Deck 12: Health Promotion of the Toddler and Family

Question 1

Which of the following characteristics best describes the gross motor skills of a 24-month-old child?

A)Skips
B)Rides tricycle
C)Broad jumps
D)Walks up and down stairs

Answer 1

Walks up and down stairs

Question 2

Although a 14-month-old girl received a shock from an electrical outlet recently, her parent finds her about to place a paper clip in another outlet. Which of the following is the best interpretation of this behavior?

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.

Answer 2

This is typical behavior because of inability to transfer knowledge to new situations.

Question 3

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

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

Answer 3

Tertiary circular reaction

Question 4

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

A)This is normal behavior for his age.
B)This is unusual behavior for his age.
C)He is not effectively coping with stress.
D)He is showing he needs more attention.

Question 5

Which of the following is characteristic of development of a 2 1/2-year-old child?

A)Birth weight has doubled.
B)Primary dentition is complete.
C)Anterior fontanel is open.
D)Binocularity may be established.

Question 6

In the clinic waiting room, a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks. The nurse should recognize which of the following in this situation?

A)Blocks at this age are used primarily for throwing.
B)Toddlers are too young to imitate the behavior of others.
C)Toddlers are capable of building a tower of blocks.
D)Toddlers are too young to build a tower of blocks.

Question 7

At what age should the nurse expect a toddler to give both first and last names when asked?

A)15 months
B)18 months
C)24 months
D)30 months

Question 8

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 which of the following?

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 9

The psychosocial developmental tasks of toddlerhood include which of the following?

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 10

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

A)Punish the child.
B)Leave the child alone until the tantrum is over.
C)Remain close by the child but without eye contact.
D)Explain to child that this is wrong.

Question 11

Steven, 16 months old, falls down a few stairs. He gets up and "scolds" the stairs as if they caused him to fall. This is an example of which of the following?

A)Animism
B)Ritualism
C)Irreversibility
D)Delayed cognitive development

Question 12

Which of the following statements is correct about toilet training?

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 13

Which one of the following techniques is best for dealing with the negativism of the toddler?

A)Offer the child choices.
B)Remain serious and intent.
C)Provide few or no choices for child.
D)Quietly and calmly ask the child to comply.

Question 14

Which one of the following factors is most important in predisposing toddlers to frequent infections?

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)A short straight internal ear canal and large lymph tissue are found in toddlers.

Question 15

A parent asks the nurse about negativism in toddlers. The most appropriate recommendation is which of the following?

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 16

Which of the following is a characteristic of a toddler's language development at age 18 months?

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

Question 17

Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. Which of the following is the best interpretation of this behavior?

A)This is typical behavior because toddlers are aggressive.
B)This is typical behavior because toddlers are egocentric.
C)Toddlers should know that sharing toys is expected of them.
D)Toddlers should have the cognitive ability to know right from wrong.

Question 18

Which of the following is descriptive of a toddler's cognitive development at age 20 months?

A)Searches for an object only if he or she sees it being hidden
B)Realizes that "out of sight" is not out of reach
C)Puts objects into a container but cannot take them out
D)Understands the passage of time, such as "just a minute" and "in an hour"

Question 19

The developmental task with which the child of 15 to 30 months is likely to be struggling is a sense of what?

A)Trust
B)Initiative
C)Autonomy
D)Intimacy

Question 20

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 which of the following?

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 21

Which of the following is an appropriate recommendation in preventing tooth decay in young children?

A)Substitute raisins for candy.
B)Substitute sugarless gum for regular gum.
C)Use honey or molasses instead of refined sugar.
D)When sweets are to be eaten, select a time not during meals.

Question 22

Parents tell the nurse that their toddler daughter eats little at mealtime, only sits at the table with the family briefly, and wants snacks "all the time." Which of the following should the nurse recommend?

A)Give her nutritious snacks.
B)Offer rewards for eating at mealtimes.
C)Avoid snacks so she is hungry at mealtimes.
D)Explain to her in a firm manner what is expected of her.

Question 23

The nurse recommends to parents that peanuts are not a good snack food for toddlers. The nurse's rationale for this action is which of the following?

A)They are low in nutritive value.
B)They are very high in sodium.
C)They cannot be entirely digested.
D)They can be easily aspirated.

Question 24

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

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

Question 25

Kimberly's parents have been using a rearward-facing, convertible car seat, since she was born. Most car seats can be safely switched to the forward-facing position when the child weighs how many pounds?

A)10
B)20
C)30
D)40

Question 26

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 which of the following?

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 27

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 which of the following?

A)"All medicines should be locked securely away."
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 28

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

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 29

Developmentally, most children at age 12 months:

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 30

What is the leading cause of death during the toddler period?

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

Question 31

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

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 breast-fed infants beginning at age 1 month.
D)Determine whether water supply is fluoridated.