Deck 36: The Toddler and Family

Question 1

The parents of a 2-year-old tell the nurse that they are concerned because she has started to use "baby talk" since the arrival of their new baby.What should the nurse recommend to the parents?

A) Ignore the "baby talk."
B) Explain to the toddler that "baby talk" is for babies.
C) Tell the toddler frequently,"You are a big kid now."
D) Encourage the toddler to practise more advanced patterns of speech.

Answer 1

Ignore the "baby talk."

Question 2

According to Piaget,which stage is a 17-month-old child expected to be in?

A) Trust
B) Preoperations
C) Secondary circular reactions
D) Tertiary circular reactions

Answer 2

Tertiary circular reactions

Question 3

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.What is the best interpretation of this behaviour?

A) This is normal behaviour for his age.
B) This is unusual behaviour for his age.
C) He is not effectively coping with stress.
D) He is showing he needs more attention.

Answer 3

This is normal behaviour for his age.

Question 4

Which is correct about toilet training?

A) Bladder training is usually accomplished before bowel training.
B) Wanting to please the parent helps motivate the child to use the toilet.
C) Watching older siblings use the toilet confuses the child.
D) Children must be forced to sit on the toilet when first learning.

Question 5

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.Which is the basis for the nurse's response?

A) It is a sign that the child is spoiled.
B) It is a way for her to exert unhealthy control.
C) It shows regression,which is common at this age.
D) It demonstrates ritualism,which is common at this age.

Question 6

Which is most important in predisposing toddlers to frequent infections such as otitis media,tonsillitis,and upper respiratory tract infections?

A) Respirations are abdominal.
B) Pulse and respiratory rates are slower than those in infancy.
C) Defence mechanisms are less efficient than those during infancy.
D) Short,straight internal ear/throat structures and large tonsil/adenoid lymph tissue

Question 7

A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.Which is the most appropriate recommendation?

A) Punish the child.
B) Leave the child alone until the tantrum is over.
C) Ignore the behaviour,provided that it is not injurious.
D) Explain to the child that this is wrong.

Question 8

Developmentally,which behaviour is seen in most children at age 12 months?

A) Use a spoon adeptly.
B) Relinquish the bottle voluntarily.
C) Eat the same food as the rest of the family.
D) Reject all solid food in preference for the bottle.

Question 9

Two toddlers are playing in a sandbox,when one child suddenly grabs a toy from the other.What is the best interpretation of this behaviour?

A) This is typical behaviour because toddlers are aggressive.
B) This is typical behaviour because toddlers are egocentric.
C) Toddlers should know that sharing toys is expected of them.
D) Toddlers should have the cognitive ability to know right from wrong.

Question 10

What is the leading cause of death for toddlers?

A) Injuries
B) Infectious diseases
C) Congenital disorders
D) Childhood diseases

Question 11

Which is a psychosocial developmental task of toddlerhood?

A) Development of a conscience
B) Recognition of sex differences
C) Ability to get along with age-mates
D) Ability to delay gratification

Question 12

Although a 14-month-old girl received a shock from an electrical outlet recently,her parents found her about to place a paper clip in another outlet.What is the best interpretation of this behaviour?

A) Her cognitive development is delayed.
B) This is typical behaviour because toddlers are not very developed.
C) This is typical behaviour because of her inability to transfer knowledge to new situations.
D) This is not typical behaviour because toddlers should know better than to repeat an act that caused pain.

Question 13

Which characteristic best describes the gross motor skills of a 24-month-old child?

A) The child skips.
B) The child rides a tricycle.
C) The child broad jumps.
D) The child walks up and down stairs.

Question 14

A parent asks the nurse about how to deal with negativism in toddlers.What is the most appropriate recommendation?

A) Punish the child.
B) Provide more attention.
C) Ask the child to not always say "no."
D) Reduce the opportunities for a "no" answer.

Question 15

What is the most effective way to clean a toddler's teeth?

A) Child brushes regularly with toothpaste of his or her choice.
B) Parent stabilizes the chin with one hand and brushes with the other.
C) Parent brushes the mandibular occlusive surfaces,leaving the rest for the child.
D) Parent brushes the front labial surfaces,leaving the rest for the child.

Question 16

Parents tell the nurse that their toddler daughter eats a little at mealtime,only sits at the table with the family briefly,and wants snacks "all the time." What should the nurse recommend to the parents?

A) Give her planned,frequent,and 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.

Question 17

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.What should the nurse recommend to the parents?

A) Use fluoridated mouth rinses in children older than 1 year.
B) Have children brush their teeth with fluoridated toothpaste unless the fluoride content of the water supply is adequate.
C) Give fluoride supplements to breastfed infants beginning at age 1 month.
D) Determine whether the water supply is fluoridated.

Question 18

What is an appropriate recommendation for preventing tooth decay in young children?

A) Substitute raisins for candy.
B) Serve sweets after a meal.
C) Use honey or molasses instead of refined sugar.
D) Serve sweets between meals.

Question 19

In the clinic waiting room,a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks.What should the nurse recognize in this situation?

A) Blocks at this age are used primarily for throwing.
B) Toddlers are too young to imitate the behaviour of others.
C) Toddlers are capable of building a tower of blocks.
D) Toddlers are too young to build a tower of blocks.

Question 20

What best describes a toddler's cognitive development at age 20 months?

A) Searches for an object only if he or she sees it being hidden
B) Realizes that "out of sight" is not out of reach
C) Puts objects into a container but cannot take them out
D) Understands the passage of time,such as "just a minute" and "in an hour"

Question 21

Most car seats can be safely switched from rearward-facing to the forward-facing position when the child reaches which weight,in kilograms?

A) 5
B) 10
C) 15
D) 20

Question 22

What is a characteristic of physical development for a 30-month-old child?

A) Birth weight has doubled.
B) Primary dentition is complete.
C) Left- or right-handedness is established.
D) The anterior fontanel is open.

Question 23

Which are characteristics of preoperational thought? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,

A) Centration
B) Magical thinking
C) Ritualism
D) Negativism
E) Egocentrism
F) Global organization

Question 24

The nurse informs parents that peanuts are not a good snack food for toddlers.What is the nurse's rationale for this advice?

A) They are low in nutritive value.
B) They are very high in sodium.
C) They cannot be entirely digested.
D) They can be easily aspirated.

Question 25

What is the most fatal type of burn for the toddler age group?

A) Flame burn from playing with matches
B) Scald burn from high-temperature tap water
C) Hot object burn from cigarettes or irons
D) Electric burn from electrical outlets

Question 26

When assessing a 2-year-old's language development,which would the nurse document as normal findings? Select all that apply.Express answer with small letters followed by a comma and a space-e.g. ,a,b,

A) Uses plurals
B) Has vocabulary of about 300 words
C) Understands directional commands
D) Refers to self by first name
E) Names one colour
F) Able to string four to five words together in a sentence