Nokea
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.
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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.
The nurse assessing a 2-year-old is satisfied to see that the present weight of the child is times their birth weight.
Correct Answer: 3
Rationale: The birth weight has usually tripled by the time the child is 2 years of age.
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.
What would the nurse assessing growth and development of a 2-year-old child expect to find?
- A. The child jumps with both feet.
- B. Twenty deciduous teeth have erupted.
- C. The child can hop on one foot.
- D. The child has a vocabulary of 900 words.
Correct Answer: A
Rationale: The 2-year-old child can jump with both feet. The remaining achievements occur after 2 years of age.
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.