Question 1

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

This behavior is an example of ritualism, which is common at this age. Ritualism provides comfort and a sense of security to young children as they establish predictable routines and patterns in their daily lives. It is not an indication of being spoiled or exerting control.

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 reply is&#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 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.The nurse should work with parents on ways to involve the toddler in the newborn's care and help focus attention on the toddler.The toddler does not hate the infant.This is an expected response to the changes in routines and attention that affect the toddler.This is a normal response.The toddler can be provided with a doll to tend to its needs when the parent is performing similar care for the newborn.

Question 3

The parent of 16-month-old Chris asks,&#34;What is the best way to keep Chris from getting into our medicines at home?&#34; The nurse should advise that&#10;A) &#34;All medicines should be locked away securely.&#34;&#10;B) &#34;The medicines should be placed in high cabinets.&#34;&#10;C) &#34;Chris 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

It is important to keep all medicines, especially prescription medications, locked away securely to prevent accidental poisoning in young children. Placing medicines in high cabinets is not always effective, as children can still climb and reach them. Teaching a 16-month-old not to touch medicines is not developmentally appropriate, and it is not realistic to expect that they will remember this instruction every time they come across medications. While it is ideal to keep medicines out of the reach of children, it is not always possible or practical, so it is important to take extra precautions by locking them away.

Question 4

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

According to Piaget's theory of cognitive development, a 17-month-old child is expected to be in the sensorimotor period. This stage is characterized by the child's developing ability to mentally represent objects and events that are not physically present. During this time, infants learn through their senses and actions, exploring the world around them through motor movements and trial-and-error learning.

Question 5

A parent asks the nurse about negativism in toddlers.The most appropriate recommendation is to&#10;A) Punish the child&#10;B) Provide more attention&#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

Toddlers are in a stage where they are developing autonomy and testing boundaries, which can often manifest as negativism or saying "no" frequently. Punishing the child or asking them to not say "no" will only reinforce negative behavior. Providing more attention may help with overall behavior, but it may not specifically address negativism. Reducing opportunities for a "no" answer can help redirect their behavior towards more positive interactions and alternatives.

Question 6

What is helpful to tell a mother who is concerned about preventing sleep problems in her 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) Communicate with the child's daytime caretaker about eliminating the afternoon nap.&#10;D) Use a nightlight in the child's room.

Accepted Answer

Using a nightlight in the child's room can help prevent sleep problems, as it can provide a sense of comfort and security for the child. However, it's important to ensure that the nightlight is not too bright or stimulating.

Question 7

Which statement by a mother of a toddler indicates a correct understanding of the use of discipline?&#10;A) &#34;I always include explanations and morals when I am disciplining my toddler.&#34;&#10;B) &#34;I always try to be consistent when disciplining the children, and I correct my children at the time they are misbehaving.&#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

Consistency is an important factor when it comes to disciplining children as it reinforces the message being conveyed. Correcting the child at the time of misbehavior helps them understand exactly what they did wrong and why it is not acceptable. This can lead to better behavior in the future. A and D may not necessarily be the best approaches to discipline as spanking should not be the go-to method and explanations/morals alone may not be enough to change behavior. C is also not a correct understanding as discipline should be done by all family members as a unified front.

Question 8

In providing anticipatory guidance to parents whose child will soon be entering kindergarten,which is a critical factor in preparing a child for kindergarten entry?&#10;A) The child's ability to sit still&#10;B) The child's sense of learned helplessness&#10;C) The parent's interactions and responsiveness to the child&#10;D) Attending a preschool program

Accepted Answer

The parent's interactions and responsiveness to the child are critical in preparing a child for kindergarten entry. Parents should engage with their child in conversations, ask open-ended questions, read to them, and help them develop social skills to ensure that they are well-prepared for kindergarten. Attending a preschool program can be beneficial, but it is not the only determining factor in a child's readiness for kindergarten. The ability to sit still is a desirable skill, but not a critical factor in kindergarten readiness. A sense of learned helplessness is not to be expected in a child who is well-prepared for kindergarten.

Question 9

Which assessment finding in a preschooler suggests the need for further investigation?&#10;A) The child is able to dress independently.&#10;B) The child rides a tricycle.&#10;C) The child has an imaginary friend.&#10;D) The child has a 2-lb weight gain in 12 months.

Accepted Answer

A 2-lb weight gain in 12 months may not seem significant, but it could be a cause for concern in a preschooler who is still growing and developing rapidly. Further investigation may be necessary to ensure that the child's nutritional and developmental needs are being met.

Question 10

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

Wanting to please the parent is a common motivation for children to use the toilet, and it can make toilet training easier. A, C, and D are incorrect statements. Bladder and bowel training can happen simultaneously or in any order, depending on the child's development and readiness. Watching older siblings use the toilet can actually be helpful for some children to learn and understand the process, and it is not confusing. Forcing a child to sit on the toilet can create negative associations and make toilet training more difficult.

Question 11

The mother 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 mother is&#10;A) &#34;It is important for your toddler to eat three meals a day and nothing in between.&#34;&#10;B) &#34;It is not unusual for toddlers to eat less.&#34;&#10;C) &#34;Be sure to increase your child's milk consumption, which will improve nutrition.&#34;&#10;D) &#34;Giving your child a multivitamin supplement daily will increase your toddler's appetite.&#34;

Accepted Answer

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

Question 12

A mother asks when toilet training is most appropriately initiated.What is the nurse's best response?&#10;A) &#34;When your child is 12 to 18 months of age.&#34;&#10;B) &#34;When your child exhibits signs of physical and psychological readiness.&#34;&#10;C) &#34;When your child has been walking for 9 months.&#34;&#10;D) &#34;When your child is able to sit on the 'potty' for 10 to 15 minutes.&#34;

Accepted Answer

The answer of A mother asks when toilet training is...

Question 13

The nurse is teaching parents of a toddler about language development.Which statement best identifies the characteristics of language development in a toddler?&#10;A) Language development skills slow during the toddler period.&#10;B) The toddler understands more than he 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 teaching parents of a...

Question 14

Which is the priority concern in developing a teaching plan for the parents of a 15-month-old child?&#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

The answer of Which is the priority concern in developing...

Question 15

Which statement,made by a 4-year-old child's father,is true about the care of the preschooler's teeth?&#10;A) &#34;Because the 'baby teeth' are not permanent, they are not important to the child.&#34;&#10;B) &#34;My son can be encouraged to brush his teeth after I have thoroughly cleaned his teeth.&#34;&#10;C) &#34;My son's 'permanent teeth' will begin to come in at 4 to 5 years of age.&#34;&#10;D) &#34;Fluoride supplements can be discontinued when my son's 'permanent teeth' erupt.&#34;

Accepted Answer

The answer of Which statement,made by a 4-year-old child's father,is...

Question 16

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 17

The nurse is discussing with a parent group the importance of fluoride for healthy teeth.What should the nurse recommend?&#10;A) Use fluoridated mouth rinses in children older than 1 year.&#10;B) Brush teeth with fluoridated toothpaste unless fluoride content of water supply is adequate.&#10;C) Give fluoride supplements to breastfed infants beginning at age 1 month.&#10;D) Determine whether water supply is fluoridated.

Accepted Answer

The answer of The nurse is discussing with a parent...

Question 18

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 the discipline methods of the child's peers.&#10;D) Discipline should include positive reinforcement of desired behaviors.

Accepted Answer

The answer of What do parents of preschool children need...

Question 19

What is the primary purpose of a transitional object?&#10;A) It helps the parents deal 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 What is the primary purpose of a...

Question 20

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

The answer of Which toy is the most developmentally appropriate...

Question 21

Motor vehicle injuries are a significant threat to young children.Knowing this,the nurse plans a teaching session with a toddler's parents on car safety.Which will she 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 Motor vehicle injuries are a significant threat...

Question 22

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 electrical outlets

Accepted Answer

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

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 prevalence of obesity in the United States has risen dramatically in both adults and children.The increase in the number of overweight children is addressed in Healthy People 2020.Strategies designed to approach this issue include (select all that apply)

A) Decreased calcium and iron intake
B) Increased fiber and whole grain intake
C) Decreased use of sugar and sodium
D) Increase fruit and vegetable intake
E) Decrease the use of solid fats

Accepted Answer

The answer of The prevalence of obesity in the United...

Question 26

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 27

A disturbance in the flow and time patterning of speech is known as ____________.

Accepted Answer

The answer of A disturbance in the flow and time...

Question 28

Parents are often concerned about their toddler's interest in and curiosity about gender differences.Sex play and masturbation are common among toddlers.Is this statement true or false?

Accepted Answer

The answer of Parents are often concerned about their toddler's...

Deck 7: Health Promotion during Early Childhood