Question 1

Which of the following would the nurse expect to find in an 18-month-old?

Accepted Answer

A)  Standing on tiptoes 
B)  Pedaling a tricycle 
C)  Climbing stairs with assistance 
D)  Carrying a large toy while walking 
A)  Standing on tiptoes 
B)  Pedaling a tricycle 
C)  Climbing stairs with assistance 
D)  Carrying a large toy while walking

Question 2

The nurse is choosing foods for a toddler's diet that are high in vitamin A. Which of the following could be added to the menu? Select all answers that apply.

Accepted Answer

A)  Applesauce 
B)  Avocados 
C)  Broccoli 
D)  Sweet potatoes 
E)  Spinach
F) Carrots 
A)  Applesauce 
B)  Avocados 
C)  Broccoli 
D)  Sweet potatoes 
E)  Spinach
F) Carrots

Question 3

The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. Which of the following might alert the nurse to a potential problem with the child's sensory development?

Accepted Answer

A)  The toddler places the nurse's stethoscope in his mouth. 
B)  The toddler's vision tests at 20/50 in both eyes 
C)  The toddler does not respond to commands whispered in his ear. 
D)  The toddler's taste discrimination is not at adult levels yet. 
A)  The toddler places the nurse's stethoscope in his mouth. 
B)  The toddler's vision tests at 20/50 in both eyes 
C)  The toddler does not respond to commands whispered in his ear. 
D)  The toddler's taste discrimination is not at adult levels yet.

Question 4

The nurse emphasizes that a toddler younger than the age of 18 months should never be spanked primarily for which reason?

Accepted Answer

A)  Spanking in a child this age predisposes the child to a pro-violence attitude. 
B)  The child will become resentful and angry, leading to more outbursts. 
C)  Spanking demonstrates a poor model for problem-solving skills. 
D)  There is an increased risk for physical injury in this age group. 
A)  Spanking in a child this age predisposes the child to a pro-violence attitude. 
B)  The child will become resentful and angry, leading to more outbursts. 
C)  Spanking demonstrates a poor model for problem-solving skills. 
D)  There is an increased risk for physical injury in this age group.

Question 5

The nurse is helping parents prepare a healthy meal plan for their toddler. Which of the following guidelines for promoting nutrition should be followed when planning meals? Select all answers that apply.

Accepted Answer

A)  The child younger than 2 years of age should have his or her fat intake restricted. 
B)  Extending breastfeeding into toddlerhood is believed to be beneficial to the child. 
C)  Weaning from the bottle should occur by 6 to 12 months of age. 
D)  Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. 
E)  The toddler requires an average intake of 500 mg calcium per day.
F) Toddlers tend to have the highest daily iron intake of any age group. 
A)  The child younger than 2 years of age should have his or her fat intake restricted. 
B)  Extending breastfeeding into toddlerhood is believed to be beneficial to the child. 
C)  Weaning from the bottle should occur by 6 to 12 months of age. 
D)  Adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization. 
E)  The toddler requires an average intake of 500 mg calcium per day.
F) Toddlers tend to have the highest daily iron intake of any age group.

Question 6

The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which of the following are safety interventions that the nurse should address?

Accepted Answer

A)  Encourage parents to enroll toddlers in swimming classes to avoid the need for constant supervision around water. 
B)  Advise parents to keep pot handles on stoves turned outward to avoid accidental burns. 
C)  Encourage parents to smoke only in designated rooms in the house or outside the house. 
D)  Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the backseat of the car. 
A)  Encourage parents to enroll toddlers in swimming classes to avoid the need for constant supervision around water. 
B)  Advise parents to keep pot handles on stoves turned outward to avoid accidental burns. 
C)  Encourage parents to smoke only in designated rooms in the house or outside the house. 
D)  Advise parents to use a forward-facing car seat with harness straps and a clip, placed in the backseat of the car.

Question 7

The nurse is teaching good sleep habits for toddlers to the mother of a 2-year-old boy. Which response indicates the mother understands sleep requirements for her son?

Accepted Answer

A)  "I'll put him to bed at 7 p.m., except Friday and Saturday." 
B)  "He needs 13 hours of sleep per day including his nap." 
C)  "I need to put the side down on the crib so he can get out." 
D)  "His father can give him a horseback ride into his bed." 
A)  "I'll put him to bed at 7 p.m., except Friday and Saturday." 
B)  "He needs 13 hours of sleep per day including his nap." 
C)  "I need to put the side down on the crib so he can get out." 
D)  "His father can give him a horseback ride into his bed."

Question 8

The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

Accepted Answer

A)  The child has trouble undressing himself. 
B)  The child is unable to push a toy lawnmower. 
C)  The child is unable to unscrew a jar lid. 
D)  The child falls when he bends over. 
A)  The child has trouble undressing himself. 
B)  The child is unable to push a toy lawnmower. 
C)  The child is unable to unscrew a jar lid. 
D)  The child falls when he bends over.

Question 9

The nurse is providing guidance after observing a mother interact with her negative 2- year- old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

Accepted Answer

A)  Telling the child to stop tearing pages from magazines 
B)  Asking the child if he would please quit throwing toys 
C)  Telling the child firmly that we don't scream in the office 
D)  Saying, "Please come over here and sit in this chair. OK?" 
A)  Telling the child to stop tearing pages from magazines 
B)  Asking the child if he would please quit throwing toys 
C)  Telling the child firmly that we don't scream in the office 
D)  Saying, "Please come over here and sit in this chair. OK?"

Question 10

The pediatric nurse is planning quiet activities for hospitalized 18-month-olds. Which of the following would be an appropriate activity for this age group?

Accepted Answer

A)  Painting by number 
B)  Putting shapes into appropriate holes 
C)  Stacking blocks 
D)  Using crayons to color in a coloring book 
A)  Painting by number 
B)  Putting shapes into appropriate holes 
C)  Stacking blocks 
D)  Using crayons to color in a coloring book

Exam 26: Growth and Development of the Toddler

Which of the following would the nurse expect to find in an 18-month-old?

The nurse is choosing foods for a toddler's diet that are high in vitamin A. Which of the following could be added to the menu? Select all answers that apply.

The nurse is testing the sensory development of a toddler brought to the clinic for a well visit. Which of the following might alert the nurse to a potential problem with the child's sensory development?

The nurse emphasizes that a toddler younger than the age of 18 months should never be spanked primarily for which reason?

The nurse is helping parents prepare a healthy meal plan for their toddler. Which of the following guidelines for promoting nutrition should be followed when planning meals? Select all answers that apply.

The nurse is developing a teaching plan for toddler safety to present at a parenting seminar. Which of the following are safety interventions that the nurse should address?

The nurse is teaching good sleep habits for toddlers to the mother of a 2-year-old boy. Which response indicates the mother understands sleep requirements for her son?

The nurse is observing a 24-month-old boy in a day care center. Which finding suggests delayed motor development?

The nurse is providing guidance after observing a mother interact with her negative 2- year- old boy. For which interaction will the nurse advise the mother that she is handling the negativism properly?

The pediatric nurse is planning quiet activities for hospitalized 18-month-olds. Which of the following would be an appropriate activity for this age group?

Perspectives on Maternal, Newborn, and Womens Health Care

Family-Centered Community-Based Care

Anatomy and Physiology of the Reproductive System

Common Reproductive Issues

Sexually Transmitted Infections

Disorders of the Breasts

Benign Disorders of the Female Reproductive Tract

Cancers of the Female Reproductive Tract

Violence and Abuse

Fetal Development and Genetics

Maternal Adaptation During Pregnancy

Nursing Management During Pregnancy

Labor and Birth Process

Nursing Management During Labor and Birth

Postpartum Adaptations

Nursing Management During the Postpartum Period

Newborn Transitioning

Nursing Management of the Newborn

Nursing Management of Pregnancy at Risk-Pregnancy

Nursing Management of the Pregnancy at Risk

Nursing Management of Labor and Birth at Risk

Nursing Management of the Postpartum Woman at Risk

Nursing Care of the Newborn With Special Needs

Nursing Management of the Newborn at Risk

Growth and Development of the Newborn and Infant

Growth and Development of the Preschooler

Growth and Development of the School-Age Child

Growth and Development of the Adolescent

Atraumatic Care of Children and Families

Health Supervision

Health Assessment of Children

Caring for Children in Diverse Settings

Caring for the Special Needs Child

Key Pediatric Nursing Interventions

Pain Management in Children

Nursing Care of the Child With an Infectious or Communicable Disorder

Nursing Care of the Child With an Alteration in Intracranial Regulation/Neurologic Disorder

Nursing Care of the Child With an Alteration in Sensory Perception/Disorder of the Eyes or Ears

Nursing Care of the Child With an Alteration in Gas Exchange/Respiratory Disorder

Nursing Care of the Child With an Alteration in Perfusion/Cardiovascular Disorder

Nursing Care of the Child With an Alteration in Bowel Elimination/Gastrointestinal Disorder

Nursing Care of the Child With an Alteration in Urinary Elimination/Genitourinary Disorder

Nursing Care of the Child With an Alteration in Mobility/Neuromuscular or Musculoskeletal Disorder

Nursing Care of the Child With an Alteration in Tissue Integrity/Integumentary Disorder

Nursing Care of the Child With an Alteration in Cellular Regulation/Hematologic or Neoplastic Disorder

Nursing Care of the Child With an Alteration in Immunity or Immunologic Disorder

Nursing Care of the Child With an Alteration in Metabolism/Endocrine Disorder

Nursing Care of the Child With an Alteration in Genetics

Nursing Care of the Child With an Alteration in Behavior, Cognition, or Development

Nursing Care During a Pediatric Emergency

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