The nurse is discussing toddler development with a parent. Which intervention will foster the achievement of autonomy?
A. Help the toddler complete tasks.
B. Provide opportunities for the toddler to play with other children.
C. Help the toddler learn the difference between right and wrong.
D. Encourage the toddler to do things for himself or herself when he or she is capable of doing them.
D. Encourage the toddler to do things for himself or herself when he or she is capable of doing them.
Which action characterizes the development of a 2-year-old child?
A. Engages in parallel play
B. Fully dresses self with supervision
C. Has a vocabulary of at least 500 words
D. Has attained one third of his or her adult height
A. Engages in parallel play
The nurse is teaching the parent of a 2-year-old child how to care for the child’s teeth. Which instruction should be included?
A. Flossing is not recommended at this age.
B. Toddlers are old enough to brush their teeth effectively.
C. The parent should brush the toddler’s teeth with plain water if he or she does not like toothpaste.
D. The toddler’s toothbrush should be small and have hard, rounded, nylon bristles.
C. The parent should brush the toddler’s teeth with plain water if he or she does not like toothpaste.
A toddler is exploring the environment but returns to his mother within a few minutes of exploration. This finding would be noted as an example of
A. separation anxiety.
B. separation.
C. rapprochement.
D. individuation.
C. rapprochement.
One of the major tasks of toddlerhood is toilet training. In teaching the parents about a child’s readiness for toilet training, it is important for the nurse to emphasize that
A. nighttime bladder control develops first, so parents should focus on that in the initial teaching with their toddler.
B. bowel control is accomplished before bladder control, so the parent should focus on bowel training first.
C. the toddler must have the gross motor skill to climb up to the adult toilet before training is begun.
D. the universal age for toilet training to begin is 2 years, and the universal age for completion is 4 years.
B. bowel control is accomplished before bladder control, so the parent should focus on bowel training first.
What should the nurse recommend to the parents to help a toddler cope with the birth of a new sibling?
A. Give the toddler a doll with which he or she can imitate the parents.
B. Discourage the toddler from helping with care of the new sibling until the baby is much older.
C. Prepare the toddler about 1 to 2 weeks before the birth of a new sibling.
D. Explain to the toddler that a new playmate will soon come home.
A. Give the toddler a doll with which he or she can imitate the parents.
Which statement about early childhood caries(ECC formerly known as baby bottle tooth decay)should be taught to the parents?
A. This syndrome is distinguished by protruding upper front teeth, resulting from sucking on a hard nipple.
B. Giving a bottle of milk or juice at nap time or bedtime predisposes the child to this syndrome.
C. This syndrome can be completely prevented by breastfeeding.
D. Giving the child juice in the bottle instead of milk at bedtime prevents this syndrome.
B. Giving a bottle of milk or juice at nap time or bedtime predisposes the child to this syndrome.
Which statement is most characteristic of the motor skills of a 24-month-old child?
A. The toddler walks alone but falls easily.
B. The toddler’s activities begin to produce purposeful results.
C. The toddler is able to grasp small objects but cannot release them at will.
D. The toddler’s motor skills are fully developed but occur in isolation from the environment.
B. The toddler’s activities begin to produce purposeful results.
A 2-year-old child has recently started having temper tantrums where breath holding occurs and occasionally fainting. The most appropriate action by the nurse is to
A. refer the child for a respiratory evaluation.
B. refer the child for a psychological evaluation.
C. explain to the parent that this is not harmful.
D. explain to the parent that the child is spoiled.
C. explain to the parent that this is not harmful.
A parent brings a 2-year-old to the clinic for a well-child checkup. Which statement by the parent would indicate to the nurse that the parent needs additional instruction regarding accident prevention?
A. “We locked all the medicines in the bathroom cabinet.”
B. “We turned the thermostat down on our hot water heater.”
C. “We placed gates at the top and bottom of the basement steps.”
D. “We stopped using the car seat and put our child in the seat belt now that he is older.”
D. “We stopped using the car seat and put our child in the seat belt now that he is older.”
The nurse notices that a toddler is more cooperative taking medicine from a small cup than from a large cup. This is an example of which characteristic of preoperational thought?
A. Egocentrism
B. Irreversibility
C. Inability to conserve
D. Transductive reasoning
C. Inability to conserve
Which statement characterizes toddlers’ eating behavior?
A. They have increased appetites.
B. They have few food preferences.
C. Their table manners are predictable.
D. They become fussy eaters.
D. They become fussy eaters.
The nurse should teach parents of toddlers how to prevent poisoning by instructing them to
A. consistently use safety caps.
B. store poisonous substances in a locked cabinet.
C. keep ipecac in the home.
D. store poisonous substances out of reach.
B. store poisonous substances in a locked cabinet.
A hospitalized toddler clings to a worn, tattered blanket. The toddler screams when anyone tries to take it away. Which is the best explanation for the toddler’s attachment to the blanket?
A. The blanket encourages immature behavior.
B. The blanket is an important transitional object.
C. The developmental task of individuation–separation has not been mastered.
D. The child and mother have inadequate bonding.
B. The blanket is an important transitional object.
For a toddler with sleep problems, the nurse should suggest that the parents
A. use a transitional object at bedtime.
B. vary the bedtime ritual.
C. restrict stimulating activities throughout the day.
D. explain away their fears.
A. use a transitional object at bedtime.
In teaching prospective parents about the emergence of gender identity, the nurse should instruct them that this concept emerges at about
A. 12 months of age.
B. 24 months of age.
C. at birth.
D. at 3 years of age.
B. 24 months of age.