Question 1

A parent is very frustrated by the amount of time a toddle says &#34;no&#34; and asks the nurse about effective strategies to manage this negativism.The most appropriate recommendation is to&#10;A) punish the child for the behavior.&#10;B) provide more attention to the child.&#10;C) ask the child to not always say &#34;no.&#34;&#10;D) reduce the opportunities for a &#34;no&#34; answer.

Accepted Answer

The nurse should suggest that the parent phrase questions or directives with restrictive choices rather than yes or no Answerwers.This provides a sense of control for the toddler and reduces the opportunity for negativism.Negativism is not an indication of stubbornness or insolence and should not be punished.The negativism is not a function of attention; the child is testing limits to gain an understanding of the world.The toddler is too young for this approach.

Question 2

The parents of a newborn say that their toddler &#34;hates the baby.&#8230; He suggested that we put him in the trash can so the trash truck could take him away.&#34; The nurse's best action is to&#10;A) assess the older child for signs of child abuse.&#10;B) refer the family for psychological counseling.&#10;C) assist the family to deal with this response.&#10;D) encourage the family to give the toddler extra attention.

Accepted Answer

The arrival of a new infant represents a crisis for even the best prepared toddler.Toddlers have their entire schedule and routines disrupted because of the new family member.This is a normal response.The nurse should work with parents on ways to involve the toddler in the newborn's care and to help focus attention on the toddler.There is no need to assess for child abuse or to refer the family for counseling.Giving the toddler some extra attention and "special time" will probably help,but this is too narrow in scope to be the best Answerwer.The nurse should help brainstorm several different strategies.

Question 3

Parents tell the nurse that their preschool-age child seems to have an imaginary friend named Bob.Whenever their child is scolded or disciplined,the child in turn scolds Bob.What response by the nurse is most appropriate?

A) Ask the child to introduce Bob when the parents are not present.
B) Inform the parents that this is normal behavior in this age group.
C) Suggest the parents discuss the situation with the provider.
D) Refer the child for hearing and vision screening.

Accepted Answer

In the early preschool years,boundaries between reality and fantasy blur.Children at the age may develop imaginary friends who can keep them company or take the blame when the child misbehaves.The nurse informs the parents that this is normal behavior.The child likely will not "introduce" Bob to a stranger.The nurse him- or herself needs to provide this anticipatory guidance and not just suggest the parents talk to the provider.There is no reason for sensory screening.

Question 4

The nursing student has planned teaching for a toddler parent group on poison prevention in the home.In reviewing the presentation with the nurse,what information requires the nurse to provide more instruction to the student?

A) Lock all medications away securely.
B) Place cleaning supplies in a top cabinet.
C) Try not to let your child watch you take pills.
D) Call Poison Control right away for an exposure.

Accepted Answer

Anything potentially poisonous including things like medication,cleaning supplies,or personal care items must be stored in places completely inaccessible to children.Toddlers view climbing as a challenge,so a top cabinet is not inaccessible.The other instructions are appropriate.

Question 5

The nurse is assessing a preschool aged child during a well-child checkup.This child has gained 2 pounds in 1 year.What action by the nurse is best?&#10;A) Ask the parent to provide a 3-day diet diary.&#10;B) Assess the child's teeth and gums.&#10;C) Plot the weight gain on the growth chart.&#10;D) Instruct the parent on today's needed vaccinations.

Accepted Answer

Preschool children gain an average of 5 pounds a year.A gain of only 2 pounds is less than half of the expected weight gain and should be investigated.The other actions are part of a well-child checkup but are not related to the lack of weight gain.

Question 6

The nurse is presenting information on burn safety to a toddler and preschool parenting group at a local community center.To avoid the most common cause of fire death in children this age,what information does the nurse provide?

A) Practice family fire drills often.
B) Cover outlets with plastic covers.
C) Turn the water heater temperature to 110° F (43.3° C).
D) Keep children out of the kitchen when cooking.

Accepted Answer

Children younger than 5 years are at the greatest risk for burn deaths in a house fire.They often panic and hide in closets or under beds rather than escape safely.Parents need to practice fire drills with their children to teach them what to do in the event of a house fire.Covering outlets,turning the water heater down,and keeping children out of the kitchen when cooking are more appropriate for younger children.

Question 7

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 suggest that the family do which of the following?&#10;A) Do not take the child to restaurants until this behavior has stopped.&#10;B) Take the child but do not give in to this demand.&#10;C) Explain to the child that restaurants have their own dishes.&#10;D) Suggest the family take the dishes and use them at the restaurant.

Accepted Answer

The child is exhibiting the ritualism that is characteristic at this age.Ritualism is the need to maintain the sameness and reliability.It provides a sense of comfort to the toddler.It will dictate certain principles in feeding practices,including rejecting a favorite food because it is served in a different container.The family can take the dishes and serve the toddler's food and drink with them.Not taking the child out sometimes deprives him or her of a social experience.Not giving in sets the stage for temper tantrums.This child is too young to understand an explanation.

Question 8

The nurse is planning to teach parents of a 15-month-old child.Which is the priority concern the nurse should address?&#10;A) Toilet training guidelines&#10;B) Guidelines for weaning children from bottles&#10;C) Instructions on preschool readiness&#10;D) Instructions on a home safety assessment

Accepted Answer

Accidents are the major cause of death in children,including deaths caused by ingestion of poisonous materials.Home and environmental safety assessments are priorities in this age-group because of toddlers' increased motor skills and independence,which puts them at greater risk in an unsafe environment.Although it is appropriate to give parents of a 15-month-old child toilet training guidelines,the child is not usually ready for toilet training,so it is not the priority teaching intervention.Parents of a 15-month-old child should have been advised to begin weaning from the breast or bottle at 6 to 12 months of age.Educating a parent about preschool readiness is important and can occur later in the parents' educational process.The priority teaching intervention for the parents of a 15-month-old child is the importance of a safe environment.

Question 9

What do parents of preschool children need to understand about discipline?&#10;A) Both parents and the child should agree on the method of discipline.&#10;B) Discipline should involve some physical restriction.&#10;C) The method of discipline should be consistent with that of the child's peers.&#10;D) Discipline should include positive reinforcement of desired behaviors.

Accepted Answer

Effective discipline strategies should involve a comprehensive approach that includes consideration of the parent-child relationship,reinforcement of desired behaviors,and consequences for negative behaviors.Discipline does not need to be agreed on by the child.Preschoolers feel secure with limits and appropriate,consistent discipline.Both parents should be in agreement so that the discipline is consistently applied.Discipline does not necessarily need to include physical restriction.Discipline does not need to be consistent with that of the child's peers.

Question 10

Which toy is the most developmentally appropriate for an 18- to 24-month-old child?&#10;A) A push-and-pull toy&#10;B) Nesting blocks&#10;C) A bicycle with training wheels&#10;D) A computer

Accepted Answer

Push-and-pull toys encourage large muscle activity and are appropriate for toddlers.Nesting blocks are more appropriate for a 12- to 15-month-old child.This child is too young for bicycles or computers.

Question 11

The nurse is assessing a toddler's growth and development.Which statement does the nurse understand about language development in a toddler?&#10;A) Language development skills slow during the toddler period.&#10;B) The toddler understands more than he or she can express.&#10;C) Most of the toddler's speech is not easily understood.&#10;D) The toddler's vocabulary contains approximately 600 words.

Accepted Answer

The answer of The nurse is assessing a toddler's growth...

Question 12

Which statement,made by a nursing student to the father of a 4-year-old child,warrants correction by the nurse?&#10;A) &#34;Because the 'baby teeth' are not permanent, they are not important to the child.&#34;&#10;B) &#34;Encourage your child to practice brushing his teeth after you have thoroughly cleaned them.&#34;&#10;C) &#34;Your child's 'permanent teeth' will begin to come in around 6 years of age.&#34;&#10;D) &#34;Fluoride supplements are needed if you do not have fluoridated water.&#34;

Accepted Answer

The answer of Which statement,made by a nursing student to...

Question 13

A nurse has been teaching a parent of a toddler about effective discipline.Which statement by the parent indicates that goals for teaching have been met?&#10;A) &#34;I always include explanations and morals when I am disciplining my toddler.&#34;&#10;B) &#34;I always try to be immediate and consistent when disciplining the children.&#34;&#10;C) &#34;I believe that discipline should be done by only one family member.&#34;&#10;D) &#34;My rule of thumb is no more than one spanking a day.&#34;

Accepted Answer

The answer of A nurse has been teaching a parent...

Question 14

The nurse teaches the parents that which of the following is the primary purpose of a transitional object?&#10;A) It helps the parents with the guilt they feel when they leave the child.&#10;B) It keeps the child quiet at bedtime.&#10;C) It is effective in decreasing anxiety in the toddler.&#10;D) It decreases negativism and tantrums in the toddler.

Accepted Answer

The answer of The nurse teaches the parents that which...

Question 15

What should the nurse teach a parent who is concerned about preventing sleep problems in a 2-year-old child?&#10;A) Have the child always sleep in a quiet, darkened room.&#10;B) Provide high-carbohydrate snacks before bedtime.&#10;C) Have the child's daytime caretaker eliminate naps.&#10;D) Use a nightlight in the child's room.

Accepted Answer

The answer of What should the nurse teach a parent...

Question 16

In providing anticipatory guidance to parents whose child will soon be entering kindergarten,which is a critical factor to include in this teaching?&#10;A) The child needs to be able to sit still.&#10;B) The child should be able to count to 25.&#10;C) The parent should have interaction and be responsive to the child.&#10;D) The child should attend a preschool program first.

Accepted Answer

The answer of In providing anticipatory guidance to parents whose...

Question 17

Which comments indicate that the mother of a toddler needs further teaching about dental care?&#10;A) &#34;We use well water so I give my toddler fluoride supplements.&#34;&#10;B) &#34;My toddler brushes his teeth with my help.&#34;&#10;C) &#34;My child will not need a dental checkup until his permanent teeth come in.&#34;&#10;D) &#34;I use a small nylon bristle brush for my toddler's teeth.&#34;

Accepted Answer

The answer of Which comments indicate that the mother of...

Question 18

A 17-month-old child is expected to be in what stage according to Piaget?&#10;A) Trust&#10;B) Preoperations&#10;C) Secondary circular reaction&#10;D) Sensorimotor period

Accepted Answer

The answer of A 17-month-old child is expected to be...

Question 19

The parent of a 14-month-old child is concerned because the child's appetite has decreased.The best response for the nurse to make to the parent is,&#10;A) &#34;It is important for your toddler to eat three meals a day and no snacks.&#34;&#10;B) &#34;It is not unusual for toddlers to eat less due to slower growth.&#34;&#10;C) &#34;Be sure to increase your child's milk consumption, which will improve nutrition.&#34;&#10;D) &#34;Give your child a multivitamin daily to increase your toddler's nutrition.&#34;

Accepted Answer

The answer of The parent of a 14-month-old child is...

Question 20

Which statement is correct about toilet training?&#10;A) Bladder training is usually accomplished before bowel training.&#10;B) Wanting to please the parent helps motivate the child to use the toilet.&#10;C) Watching older siblings use the toilet confuses the child.&#10;D) Children should be forced to sit on the toilet when first learning.

Accepted Answer

The answer of Which statement is correct about toilet training?&#10;A)...

Question 21

A nurse is assessing a child for toilet training readiness during a home visit.Which behaviors by the child are positive signs? (Select all that apply.)&#10;A) Removes own clothing&#10;B) Walks into bathroom on own&#10;C) Has been walking for 6 months&#10;D) Will give up toy when asked to&#10;E) Scratches as legs periodically

Accepted Answer

The answer of A nurse is assessing a child for...

Question 22

The increase in the number of overweight children in this country is addressed in Healthy People 2020.Strategies designed to approach this issue include (Select all that apply.)&#10;A) decreased calcium and iron intake.&#10;B) increased fiber and whole grain intake.&#10;C) decreased use of sugar and sodium.&#10;D) increase fruit and vegetable intake.&#10;E) decrease the use of solid fats.

Accepted Answer

The answer of The increase in the number of overweight...

Question 23

Which play patterns does a 3-year-old child typically display? (Select all that apply.)&#10;A) Imaginary play&#10;B) Parallel play&#10;C) Cooperative play&#10;D) Structured play&#10;E) Associative play

Accepted Answer

The answer of Which play patterns does a 3-year-old child...

Question 24

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.)&#10;A) Concrete thinking&#10;B) Egocentrism&#10;C) Animism&#10;D) Magical thought&#10;E) Ability to reason

Accepted Answer

The answer of A nurse is planning care for a...

Question 25

The nurse is assessing parental knowledge of temper tantrums.Which are true statements about temper tantrums? (Select all that apply.)&#10;A) Temper tantrums are a common response to anger and frustration in toddlers.&#10;B) Temper tantrums often include screaming, kicking, throwing things, and head banging.&#10;C) Parents can effectively manage temper tantrums by giving in to the child's demands.&#10;D) Children having temper tantrums should be safely isolated and ignored.&#10;E) Parents can learn to anticipate times when tantrums are more likely to occur.

Accepted Answer

The answer of The nurse is assessing parental knowledge of...

Question 26

The nurse plans a teaching session with a toddler's parents on car safety.Which will the nurse teach? (Select all that apply.)&#10;A) Secure in a rear-facing, upright car safety seat.&#10;B) Place the car safety seat in the rear seat, behind the driver's seat.&#10;C) Harness safety straps should fit snugly.&#10;D) Place the car safety seat in the front passenger seat equipped with an airbag.&#10;E) After the age of 2 years, toddlers can be placed in a forward-facing car seat.

Accepted Answer

The answer of The nurse plans a teaching session with...

Deck 7: Health Promotion During Early Childhood