Nokea
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.
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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.
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.
What does the nurse consider as an appropriate snack for a 2-year-old child?
- A. Hot dog sections
- B. Grapes
- C. Popcorn
- D. Applesauce
Correct Answer: D
Rationale: Applesauce is a healthy and safe snack food for the toddler. The toddler is at risk for choking on foods such as grapes, hot dogs, and popcorn.
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.
Which finding would concern the nurse assessing vital signs on a 2-year-old child?
- A. Temperature of 37.1?°C (98.8?°F)
- B. Pulse at 100 beats/minute
- C. Respirations of 36 breaths/minute
- D. Blood pressure of 90/60 mm Hg
Correct Answer: C
Rationale: In the toddler period, the respiratory rate decreases to 25 breaths/minute.