
C)  Able to communicate that he or she is wet 
D)  Curious about bathroom activities

Question 16

The parent of a toddler tells the nurse,"My daughter's appetite has decreased.Thank goodness she loves to drink milk." What is the most appropriate response by the nurse?

Accepted Answer

A)  "Has your daughter been sick recently?" 
B)  "How much milk does she drink in a day?" 
C)  "Has she become a fussy eater,too?" 
D)  "Have you tried offering her finger foods?" 
A)  "Has your daughter been sick recently?" 
B)  "How much milk does she drink in a day?" 
C)  "Has she become a fussy eater,too?" 
D)  "Have you tried offering her finger foods?"

Question 17

On a home visit,the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there.What observation would lead the nurse to this conclusion?

Accepted Answer

A)  The fireplace has a screen. 
B)  The dining room table has a tablecloth on it. 
C)  There are paintings on the wall. 
D)  The kitchen floor is clean but not shiny. 
A)  The fireplace has a screen. 
B)  The dining room table has a tablecloth on it. 
C)  There are paintings on the wall. 
D)  The kitchen floor is clean but not shiny.

Question 18

How many hours should toddlers be able to stay dry for the nurse to suggest they are ready to begin bladder training?

Accepted Answer

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

Question 19

When selecting a potty chair,the parents are encouraged to select one that has which characteristic(s)? (Select all that apply. )

Accepted Answer

A)  Small enough for the child's feet to touch floor 
B)  Sturdy and stable 
C)  Supportive of child's back and arms 
D)  Made of plastic or fiberglass 
E)  Capable of being taken apart easily 
A)  Small enough for the child's feet to touch floor 
B)  Sturdy and stable 
C)  Supportive of child's back and arms 
D)  Made of plastic or fiberglass 
E)  Capable of being taken apart easily

Question 20

Parents of a toddler are discussing the emotion of fear with the pediatric nurse.What information can the nurse offer regarding fear and the toddler? (Select all that apply. )

Accepted Answer

A)  Stress increases fear. 
B)  Rituals help deal with fear. 
C)  Teasing the child can decrease fear. 
D)  Once fear is learned it is difficult to eliminate. 
E)  Adults should openly share their fears. 
A)  Stress increases fear. 
B)  Rituals help deal with fear. 
C)  Teasing the child can decrease fear. 
D)  Once fear is learned it is difficult to eliminate. 
E)  Adults should openly share their fears.

Exam 17: The Toddler

The nurse is assessing a 3-year-old toddler.What is the expected weight gain for this age child?

How would the nurse advise a parent who states,"I never know how much food to feed my child"?

What would be an expected finding when assessing language development in a 2-year-old child?

What would the nurse assessing growth and development of a 2-year-old child expect to find?

Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them.What does the nurse explain as the term for when a toddler tests their own power?

What does the nurse consider as an appropriate snack for a 2-year-old child?

A 16-month-old child is attending a well-child visit at a pediatric clinic.Which assessment would indicate the biggest cause for concern?

The nurse assessing a 2-year-old is satisfied to see that the present weight of the child is _____________ times their birth weight.

Which finding would concern the nurse assessing vital signs on a 2-year-old child?

The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child.How many minutes will the nurse indicate is appropriate for a child of this age?

The nurse points out which physiological change(s)in the toddler that serve(s)as protection against disease? (Select all that apply. )

What is the most appropriate toy for the nurse to select for a normal 2-year-old child?

A parent remarks,"My 18-month-old daughter carries her blanket around everywhere.Is this normal?" What is the best explanation a nurse who has an understanding of toddler development might give?

The nurse observed three toddlers playing side by side with dolls.Closer observation revealed that the children were not interacting with one another.What type of play is this?

The nurse is discussing toilet training with parents.What behavior by the child would identify toilet training readiness?

The parent of a toddler tells the nurse,"My daughter's appetite has decreased.Thank goodness she loves to drink milk." What is the most appropriate response by the nurse?

On a home visit,the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there.What observation would lead the nurse to this conclusion?

How many hours should toddlers be able to stay dry for the nurse to suggest they are ready to begin bladder training?

When selecting a potty chair,the parents are encouraged to select one that has which characteristic(s)? (Select all that apply. )

Parents of a toddler are discussing the emotion of fear with the pediatric nurse.What information can the nurse offer regarding fear and the toddler? (Select all that apply. )

The Past, Present, and Future

Human Reproductive Anatomy and Physiology

Fetal Development

Prenatal Care and Adaptations to Pregnancy

Nursing Care of Women With Complications During Pregnancy

Nursing Care of Mother and Infant During Labor and Birth

Nursing Management of Pain During Labor and Birth

Nursing Care of Women With Complications During Labor and Birth

The Family After Birth

Nursing Care of Women With Complications Following Birth

The Nurses Role in Womens Health Care

The Term Newborn

Preterm and Postterm Newborns

The Newborn With a Perinatal Injury or Congenital Malformation

An Overview of Growth, Development, and Nutrition

The Infant

The Preschool Child

The School-Age Child

The Adolescent

The Childs Experience of Hospitalization

Health Care Adaptations for the Child and Family

The Child With a Sensory or Neurological Condition

The Child With a Musculoskeletal Condition

The Child With a Respiratory Disorder

The Child With a Cardiovascular Disorder

The Child With a Condition of the Blood, Blood-Forming Organs, or Lymphatic System

The Child With a Gastrointestinal Condition

The Child With a Genitourinary Condition

The Child With a Skin Condition

The Child With a Metabolic Condition

Childhood Communicable Diseases, Bioterrorism, Natural Disasters, and the Maternalchild Patient

The Child With an Emotional or Behavioral Condition

Complementary and Alternative Therapies in Maternity and Pediatric Nursing

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