Deck 17: The Toddler

Question 1

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

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

Answer 1

Respirations of 36 breaths/min

Question 2

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

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.

Answer 2

The child jumps with both feet.

Question 3

What could the nurse recommend to a child's mother to encourage a toddler to practice independence?

A) Offer a variety of items to choose from to stimulate his mind.
B) Allow the child to determine his own daily routine.
C) Offer him a choice between two items.
D) Set the routine herself, but discuss with her toddler how he or she would have done it differently.

Answer 3

Offer him a choice between two items.

Question 4

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

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

Question 5

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?

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

Question 6

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

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

Question 7

What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?

A) Adhere to a rigid schedule because the toddler is ritualistic.
B) Limit-setting should include praise.
C) Shoes should fit snugly at the toe and arch.
D) Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip clothes.

Question 8

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?

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

Question 9

Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern?

A) Has temper tantrums
B) Feeds self sloppily
C) Walks by holding onto furniture
D) Speaks in short sentences

Question 10

What guideline should an adult follow when speaking to a toddler?

A) Be at eye level with the child.
B) Hold by the shoulders to keep the child's attention.
C) Seat the child to focus on conversation.
D) Speak in a firm strong voice.

Question 11

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

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

Question 12

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

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

Question 13

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

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 14

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?

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 15

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

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

Question 16

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

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

Question 17

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

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.

Question 18

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?

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 19

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?

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 20

What is the best advice the nurse can offer a parent concerned because her 2-year-old is very active and does not eat much?

A) Insist that the child eat one food on the plate.
B) Help the child wind down with a quiet activity before mealtime.
C) Maintain a consistent eating schedule for the family.
D) Serve the meal with a variety of interesting plates, cups, and utensils.

Question 21

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

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 22

The nurse recognizes that when the toddler claims everything in the environment as "mine," it is an example of the toddler trait of ____________________.

Question 23

The nurse suggests offering which food(s)to support the toddler's desire to self-feed?

A) Pureed foods
B) Finger foods
C) Foods served cold
D) Foods in colorful dishes
E) Foods that are varied and colorful

Question 24

Put the developmental milestones in order from first achieved to last achieved. Put a comma and space between each answer choice (a,b,c,d,etc.)

A) Jumps with both feet
B) Holds a cup by the handle
C) Social smile
D) Babbles
E) Understands "no"

Question 25

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

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 26

_________________________ is when toddlers increase their sense of security by making compulsive routines of simple tasks.

Question 27

The nurse explains that with the completion of myelination,the toddler will have the neuromuscular maturity to attain _______________ or _______________ control.

Question 28

Why does day care for the toddler differ from that of the preschooler?

A) Toddlers have a shorter attention span.
B) Toddlers need more group play.
C) Toddlers are less prone to environmental dangers.
D) Toddlers require less outdoor space.

Question 29

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?

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.

Question 30

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

Question 31

The toddler is in Erikson's stage of _______________versus_______________.

Question 32

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

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

Question 33

When the previously potty-trained 3-year-old wets the bed after admission to the hospital,the nurse assesses this event is caused by a____________________ related to the new environment.