Deck 18: Toddler

Question 1

A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?

A) A fenced-in pool in the backyard
B) An entertainment center with the remote control on the top shelf
C) A closed window in the child's bedroom
D) A toy box overflowing with toys

Answer 1

An entertainment center with the remote control on the top shelf

Question 2

A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child?

A) Using corrective lenses
B) Patching of the eye
C) Applying artificial tears to the eye
D) Allowing the passage of time

Answer 2

Patching of the eye

Question 3

Which of the following behaviors exemplifies a toddler working through his developmental task?

A) Clinging to his mother
B) Refusing to take a bath
C) Playing quietly with one toy
D) Having no interest in a new toy

Answer 3

Refusing to take a bath

Question 4

A nurse is providing anticipatory guidance to parents about the self-perception-self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?

A) "Temper tantrums are expected, so always give in to them."
B) "Put your toddler in time out if he has a temper tantrum."
C) "Childproof your home."
D) "Always provide your toddler with challenging toys."

Question 5

A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as:

A) amblyopia.
B) farsightedness.
C) nearsightedness.
D) strabismus.

Question 6

What would be the best way for a parent to explain to a toddler that he needs to receive the influenza vaccine at today's appointment?

A) "You need the shot to keep you healthy. You will feel a little pinch when you get the shot."
B) "You need the shot to prevent the flu. They will use a small needle to administer the shot. It will not take long."
C) "You need a shot, but don't worry, you won't feel a thing."
D) "No, you will not get any needles today."

Question 7

A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make?

A) Encourage the toddler to drink orange juice and eat yogurt.
B) Encourage the toddler to eat plenty of cakes and cookies to help absorb the lead.
C) Limit foods high in iron such as spinach to help reduce lead levels.
D) Encourage dark-chocolate-containing products that contain antioxidants to help reduce lead levels.

Question 8

An individual's style of emotional and behavioral response across situations, especially those involving change or stress, is known as:

A) ritual.
B) temperament.
C) coping.
D) autonomy.

Question 9

Which of the following toddlers would require further investigation from the nurse?

A) Sitting quietly on a couch
B) Experiencing a temper tantrum
C) Playing with a toy next to another child also playing with a toy
D) Exploring his environment and playing with new toys

Question 10

A -year-old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today's visit, the nurse expects his weight to be:

A) 13 pounds, 4 ounces.
B) 19 pounds, 14 ounces.
C) 26 pounds, 8 ounces.
D) 33 pounds, 2 ounces.

Question 11

A nurse is assessing the cognitive-perceptual pattern of a toddler. Which of the following findings would be cause for concern for the nurse?

A) Uses the word blanky to mean both that he wants to go to bed and that he is cold
B) Refuses to eat something he ate and enjoyed the day before
C) Has visual acuity that is not 20/20
D) Has a history of recurrent ear infections

Question 12

A parent expresses her frustration over the constant fighting between her toddler and preschooler. Which of the following would be an appropriate response from the nurse?

A) Tell the mother not to worry about it and continue with the office visit.
B) Tell the mother this is normal behavior for the toddler, and she should be firm with the child without taking sides.
C) Say to the mother, "Don't you remember fighting with your sibling? Don't worry; everything will work out."
D) Say to the mother, "Don't worry; this behavior will all end soon."

Question 13

A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?

A) Tell the child about the blood work on the day that the appointment is scheduled.
B) Tell the child about the blood work right before leaving the house for the appointment.
C) Tell the child when they are in the office right before the phlebotomist enters the room.
D) Do not tell the child about the blood work.

Question 14

At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents?

A) Remind the toddler to brush his teeth every day.
B) Have the dentist tell the toddler about the importance of dental hygiene.
C) Schedule a time to brush their own teeth with their toddler.
D) Have the toddler watch an educational cartoon video on the teeth brushing.

Question 15

A mother is concerned because her 22-month-old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?

A) Put the child in time out whenever he skips a meal.
B) Offer him foods he likes such as cookies and chips.
C) Limit the child's consumption of juices and cookies.
D) Talk to the child about how important it is to eat three meals a day.

Question 16

At a well-child visit, a 2-year-old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler's approximate final adult height to be:

A) 4 feet 8 inches.
B) 5 feet.
C) 5 feet 2 inches.
D) 5 feet 4 inches.

Question 17

The mother of a 2-year-old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?

A) Give the mother information about local support groups.
B) Provide the mother the name of a prominent local attorney.
C) Do not offer any advice unless the mother asks.
D) Help the mother find a job.

Question 18

The inability of a toddler to put him- or herself in another's shoes is known as:

A) autonomy.
B) egocentrism.
C) self-perception.
D) integrity.

Question 19

A 2-year-old Asian American boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?

A) Report the suspected child abuse to the Department of Children and Families.
B) Assume the bruises are the result of a fall.
C) Ask the mother about the bruises.
D) Schedule a follow-up appointment in 2 weeks to see if the bruises are still present.

Question 20

Approximately how much sleep do toddlers require each day?

A) 10 hours
B) 11 hours
C) 12 hours
D) 13 hours

Question 21

Which is a common temperament pattern described by Chess and Thomas?

A) The fussy child
B) The happy child
C) The unhappy child
D) The slow-to-warm-up child

Question 22

A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation? (select all that apply)

A) Bare spots on the scalp, and broken hair
B) Overly concerned parents
C) Burns with sharply demarcated edges
D) Bruises anywhere on the body

Question 23

A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?

A) "Don't worry; it will happen eventually."
B) "How long does the child stay dry during the day?"
C) "Train him on a regular toilet instead of a potty chair."
D) "Here is a training schedule to follow."

Question 24

How many words are in a toddler's receptive language at 24 months of age?

A) 500 words
B) 1200 words
C) 2400 words
D) 3600 words

Question 25

An 18-month-old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler's cooperation?

A) Ask the toddler if he wants to be examined today.
B) Ask his mother leave the room while the nurse examines him.
C) Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest.
D) Have his mother hold him down while the nurse examines him.

Question 26

Which scenario places a toddler at risk for injury? (select all that apply)

A) Toddler playing with his preschool sibling's toy
B) Mop and a bucket of clean water in the kitchen
C) Cup of hot coffee on the kitchen counter
D) Twenty-five pound toddler sitting in a forward-facing car seat in the back seat of a car

Question 27

A mother asks her toddler if she is tired. The toddler responds by saying, "Sammy bed." Based on her expressive language and speech pattern, the nurses determines that this child is likely how old?

A) 18 months
B) 24 months
C) 30 months
D) 36 months

Question 28

A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?

A) "This is a sign that he is not ready to toilet train yet."
B) "This behavior is developmentally normal."
C) "Tell him to stop touching himself."
D) "Don't worry about it."