Question 1

When assessing the oral cavity of a 2.5-year-old toddler, which finding is expected?&#10;A) 12 deciduous teeth&#10;B) 20 deciduous teeth&#10;C) 16 deciduous and 2 permanent teeth&#10;D) 6 deciduous and 12 permanent teeth

Accepted Answer

All 20 deciduous teeth are generally present by 2.5 to 3.0 years of age.

Question 2

The nurse is preparing a community educational program for the parents of toddlers. Which topics should the nurse include that address the 2020 National Health Goals for safety? (Select all that apply.)

A) Using age-appropriate car seats
B) Securing poisonous items out of reach
C) Eliminating lead-based paint in the home
D) Removing pets from the home environment
E) Obtaining foot stools for use during toilet training

Using age-appropriate car seats
Securing poisonous items out of reach
Eliminating lead-based paint in the home

Accepted Answer

The 2020 National Health Goals for toddlers focus on safety. The nurse can help the nation achieve these goals by educating parents about the importance of using car seats and childproofing the home against poisoning and lead poisoning. The National Health Goals do not address pets in the home. Foot stools for toilet training are not a safety concern.

Question 3

The parents of a toddler want to assist the child achieve the developmental task of autonomy. Which approach should the nurse suggest to the parents?&#10;A) Teach the child how to count.&#10;B) Allow the child to make simple decisions.&#10;C) Give the child small household chores to do.&#10;D) Urge the child to put on clothes independently.

Accepted Answer

To develop a sense of autonomy is to develop a sense of independence. A healthy level of autonomy is achieved when parents are able to balance independence with consistently sound rules for safety. Allowing the child to make simple decisions helps the child achieve autonomy in a safe setting. Teaching how to count will not help develop autonomy in the child. Providing the child with chores will not develop autonomy. The child is not developmentally prepared to be able to put on clothes independently.

Question 4

A mother is concerned that her 2-year-old child is having seizures when he holds his breath until he passes out when he wants something his mother does not want him to have. What should the nurse respond to this mother's concern?

A) Seizures rarely occur in toddlers.
B) With seizures, cyanosis rarely develops.
C) Seizures are not provoked; temper tantrums are.
D) Seizures typically occur with fever; temper tantrums do not.

Accepted Answer

Some children hold their breath as part of a temper tantrum until they become cyanotic. Breath holding occurs when a child is provoked; the child develops a distended chest, often has air-filled cheeks, and shows increasing distress as the body registers oxygen want. A seizure cannot be provoked. Seizures can occur in all ages. Cyanosis can occur with seizures. Seizures can occur in those with neurologic problems and not just with a fever.

Question 5

The nurse had instructed the family of a toddler on home safety during a previous visit. During this current visit, what observation indicates that instruction has been effective?&#10;A) Prescribed medication sitting on countertop&#10;B) House plant on a small table next to the sofa&#10;C) Small bowl of mixed nuts on the coffee table&#10;D) All windows in the home have locked screens.

Accepted Answer

To prevent falls, the parents should keep the house windows closed or keep secure screens in place. Prescribed medication should be stored in a locked cabinet and not left out on a table because this could cause accidental poisoning. House plants should not be within reach of the toddler because this could cause an accidental poisoning or injury if the plant is pulled on top of the child. Nuts could cause accidental choking and should not be within the child's reach.

Question 6

The parents of a toddler plan to begin toilet training. Which instruction should the nurse provide to the parents at this time?&#10;A) Toilet training is a 12-month process.&#10;B) Bowel training is easier than urine training.&#10;C) All children should be toilet trained by age 2 years.&#10;D) Children can remain dry during the night before they can do so during the day.

Accepted Answer

Training should begin with defecation training because this is an easier concept for the child to grasp. There is no time limit regarding the amount of time it takes to toilet train a toddler. Even though theoretically a child can begin toilet training once able to walk, the child needs to reach specific milestones before being able to successfully toilet train. Children are more likely to remain dry during the day than during the night.

Question 7

The nurse is determining a toddler's language development. What is an expected finding for language development in a 2-year-old?&#10;A) Able to count out loud to 20&#10;B) Speaks 20 nouns and 4 pronouns&#10;C) Speaks two words plus &#34;ma-ma&#34; and &#34;da-da&#34;&#10;D) Speaks in two-word sentences using a noun and a verb

Accepted Answer

A 2-year-old child should be speaking in simple two-word sentences using a noun and a verb. Any 2-year-old child who does not talk in two-word, noun-verb simple sentences needs a careful assessment to determine the cause because this is beyond a point of normal development. Counting is not an expectation for a 2-year-old child. The child will not be able to speak 20 nouns and 4 pronouns.

Question 8

The nurse observes a toddler riding a tricycle and decides that the parents need additional safety education. What did the nurse observe?&#10;A) Toddler wearing a helmet&#10;B) Toddler wearing long pants&#10;C) Toddler wearing tennis shoes&#10;D) Toddler not wearing a helmet

Accepted Answer

Toddlers need to wear a helmet as soon as they begin riding a tricycle. Parents are not as conscientious about using helmets as they are for bicycle riding so this is an area where health teaching is necessary. Wearing a helmet would be expected, and the nurse would not need to provide additional safety education for the parents. Long pants and tennis shoes do not pose a safety issue.

Question 9

The mother of a toddler is frustrated because the toddler insists on brushing his own teeth and being left alone in the bathtub. What advice should the nurse provide to the mother about these expectations?

A) Helping with toothbrushing encourages autonomy.
B) It is unusual for a 2-year-old to have such strong opinions.
C) The mother should continue to give full care in all aspects.
D) Leaving alone in the bathtub is a good way to encourage autonomy.

Accepted Answer

A toddler needs experience in making choices, and to provide the opportunity to do this, a parent could give a secondary choice. Pretending not to hear the child, asking no further questions, and telling the child to never say "no" again will not help with the toddler's obstinacy.

Question 10

The mother of a toddler is frustrated because the toddler insists on brushing his own teeth and being left alone in the bathtub. What advice should the nurse provide to the mother about these expectations?

A) Helping with toothbrushing encourages autonomy.
B) It is unusual for a 2-year-old to have such strong opinions.
C) The mother should continue to give full care in all aspects.
D) Leaving alone in the bathtub is a good way to encourage autonomy.

Accepted Answer

Toddlers need a toothbrush they recognize as their own. Toward the end of the toddler period, they can begin to do the brushing themselves under supervision; although, almost all children need some supervision until about age 8 years. It is not unusual for a toddler to have opinions and want to do things themselves. The mother needs to permit the child to perform autonomous acts with supervision. The child is too young to be permitted in the bathtub alone. This is a safety hazard.

Question 11

The mother of a toddler is concerned because the child has taken the wheels off of a toy truck and placed them in a sandbox as stepping stones to walk. What should the nurse explain about this child's behavior?

A) This is assimilation.
B) The child does not like toy trucks.
C) The number of toys should be limited.
D) This is abnormal and needs to be evaluated.

Accepted Answer

The answer of The mother of a toddler is concerned...

Question 12

The mother of a toddler observes the child play next to another child but not with the child. What should the nurse explain to the mother about this type of play behavior?&#10;A) This is peer play and is abnormal.&#10;B) This is parallel play and is expected.&#10;C) This is premature play and should be stopped.&#10;D) This is adjacent play and is only seen in school-age children.

Accepted Answer

The answer of The mother of a toddler observes the...

Question 13

The nurse is preparing to assess a toddler during a routine health maintenance visit. Which assessment will the nurse perform to determine the child's growth milestone?&#10;A) Blood pressure&#10;B) Urine specimen&#10;C) Hemoglobin level&#10;D) Height and weight

Accepted Answer

The answer of The nurse is preparing to assess a...

Question 14

A mother brings a 15-month-old child to the clinic for a routine health maintenance visit. Which immunization should the nurse prepare to administer to this child?&#10;A) MMR&#10;B) Rinne test&#10;C) Oral polio&#10;D) Hepatitis A

Accepted Answer

The answer of A mother brings a 15-month-old child to...

Question 15

The mother of a 2-year-old child tells the nurse that she is constantly scolding the child for having wet pants. The child was toilet trained at 12 months, but since walking, the child wets all of the time. Which nursing diagnosis should the nurse use guide instruction for the mother?

A) Total urinary incontinence related to delayed toilet training
B) Excess fluid volume related to inability to control urination
C) Ineffective coping related to lack of self-control of 2-year-old
D) Deficient parental knowledge related to inappropriate method for toilet training

Accepted Answer

The answer of The mother of a 2-year-old child tells...

Question 16

The parents of a toddler are worried that the child is not eating enough because food is always left on the child's plate. What should the nurse encourage the parents to do?&#10;A) Place smaller amount on the child's plate.&#10;B) Reinforce that the child is to eat everything on the plate.&#10;C) Discipline the child for not eating by removing a toy from play.&#10;D) Feed the child if refusing to eat the food on the plate independently.

Accepted Answer

The answer of The parents of a toddler are worried...

Deck 30: Nursing Care of a Family With a Toddler