Question 1

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 that:

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.

This is normal behavior for his age.

Accepted Answer

Toddlers use distinct behaviors in the quest for autonomy. They express their will with continued negativity and the use of the word "no."
 Children at this age also have rapid mood swings. The nurse should reassure the parents that their child is engaged in expected behavior for an 18-month-old.

Question 2

The nurse is discussing with a parent group the importance of fluoride for healthy teeth. The nurse should recommend that the parents:&#10;A)Use fluoridated mouth rinses in children older than 1 year.&#10;B)Have children 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 decision about fluoride supplementation cannot be made until it is known whether the water supply contains fluoride and the amount. It is difficult to teach this age group to spit out the mouthwash. Swallowing fluoridated mouthwashes can contribute to fluorosis. Fluoridated toothpaste is still indicated,but very small amounts are used. Fluoride supplementation is not recommended until after age 6 months.

Question 3

Which characteristic best describes the gross motor skills of a 24-month-old child?&#10;A)Skips&#10;B)Rides tricycle&#10;C)Broad jumps&#10;D)Walks up and down stairs

Accepted Answer

The 24-month-old child can go up and down stairs alone with two feet on each step. Skipping and the ability to broad jump are skills acquired at age 3. Tricycle riding is achieved at age 4.

Question 4

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 the 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 5

Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. The best interpretation of this behavior is that:&#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

Play develops from the solitary play of infancy to the parallel play of toddlers. The toddler plays alongside other children,not with them. This typical behavior of the toddler is not intentionally aggressive. Shared play is not within their cognitive development.Toddlers do not conceptualize shared play. Because the toddler cannot view the situation from the perspective of the other child,it is okay to take the toy. Therefore no right or wrong is associated with taking a toy.

Question 6

Although a 14-month-old girl received a shock from an electrical outlet recently,her parents find her about to place a paper clip in another outlet. The best interpretation of this behavior is:&#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 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 and represents typical behavior for a toddler. Only some awareness exists of a causal relation between events.

Question 7

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; 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 care for to tend to its needs when the parent is performing similar care for the newborn.

Question 8

The psychosocial developmental tasks of toddlerhood include:&#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 withstand delayed gratification.

Accepted Answer

If the need for basic trust has been satisfied,toddlers can give up dependence for control,independence,and autonomy. One of the tasks that the toddler is concerned with is the ability to withstand delayed 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 9

An appropriate recommendation in preventing tooth decay in young children is to:&#10;A)Substitute raisins for candy.&#10;B)Serve sweets after a meal.&#10;C)Use honey or molasses instead of refined sugar.&#10;D)Serve sweets between meals.

Accepted Answer

Sweets should be consumed with meals so the teeth can be cleaned afterward. This decreases the amount of time that the sugar is in contact with the teeth. Raisins,honey,and molasses are highly cariogenic and should be avoided.

Question 10

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 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 should be phrased with realistic choices rather than yes or no answers. This provides a sense of control for the toddler 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 toddler's parent asks the nurse for suggestions on dealing with temper tantrums. The most appropriate recommendation is to:&#10;A)Punish the child.&#10;B)Leave the child alone until the tantrum is over.&#10;C)Ignore the behavior,provided that it is not injurious.&#10;D)Explain to child that this is wrong.

Accepted Answer

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

Question 12

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 that the parents:&#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 13

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:&#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...

Question 14

The most effective way to clean a toddler's teeth is for the:&#10;A)Child to brush regularly with 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 15

Which factor is most important in predisposing toddlers to frequent infections such as otitis media,tonsillitis,and upper respiratory tract 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)Short,straight internal ear/throat structures and large tonsil/adenoid lymph tissue are present.

Accepted Answer

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

Question 16

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...

Question 17

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 that 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 18

What describes 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

The answer of What describes a toddler's cognitive development at...

Question 19

A 17-month-old child would be expected to be in what stage according to Piaget?&#10;A)Trust&#10;B)Preoperations&#10;C)Secondary circular reaction&#10;D)Tertiary circular reaction

Accepted Answer

The answer of A 17-month-old child would be expected to...

Question 20

Parents tell the nurse that their toddler daughter eats little at mealtime,only sits at the table with the family briefly,and wants snacks &#34;all the time.&#34; The nurse should recommend that the parents:&#10;A)Give her planned,frequent,and nutritious snacks.&#10;B)Offer rewards for eating at mealtimes.&#10;C)Avoid snacks so she is hungry at mealtimes.&#10;D)Explain to her in a firm manner what is expected of her.

Accepted Answer

The answer of Parents tell the nurse that their toddler...

Question 21

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 weighs:&#10;A)10 pounds&#10;B)20 pounds&#10;C)30 pounds&#10;D)40 pounds

Accepted Answer

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

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 is characteristic of physical development of a 30-month-old child? Choose 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. &#10;F) Left- or right-handedness is established.

Accepted Answer

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

Question 24

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

Accepted Answer

The answer of The leading cause of death during the...

Question 25

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

Accepted Answer

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

Question 26

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 securely away.&#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

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

Deck 37: The Toddler and Family