Deck 32: The Toddler and Family

Question 1

The parents of a newborn say that their toddler "hates the baby and suggested that we put the baby in the trash can so the trash truck could take him away." What is the nurse's best response to the parent's concern?

A) "Let's see if we can figure out why your toddler hates the new baby."
B) "That's a strong statement to come from such a small child."
C) "Let's refer your child to counseling to work this hatred out. It's not a normal response."
D) "That is a normal response to the birth of a sibling. Let's look at ways to deal with this."

Answer 1

"That is a normal response to the birth of a sibling. Let's look at ways to deal with this."

Question 2

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

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

Answer 2

Toddlers are capable of building a tower of blocks.

Question 3

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

A) Skips
B) Rides tricycle
C) Broad jumps
D) Walks up and down stairs

Answer 3

Walks up and down stairs

Question 4

Parents tell the nurse that their toddler eats little at mealtimes,only sits at the table with the family briefly,and wants snacks "all the time." The nurse should recommend what intervention 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 5

Which factor 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) Defense mechanisms are less efficient than those during infancy.
D) The presence of short, straight internal ear/throat structures and large tonsil/adenoid lymph tissue.

Question 6

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

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

Question 7

The parents of a 2 year old tell the nurse that they are concerned because the toddler has started to use "baby talk" since the arrival of their new baby.The nurse should recommend which intervention for 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 practice more advanced patterns of speech.

Question 8

A father tells the nurse that his toddler wants the same plate and cup used at every meal,even if they go to a restaurant.The nurse should explain that this is a result of what factor?

A) A sign that the child is spoiled.
B) A way to exert unhealthy control.
C) Regression, common at this age.
D) Ritualism, common at this age.

Question 9

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

A) This is typical behavior because toddlers are aggressive.
B) This is typical behavior 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

The nurse is planning care for a 17-month-old child.According to Piaget,in what stage would the nurse expect the child to be?

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

Question 11

A parent of an 18 month old tells the nurse that the child says "no" to everything and has rapid mood swings.If scolded,the child shows anger and then immediately wants to be held.What is the nurse's best interpretation of this behavior?

A) This is normal behavior for the child's age.
B) This is unusual behavior for the child's age.
C) The child is not effectively coping with stress.
D) The child is showing the need for more attention.

Question 12

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

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

Question 13

Which statement 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 14

What are the psychosocial developmental tasks of toddlerhood?

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

Question 15

An appropriate recommendation in preventing tooth decay in young children would include which intervention?

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 16

Developmentally,most children at age 12 months demonstrate what behavior?

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 foods in preference to the bottle.

Question 17

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

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

Question 18

Which statement about toilet training is correct?

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 19

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

A) Punish the child with an age appropriate punishment.
B) Leave the child alone until the tantrum is over.
C) Ignore the behavior, provided that it is not injurious.
D) Explain to child that this is wrong.

Question 20

Although a 14 month old received a shock from an electrical outlet recently,the parents find the child about to place a paper clip in another outlet.What is the best interpretation of this behavior?

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

Question 21

Which comment indicates that the mother of a toddler needs further teaching about dental care?

A) "We use well water so I give my toddler fluoride supplements."
B) "My toddler brushes his teeth with my help."
C) "My child will not need a dental checkup until his permanent teeth come in."
D) "I use a small nylon bristle brush for my toddler's teeth."

Question 22

The nurse is assessing parental knowledge of temper tantrums.Which are true statements regarding temper tantrums? (Select all that apply.)

A) Temper tantrums are a common response to anger and frustration in toddlers.
B) Temper tantrums often include screaming, kicking, throwing things, and head banging.
C) Parents can effectively manage temper tantrums by giving in to the child's demands.
D) Children having temper tantrums should be safely isolated and ignored.
E) Parents can learn to anticipate times when tantrums are more likely to occur.

Question 23

Which are characteristics of the physical development of a 30-month-old child? (Select all that apply.)

A) Birth weight has doubled.
B) Primary dentition is complete.
C) Sphincter control is achieved.
D) Anterior fontanel is open.
E) Length from birth is doubled.

Question 24

What information should a nurse provide a mother who is concerned about preventing sleep problems in her 2-year-old child?

A) Have the child always sleep in a quiet, darkened room.
B) Provide high-carbohydrate snacks before bedtime.
C) Communicate with the child's daytime caregiver about eliminating the afternoon nap.
D) Use a night-light in the child's room.

Question 25

The parent of a 16 month old asks,"What is the best way to keep our toddler from getting into our medicines at home?" The nurse should provide which advice?

A) "All medicines should be locked securely away."
B) "The medicines should be placed in high cabinets."
C) "Chris just needs to be taught not to touch medicines."
D) "Medicines should not be kept in the homes of small children."

Question 26

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.)

A) Concrete thinking
B) Egocentrism
C) Animism
D) Magical thinking
E) Ability to reason

Question 27

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.)

A) Secure in a rear-facing, upright, car safety seat.
B) Place the car safety seat in the rear seat, behind the driver's seat.
C) Harness safety straps should be fit snugly.
D) Place the car safety seat in the front passenger seat equipped with an air bag.
E) After the age of 2 years, toddlers can be placed in a forward-facing car seat.

Question 28

Which is the most fatal type of burn in 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 29

A 16 months old,falls down a few stairs and then gets up and "scolds" the stairs as if they caused the fall.This is an example of which of the following?

A) Animism
B) Ritualism
C) Irreversibility
D) Delayed cognitive development

Question 30

What is the leading cause of death during the toddler period?

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

Question 31

What is the primary purpose of a transitional object?

A) It helps the parents deal with the guilt when leaving the child.
B) It keeps the child quiet at bedtime.
C) It is effective in decreasing anxiety in the toddler.
D) It decreases negativism and tantrums in the toddler.

Question 32

Parents have been using a rearward-facing,convertible car seat since their baby was born.The parents should be taught that most car seats can be safely switched to the forward-facing position when the child reaches which age?

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

Question 33

Which toy is the most developmentally appropriate for an 18- to 24-month-old child?

A) A push-pull toy
B) Nesting blocks
C) A bicycle with training wheels
D) A computer

Question 34

Which gross motor milestones should the nurse assess in an 18-month-old child? (Select all that apply.)

A) Jumps in place with both feet
B) Takes a few steps on tiptoe
C) Throws ball overhand without falling
D) Pulls and pushes toys
E) Stands on one foot momentarily

Question 35

Which should the nurse expect for a toddler's language development at age 18 months?

A) Vocabulary of 25 words
B) Increasing level of comprehension
C) Use of phrases
D) Approximately one third of speech understandable

Question 36

What is the rationale for the nurse recommends to parents that peanuts are not a good snack food for toddlers?

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 37

The mother of an 18-month-old child is concerned because the child's appetite has decreased.Which is the best response for the nurse to make to the mother?

A) "It is important for your toddler to eat three meals a day and nothing in between."
B) "It is not unusual for toddlers to eat less during this developmental stage."
C) "Be sure to increase your child's milk consumption, which will improve nutrition."
D) "Giving your child a multivitamin supplement daily will increase your toddler's appetite."