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A 16-month-old child is attending a well-child visit at a pediatric clinic. Which assessment would indicate the biggest cause for concern?
- A. Does not walk independently
- B. Prefers finger feeding
- C. Limited to single words
- D. Is unable to climb steps
Correct Answer: A
Rationale: A child should be walking independently by 16 months. It is normal for a child this age to prefer finger feeding and to be limited to single words.
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A parent remarks, 'My 18-month-old daughter carries her blanket around everywhere. Is this normal?' What is the best explanation a nurse who has an understanding of toddler development might give?
- A. She carries her blanket because she is ritualistic.
- B. Carrying her favorite blanket is self-consoling behavior.
- C. This behavior can be discouraged by offering new toys to the child.
- D. This could be indicative of emotional distress.
Correct Answer: B
Rationale: Favorite possessions and repetitive rituals are self-consoling behaviors for the toddler.
On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there. What observation would lead the nurse to this conclusion?
- A. The fireplace has a screen.
- B. The dining room table has a tablecloth on it.
- C. There are paintings on the wall.
- D. The kitchen floor is clean but not shiny.
Correct Answer: B
Rationale: A tablecloth presents a safety hazard because the curious toddler will reach up and pull on it. The toddler could be injured if items on the table are moved when the tablecloth is pulled.
Why does day care for the toddler differ from that of the preschooler?
- A. Toddlers have a shorter attention span.
- B. Toddlers need more group play.
- C. Toddlers are less prone to environmental dangers.
- D. Toddlers require less outdoor space.
Correct Answer: A
Rationale: Toddlers have a shorter attention span than preschoolers and are prone to investigate other opportunities in the environment that may put them in harm's way.
The nurse is assessing a 3-year-old toddler. What is the expected weight gain for this age child?
- A. 2 times the birth weight
- B. 2.5 times the birth weight
- C. 3 times the birth weight
- D. 4 times the birth weight
Correct Answer: D
Rationale: The expected weight of a 2?½-year-old toddler is four times the birth weight.
The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child. How many minutes will the nurse indicate is appropriate for a child of this age?
- A. 3
- B. 6
- C. 10
- D. 15
Correct Answer: A
Rationale: Timing for time-out is usually based on 1 minute per year of age.