Question 1

At what age should the nurse expect a child to give both first and last names when asked?&#10;A)15 months&#10;B)18 months&#10;C)24 months&#10;D)30 months

Accepted Answer

At 30 months,the child is able to give both first and last names and refer to self with an appropriate pronoun.At 15 and 18 months,the child is too young to give his or her own name.At 24 months,the child is able to give first name and refer to self by that name.

Question 2

The child of 15 to 30 months is likely to be struggling with which developmental task?&#10;A)Trust&#10;B)Initiative&#10;C)Autonomy&#10;D)Intimacy

Accepted Answer

Autonomy vs shame and doubt is the developmental task of toddlers.Trust vs mistrust is the developmental stage of infancy.Initiative vs guilt is the developmental stage of early childhood.Intimacy and solidarity vs isolation is the developmental stage of early adulthood.

Question 3

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 must be forced to sit on the toilet when first learning.

Accepted Answer

Voluntary control of the anal and urethral sphincters is achieved sometime after the child is walking.The child must be able to recognize the urge to let go and to hold on.The child must want to please parent by holding on rather than pleasing self by letting go.Bowel training precedes bladder training.Watching older siblings provides role modeling and facilitates imitation for the toddler.The child should be introduced to the potty chair or toilet in a nonthreatening manner.

Question 4

Steven,16 months old,falls down a few stairs.He gets up and &#34;scolds&#34; the stairs as if they caused him to fall.This is an example of which of the following?&#10;A)Animism&#10;B)Ritualism&#10;C)Irreversibility&#10;D)Delayed cognitive development

Accepted Answer

Animism is the attribution of lifelike qualities to inanimate objects.By scolding the stairs,the toddler is attributing human characteristics to them.Ritualism is the need to maintain the sameness and reliability.It provides a sense of comfort to the toddler.Irreversibility is the inability to reverse or undo actions initiated physically.Steven is acting in an age-appropriate manner.

Question 5

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 intervention 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.

Accepted Answer

Most toddlers exhibit a physiologic anorexia in response to the decreased nutritional requirement associated with the slower growth rate.Parents should help the child develop healthy eating habits.The toddler is often unable to sit through a meal.Frequent nutritious snacks are a good way to ensure proper nutrition.To help with developing healthy eating habits,food should be not be used as positive or negative reinforcement for behavior.The child may develop habits of overeating or eat nonnutritious foods in response.

Question 6

Although a 14-month-old girl received a shock from an electric outlet recently,her parent finds her about to place a paper clip in another outlet.Which is the best interpretation of this behavior?&#10;A)Her cognitive development is delayed.&#10;B)This is typical behavior because toddlers are not very developed.&#10;C)This is typical behavior because of the inability to transfer knowledge to new situations.&#10;D)This is not typical behavior because toddlers should know better than to repeat an act that caused pain.

Accepted Answer

During the tertiary circular reactions stage,children have only a rudimentary sense of the classification of objects.The appearance of an object denotes its function for these children.The slot of an outlet is for putting things into.Her cognitive development is appropriate for her age.Trying to put things into an outlet is typical behavior for a toddler.Only some awareness exists of a causal relation between events.

Question 7

Which is descriptive of a toddler's cognitive development at age 20 months?&#10;A)Searches for an object only if he or she sees it being hidden&#10;B)Realizes that &#34;out of sight&#34; is not out of reach&#10;C)Puts objects into a container but cannot take them out&#10;D)Understands the passage of time, such as &#34;just a minute&#34; and &#34;in an hour&#34;

Accepted Answer

At this age,the child is in the final sensorimotor stage.Children will now search for an object in several potential places,even though they saw only the original hiding place.Children have a more developed sense of objective permanence.They will search for objects even if they have not seen them hidden.When a child puts objects into a container but cannot take them out,this is indicative of tertiary circular reactions.An embryonic sense of time exists,although the children may behave appropriately to time-oriented phrases; their sense of timing is exaggerated.

Question 8

Which technique is best for dealing with the negativism of the toddler?&#10;A)Offer the child choices.&#10;B)Remain serious and intent.&#10;C)Provide few or no choices for child.&#10;D)Quietly and calmly ask the child to comply.

Accepted Answer

The child should have few opportunities to respond in a negative manner.Questions and requests should provide choices.This allows the child to be in control and reduces opportunities for negativism.The child will continue trying to assert control.The toddler is too young for verbal explanations.The negativism is the child testing limits.These should be clearly defined by structured choices.

Question 9

The psychosocial developmental tasks of toddlerhood include which characteristic?&#10;A)Development of a conscience&#10;B)Recognition of sex differences&#10;C)Ability to get along with age-mates&#10;D)Ability to delay gratification

Accepted Answer

If the need for basic trust has been satisfied,then toddlers can give up dependence for control,independence,and autonomy.One of the tasks that the toddler is concerned with is the ability to delay gratification.Development of a conscience occurs during the preschool years.The recognition of sex differences occurs during the preschool years.The ability to get along with age-mates develops during the preschool and school-age years.

Question 10

A parent asks the nurse about negativism in toddlers.Which is the most appropriate recommendation?&#10;A)Punish the child.&#10;B)Provide more attention.&#10;C)Ask child not always to say &#34;no.&#34;&#10;D)Reduce the opportunities for a &#34;no&#34; answer.

Accepted Answer

The nurse should suggest to the parent that questions be phrased with realistic choices rather than yes or no answers.This provides the toddler with a sense of control 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 to be asked to not always say "no."

Question 11

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 included in which statement?

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.

Accepted Answer

The answer of A parent of an 18-month-old boy tells...

Question 12

The parents of a newborn say that their toddler &#34;hates the baby; he suggested that we put him in the trash can so the trash truck could take him away.&#34; Which is the nurse's best reply?&#10;A)&#34;Let's see if we can figure out why he hates the new baby.&#34;&#10;B)&#34;That's a strong statement to come from such a small boy.&#34;&#10;C)&#34;Let's refer him to counseling to work this hatred out. It's not a normal response.&#34;&#10;D)&#34;That is a normal response to the birth of a sibling. Let's look at ways to deal with this.&#34;

Accepted Answer

The answer of The parents of a newborn say that...

Question 13

Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child.Which is the best interpretation of this behavior?&#10;A)This is typical behavior because toddlers are aggressive.&#10;B)This is typical behavior because toddlers are egocentric.&#10;C)Toddlers should know that sharing toys is expected of them.&#10;D)Toddlers should have the cognitive ability to know right from wrong.

Accepted Answer

The answer of Two toddlers are playing in a sandbox...

Question 14

Which factor is most important in predisposing toddlers to frequent infections?&#10;A)Respirations are abdominal.&#10;B)Pulse and respiratory rates are slower than those in infancy.&#10;C)Defense mechanisms are less efficient than those during infancy.&#10;D)Toddlers have a short, straight internal ear canal and large lymph tissue.

Accepted Answer

The answer of Which factor is most important in predisposing...

Question 15

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 in this situation that:&#10;A)blocks at this age are used primarily for throwing.&#10;B)toddlers are too young to imitate the behavior of others.&#10;C)toddlers are capable of building a tower of blocks.&#10;D)toddlers are too young to build a tower of blocks.

Accepted Answer

The answer of In the clinic waiting room,a nurse observes...

Question 16

Which should the nurse expect for a toddler's language development at age 18 months?&#10;A)Vocabulary of 25 words&#10;B)Increasing level of comprehension&#10;C)Use of holophrases&#10;D)Approximately one third of speech understandable

Accepted Answer

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Question 17

The parents of a 2-year-old tell the nurse that they are concerned because the toddler has started to use &#34;baby talk&#34; since the arrival of their new baby.The nurse should recommend which intervention?&#10;A)Ignore the &#34;baby talk.&#34;&#10;B)Explain to the toddler that &#34;baby talk&#34; is for babies.&#10;C)Tell the toddler frequently, &#34;You are a big kid now.&#34;&#10;D)Encourage the toddler to practice more advanced patterns of speech.

Accepted Answer

The answer of The parents of a 2-year-old tell the...

Question 18

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.Which is the most appropriate recommendation?&#10;A)Punish the child.&#10;B)Leave the child alone until the tantrum is over.&#10;C)Remain close by the child but without eye contact.&#10;D)Explain to child that this is wrong.

Accepted Answer

The answer of A toddler's parent asks the nurse for...

Question 19

Which characteristic best describes the gross motor skills of a 24-month-old child?&#10;A)Skips and can hop in place on one foot&#10;B)Rides tricycle and broad jumps&#10;C)Jumps with both feet and stands on one foot momentarily&#10;D)Walks up and down stairs and runs with a wide stance

Accepted Answer

The answer of Which characteristic best describes the gross motor...

Question 20

A nurse is planning care for a 17-month-old child.According to Piaget,which stage should the nurse expect the child to be in cognitively?&#10;A)Trust&#10;B)Preoperational&#10;C)Secondary circular reaction&#10;D)Tertiary circular reaction

Accepted Answer

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

Question 21

Which is an appropriate recommendation for preventing tooth decay in young children?&#10;A)Substitute raisins for candy.&#10;B)Substitute sugarless gum for regular gum.&#10;C)Use honey or molasses instead of refined sugar.&#10;D)When sweets are to be eaten, select a time not during meals.

Accepted Answer

The answer of Which is an appropriate recommendation for preventing...

Question 22

Which gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)&#10;A)Jumps in place with both feet&#10;B)Takes a few steps on tiptoe&#10;C)Throws ball overhand without falling&#10;D)Pulls and pushes toys&#10;E)Stands on one foot momentarily

Accepted Answer

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Question 23

Which play item should the nurse bring from the playroom to a hospitalized toddler in isolation?&#10;A)Small plastic Lego&#10;B)Set of large plastic building blocks&#10;C)Brightly colored balloon&#10;D)Coloring book and crayons

Accepted Answer

The answer of Which play item should the nurse bring...

Question 24

The most fatal type of burn in the toddler age group is:&#10;A)flame burn from playing with matches.&#10;B)scald burn from high-temperature tap water.&#10;C)hot object burn from cigarettes or irons.&#10;D)electric burn from electric outlets.

Accepted Answer

The answer of The most fatal type of burn in...

Question 25

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:&#10;A)a sign the child is spoiled.&#10;B)a way to exert unhealthy control.&#10;C)regression, common at this age.&#10;D)ritualism, common at this age.

Accepted Answer

The answer of A father tells the nurse that his...

Question 26

Which are characteristic of physical development of a 30-month-old child? (Select all that apply.)&#10;A)Birth weight has doubled.&#10;B)Primary dentition is complete.&#10;C)Sphincter control is achieved.&#10;D)Anterior fontanel is open.&#10;E)Length from birth is doubled.f. Left or right handedness is established.

Accepted Answer

The answer of Which are characteristic of physical development of...

Question 27

The nurse recommends to parents that peanuts are not a good snack food for toddlers.The nurse's rationale for this action is that they:&#10;A)are low in nutritive value.&#10;B)are high in sodium.&#10;C)cannot be entirely digested.&#10;D)can be easily aspirated.

Accepted Answer

The answer of The nurse recommends to parents that peanuts...

Question 28

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 reaches which age?&#10;A)1&#10;B)2&#10;C)3&#10;D)4

Accepted Answer

The answer of Kimberly's parents have been using a rearward-facing,convertible...

Question 29

Developmentally,most children at age 12 months:&#10;A)use a spoon adeptly.&#10;B)relinquish the bottle voluntarily.&#10;C)eat the same food as the rest of the family.&#10;D)reject all solid food in preference to the bottle.

Accepted Answer

The answer of Developmentally,most children at age 12 months:&#10;A)use a...

Question 30

A nurse places some x-ray contrast the toddler is to drink in a small cup instead of a large cup.Which concept of a toddler's preoperational thinking is the nurse using?&#10;A)Inability to conserve&#10;B)Magical thinking&#10;C)Centration&#10;D)Irreversibility

Accepted Answer

The answer of A nurse places some x-ray contrast the...

Question 31

The parent of a 16-month-old toddler asks,&#34;What is the best way to keep our son from getting into our medicines at home?&#34; The nurse's best advice is:&#10;A)&#34;All medicines should be locked securely away.&#34;&#10;B)&#34;The medicines should be placed in high cabinets.&#34;&#10;C)&#34;The child just needs to be taught not to touch medicines.&#34;&#10;D)&#34;Medicines should not be kept in the homes of small children.&#34;

Accepted Answer

The answer of The parent of a 16-month-old toddler asks,&#34;What...

Question 32

Parents need further teaching about the use of car safety seats if they make which statement?&#10;A)&#34;Even if our toddler helps buckle the straps, we will double-check the fastenings.&#34;&#10;B)&#34;We won't start the car until everyone is properly restrained.&#34;&#10;C)&#34;We won't need to use the car seat on short trips to the store.&#34;&#10;D)&#34;We will anchor the car seat to the car's anchoring system.&#34;

Accepted Answer

The answer of Parents need further teaching about the use...

Question 33

The most effective way to clean a toddler's teeth is for the:&#10;A)child to brush regularly with a toothpaste of his or her choice.&#10;B)parent to stabilize the chin with one hand and brush with the other.&#10;C)parent to brush the mandibular occlusive surfaces, leaving the rest for the child.&#10;D)parent to brush the front labial surfaces, leaving the rest for the child.

Accepted Answer

The answer of The most effective way to clean a...

Question 34

Which is the leading cause of death during the toddler period?&#10;A)Injuries&#10;B)Infectious diseases&#10;C)Congenital disorders&#10;D)Childhood diseases

Accepted Answer

The answer of Which is the leading cause of death...

Question 35

Which should the nurse teach to parents of toddlers about accidental poison prevention? (Select all that apply.)&#10;A)Keep toxic substances in the garage.&#10;B)Discard empty poison containers.&#10;C)Know the number of the nearest poison control center.&#10;D)Remove colorful labels from containers of toxic substances.&#10;E)Caution child against eating nonedible items, such as plants.

Accepted Answer

The answer of Which should the nurse teach to parents...

Deck 12: Health Promotion of the Toddler and Family