Deck 16: Assessing the Toddler and Preschooler

Question 1

Which does the preschooler use to evaluate own behavior?

A) Social mores
B) Parental rules
C) Reward or punishment
D) Peer pressure

Answer 1

Reward or punishment

Question 2

Which behavior may indicate hearing impairment in a toddler or preschooler?

A) Stuttering
B) Ignoring parental requests
C) Delayed speech
D) Disobedience

Answer 2

Delayed speech

Question 3

The nurse is assessing a toddler-age patient during a well-child check-up. The child spends daytime hours with a caregiver who smokes in the home. What is the child at an increased risk for based on this data?

A) Diabetes
B) Emphysema
C) Asthma
D) Impetigo

Answer 3

Asthma

Question 4

Which is a common reaction many toddlers have when a new baby is introduced into the family?

A) Acting out
B) Temper tantrums
C) Regressive behavior
D) All of the above

Question 5

A parent states, "I am concerned that my 2-year-old doesn't interact with others while playing in the same space." Which rationale will the nurse use when responding to this parent?

A) Toddler play is parallel.
B) The child is shy and withdrawn.
C) The child may have a learning disability.
D) The child's lack of speech inhibits his or her ability to communicate with other children.

Question 6

Which action is most appropriate by the parents to minimize sibling rivalry between toddlers and a new sibling?

A) Having the toddler help prepare the baby's room
B) Taking the toddler on a trip before the new sibling arrives
C) Explaining to the toddler that he or she is no longer the baby
D) Sending the toddler to the grandparents to prevent conflict

Question 7

The nurse is preparing to administer immunizations to several pediatric patients. The nurse knows that the third dose of Hepatitis B (HBV) should be administered between ________________and 18 months.

Question 8

The nurse is conducting a health history interview for a toddler-age patient who is unable to verbalize answers to questions. Which action by the nurse is appropriate in this situation?

A) Asking the parent about eating habits
B) Asking the parent about attention span
C) Asking the parent about sleep patterns
D) All of the above.

Question 9

The nurse is assessing a toddler-age child. The nurse knows that the toddler years occur from 12 to ________________months of age.

Question 10

The nurse is assessing a young toddler-age patient. Which assessment finding may contribute to dental caries?

A) Bottle of milk before bed
B) Bottle of juice before bed
C) Pacifier dipped in honey
D) All of the above

Question 11

The nurse is assessing the immunization record for a pediatric patient. The nurse knows that the third dose of the polio vaccine should be administered by the age of ________________months.

Question 12

Which is the best response to a parent who complains, "My child never eats?"

A) "Toddlers have very specific tastes and should be fed whatever they like to eat."
B) "Toddlers should be fed only soft foods that require little chewing to prevent aspiration."
C) "Toddlers' appetites decrease as their growth slows down."
D) "Toddlers require a diet high in fat and should be encouraged to eat fatty foods on a regular basis."

Question 13

The nurse is providing care to a preschool-age patient. Which is an age-appropriate social activity for this patient?

A) Board games
B) Jump rope
C) Word games
D) Ring around the rosy

Question 14

The nurse is preparing to conduct an assessment for a toddler-age patient. Which approach is most appropriate?

A) Doing the most painful sections first
B) Explaining that the assessment won't be painful
C) Engaging the toddler in games to develop rapport
D) Talking to the parent

Question 15

During a scheduled well-child visit the mother of a 3-year-old states, "My child masturbates in the bathtub, and it is very upsetting to me." Which response by the nurse is most appropriate?

A) "Tell your child not to do that. It is dirty."
B) "Masturbation is normal. Just tell your child that it is a private thing to do."
C) "Encourage your child's self-expression."
D) "Children don't usually do that until they are teenagers."

Question 16

What is the expected vision of a toddler or preschooler?

A) 20/20
B) 20/40
C) 20/60
D) 20/80

Question 17

The nurse is assessing a preschool-age child. The nurse knows that the preschool years occur from 3 to ________________years of age.

Question 18

A toddler-age patient appears to have lordosis and a potbelly. Which is the reason for this assessment finding?

A) This is abnormal, and back exercises will help improve the toddler's posture.
B) This is the normal appearance of a toddler as a result of weak abdominal muscles.
C) This is normal until the child is 5 or 6 years old.
D) This is abnormal and the toddler may need a back brace for support.

Question 19

The nurse is assessing a pediatric patient during a well-child visit. In order for the patient to be up-to-date for immunizations, the patient should receive the first dose of the measles, mumps, rubella (MMR) vaccine between 12 and ________________months of age.

Question 20

Which is the best response by the parent when a child is throwing a temper tantrum?

A) Punishment
B) Consistency
C) Avoidance of behavioral issues
D) Humor

Question 21

The nurse is conducting a review of systems. Which questions are appropriate when assessing the toddler's and preschooler's eyes? Select all that apply.

A) "Does your child have vision problems?"
B) "Does your child have crossed eyes?"
C) "Does your child have a history of ear infections?"
D) "Does your child have trouble hearing?"
E) "When was your child's last eye exam?"

Question 22

The nurse is conducting a review of systems during the physical assessment. Which questions are appropriate for the cardiovascular system? Select all that apply.

A) "Have you ever been told that your child has a murmur?"
B) "Does your child ever wheeze?"
C) "Has your child ever turned blue?"
D) "Is your child exposed to second-hand smoke?"
E) "Does your child ever have trouble breathing?"

Question 23

The nurse is assessing a toddler-age patient who has been provided a bottle at bedtime since birth. The nurse would assess this patient for baby-bottle caries, which tend to manifest between ________________months and 3 years of age.

Question 24

Asthma is the most common disease among children and is typically diagnosed between the ages of 3 and ________________years old.

Question 25

When conducting the physical assessment for the toddler-age patient, which are expected anthropometric measurements and vital signs? Select all that apply.

A) Gaining 4 to 6 pounds each year
B) Gaining 3 inches per year in height
C) Unequal head and chest circumferences
D) Slight decrease in blood pressure
E) Slight decrease in heart rate

Question 26

The nurse is assessing the mouth of a 3-year-old patient and expects ________________deciduous teeth to be present upon inspection.

Question 27

The nurse is conducting a skin assessment for a toddler-age patient who attends daycare. Which infectious skin disorders will the nurse include in the assessment process? Select all that apply.

A) Tinea capitis
B) Ringworm
C) Eczema
D) Diaper rash
E) Head lice

Question 28

The nurse is conducting a review of systems as part of the well-child check-up for a toddler-age patient. Which questions are appropriate when assessing the child's teeth? Select all that apply.

A) "How many teeth does your child have?"
B) "Has your child been to an orthodontist?"
C) "Does your child brush the teeth?"
D) "Is your water fluoridated?"
E) "Does your child go to bed with a bottle?"

Question 29

The nurse is assessing the preschool-age child's ability for coping and stress tolerance. Which questions are appropriate to include in the psychosocial history portion of the assessment process? Select all that apply.

A) "Did you use drugs or alcohol during your pregnancy?"
B) "Does your child throw temper tantrums?"
C) "Is your child destructive to self or others?"
D) "How many hours of sleep does your child get per day?"
E) "What is your child's favorite snack?"

Question 30

Which assessment findings are expected during the head and face portion of the physical examination for the toddler- or preschool-age child? Select all that apply.

A) One half of an inch of head growth per year is expected until the age of 5 years.
B) Anterior fontanel closes at 18 months of age.
C) Posterior fontanel closes by 24 months of age.
D) Visual acuity is 20/40.
E) Vision screening begins between 3 and 4 years of age.

Question 31

Which health problems are often assessed for during the toddler and preschool years? Select all that apply.

A) Chicken pox
B) Poisonings
C) Injuries
D) Congenital defects
E) Scoliosis

Question 32

The nurse is conducting a psychosocial history during a scheduled well-child visit for a preschool-age patient. Which questions are appropriate when assessing the patient's nutrition? Select all that apply.

A) "When was your child's last health exam?"
B) "Does your child attend a preschool?"
C) "How often does your child eat breakfast?"
D) "What are your child's favorite snacks?"
E) "How many hours of sleep does your child get each day?"

Question 33

The nurse is conducting a review of systems. Which questions are appropriate for the nurse to ask the parent of a toddler or preschooler when reviewing the neurologic system? Select all that apply.

A) "Does your child use full sentences?"
B) "Is your child afraid of the dark?"
C) "Does your child throw temper tantrums?"
D) "Have you noticed any lumps on your child's neck?"
E) "Have you noticed any lumps on your child's groin?"

Question 34

The nurse is assessing a toddler's vaccination status. Which vaccines does the nurse anticipate administering during the 18-month well-child visit? Select all that apply.

A) Haemophilus influenza vaccine
B) Hepatitis B vaccine (HepB)
C) Measles, Mumps, Rubella (MMR) vaccine
D) Chickenpox vaccine
E) Diptheria, tetanus, and pertussis (DTP)

Question 35

When assessing a pediatric patient for potty-training readiness, the nurse knows that bowel and bladder control is usually achieved by ________________years of age.

Question 36

The nurse is assessing a preschool-age patient's diet. The best way to perform this assessment is to ask for a ________________hour dietary recall.

Question 37

The nurse is conducting a review of systems during a well-child checkup for a toddler-age patient. Which questions are appropriate to include when assessing the ears? Select all that apply.

A) "Does your child respond to sound?"
B) "Is your child talking?"
C) "When was your child's last hearing test?"
D) "Does your child have a history of otitis media?"
E) "Does your child have crossed eyes?"