How many hours should toddlers be able to stay dry for the nurse to suggest they are ready to begin bladder training?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: B
Rationale: If the toddler is mature enough to retain urine for 2 hours, bladder training can be effective.
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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.
Parents of a toddler are discussing the emotion of fear with the pediatric nurse. What information can the nurse offer regarding fear and the toddler? (Select all that apply.)
- A. Stress increases fear.
- B. Rituals help deal with fear.
- C. Teasing the child can decrease fear.
- D. Once fear is learned it is difficult to eliminate.
- E. Adults should openly share their fears.
Correct Answer: A,B,D
Rationale: Once a fear has been learned, it is more difficult to eliminate. Clinging to favorite possessions and repetitive rituals are self-consoling behaviors for the toddler, particularly at bedtime and during separation from parents. Stress increases fear of separation.
What is the most appropriate toy for the nurse to select for a normal 2-year-old child?
- A. Bicycle with training wheels
- B. Dump truck
- C. Wind-up toy
- D. Building block set
Correct Answer: B
Rationale: The 2-year-old child enjoys playing with objects that can be pushed or pulled.
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.
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.
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