Deck 17: The Toddler

Question 1

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?"

Answer 1

"How much milk does she drink in a day?"

Question 2

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.

Answer 2

Carrying her favorite blanket is self-consoling behavior.

Question 3

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:

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

Answer 3

3 minutes

Question 4

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

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

Question 5

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

A) A bicycle with training wheels
B) A dump truck
C) Wind-up toys
D) Legos

Question 6

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 7

The nurse points out physiological changes that occur in the toddler, which serve as a protection against disease, such as: 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 8

On a home visit, the nurse notes each of the following. The observation that requires teaching intervention to protect the 15-month-old child who lives there is:

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 9

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

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

Question 10

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 11

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 12

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

Question 13

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

A) The child has temper tantrums.
B) The child feeds himself sloppily.
C) The child walks by holding onto furniture.
D) The child speaks in short sentences.

Question 14

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

A) Insist that the child eat one food on the plate.
B) Help the child to 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 15

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 16

The nurse planning anticipatory guidance for parents of a toddler would include which of the following instructions?

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 17

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

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

Question 18

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

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

Question 19

The nurse suggests that bladder training should start when the toddler can stay dry for _____ hours.

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

Question 20

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

Question 21

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.

Question 22

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

Question 23

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