Nokea
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.
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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.
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 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.
The parent of a toddler tells the nurse, 'My daughter's appetite has decreased. Thank goodness she loves to drink milk.' What is the most appropriate response by the nurse?
- A. Has your daughter been sick recently?'
- B. How much milk does she drink in a day?'
- C. Has she become a fussy eater, too?'
- D. Have you tried offering her finger foods?'
Correct Answer: B
Rationale: Milk should be limited to 24 ounces a day. Too few solid foods can lead to dietary deficiencies of iron.
What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?
- A. Adhere to a rigid schedule because the toddler is ritualistic.
- B. Limit-setting should include praise.
- C. Shoes should fit snugly at the toe and arch.
- D. Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip clothes.
Correct Answer: B
Rationale: Limit-setting should include praise as well as disapproval for undesired behavior.