Deck 17: The Toddler

Question 1

When assessing language development in a 2-year-old, an expected finding would be:

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

Answer 1

use of two-word sentences.

Question 2

The nurse assessing a 3-year-old knows that the expected weight gain for this age child is ______ times the birth weight.

A) 2
B) 2.5
C) 3
D) 4

Answer 2

4

Question 3

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

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.

Answer 3

help the child wind down with a quiet activity before mealtime.

Question 4

The nurse observed three toddlers playing side by side with dolls. Closer observation revealed that the children were not interacting with one another. This type of play would be characterized as:

A) solitary.
B) parallel.
C) associative.
D) cooperative.

Question 5

A parent remarks, "My 18-month-old daughter carries her blanket around everywhere. Is this normal?" The nurse who has an understanding of toddler development might explain that:

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 6

The nurse assessing growth and development of a 2-year-old child would expect to find that:

A) the child jumps with both feet.
B) 20 deciduous teeth have erupted.
C) the child can hop on one foot.
D) the child has a vocabulary of 900 words.

Question 7

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

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 8

The nurse explains to frustrated parents that toddlers will test their own power with:

A) negativism.
B) dawdling.
C) tantrums.
D) food fads.

Question 9

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 10

The nurse has explained the use of time-outs to the parent of a 3-year-old. The nurse determines the parent understands the information when she states an appropriate period for a time-out is _____ minutes.

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

Question 11

To encourage a toddler to practice independence, the nurse would recommend that the child's mother:

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.

Question 12

The nurse suggests that bladder training should start when the toddler can stay dry for _____ hour(s).

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

Question 13

The nurse discussing toilet training with parents would identify which of the following as an indicator of readiness? The child is:

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

The nurse planning anticipatory guidance for parents of a toddler would include which instruction?

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 he or she can learn to zip and unzip clothes.

Question 15

The nurse considers the appropriate snack for a 2-year-old child to be:

A) hot dog sections.
B) grapes.
C) popcorn.
D) applesauce.

Question 16

The nurse assessing vital signs on a 2-year-old would be concerned about the finding of:

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.

Question 17

The nurse reminds the parents that when speaking to a toddler, the adult should:

A) be at eye level with the child.
B) hold by the shoulders to keep child's attention.
C) seat the child to focus on conversation.
D) speak in a firm strong voice.

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 because:

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 nurse selects the most appropriate toy for a normal 2-year-old child, which is a:

A) bicycle with training wheels.
B) dump truck.
C) wind-up toy.
D) building block set.

Question 20

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 21

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

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 22

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(n) ____________________ related to the new environment.

Question 23

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

Question 24

Day care for the toddler differs from that of the preschooler due to the fact that toddlers:

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

Question 25

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

Question 26

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

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 27

The nurse suggests offering which food(s) to support the toddler's desire to self-feed? Select all that apply.

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

Question 28

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