Nokea
The nurse is discussing toilet training with parents. What behavior by the child would identify toilet training readiness?
- A. Willing to sit on the potty for 15 to 20 minutes
- B. Dry in the daytime for 4-hour periods
- C. Able to communicate that he or she is wet
- D. Curious about bathroom activities
Correct Answer: C
Rationale: Children are ready for toilet training when they can communicate in some fashion that they are wet or need to urinate or defecate.
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The nurse observed three toddlers playing side by side with dolls. Closer observation revealed that the children were not interacting with one another. What type of play is this?
- A. Solitary
- B. Parallel
- C. Associative
- D. Cooperative
Correct Answer: B
Rationale: Toddlers engage in parallel play. Children play next to, but not with, each other.
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.
What could the nurse recommend to a child's mother to encourage a toddler to practice independence?
- A. Offer a variety of items to choose from to stimulate his mind.
- B. Allow the child to determine his own daily routine.
- C. Offer him a choice between two items.
- D. Set the routine herself, but discuss with her toddler how he or she would have done it differently.
Correct Answer: C
Rationale: The toddler can be allowed to make choices as the situation warrants, but the number of choices should be limited because too many confuse the toddler.
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.
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.