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How would the nurse advise a parent who states, 'I never know how much food to feed my child'?
- A. Serving sizes should not exceed 1 teaspoon of each type of food.
- B. Food quantities must be carefully measured to avoid overfeeding.
- C. Use 1 tablespoon of each food for each year of age as a guideline.
- D. A toddler should eat three balanced meals. Snacks are not necessary.
Correct Answer: C
Rationale: A tablespoon of each type of food for each year of age is a good guideline to follow when determining serving sizes.
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When selecting a potty chair, the parents are encouraged to select one that has which characteristic(s)? (Select all that apply.)
- A. Small enough for the child's feet to touch floor
- B. Sturdy and stable
- C. Supportive of child's back and arms
- D. Made of plastic or fiberglass
- E. Capable of being taken apart easily
Correct Answer: A,B,C
Rationale: Potty chairs should be small and sturdy and supportive of the child's back and arms. The composition is not important as long as it is stable.
Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them. What does the nurse explain as the term for when a toddler tests their own power?
- A. Negativism
- B. Dawdling
- C. Tantrums
- D. Food fads
Correct Answer: A
Rationale: By refusing to eat, dress, sleep, or anything else by saying 'No,' toddlers test their own power to control. Because toddlers are also egocentric, they come to believe that their negativism is absolute.
The nurse suggests offering which food(s) to support the toddler's desire to self-feed? (Select all that apply.)
- A. Pureed foods
- B. Finger foods
- C. Foods served cold
- D. Foods in colorful dishes
- E. Foods that are varied and colorful
Correct Answer: B,D,E
Rationale: Finger foods that are varied and colorful and served in colorful dishes at a moderate temperature are all attractive. Foods can be chopped into small pieces but not pureed.
What is the best advice the nurse can offer a parent concerned because her 2-year-old child is very active and does not eat much?
- A. Insist that the child eat one food on the plate.
- B. Help the child wind down with a quiet activity before mealtime.
- C. Maintain a consistent eating schedule for the family.
- D. Serve the meal with a variety of interesting plates, cups, and utensils.
Correct Answer: B
Rationale: Quiet time before meals provides an opportunity for the active toddler to wind down.
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.