Nokea
The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child. How many minutes will the nurse indicate is appropriate for a child of this age?
- A. 3
- B. 6
- C. 10
- D. 15
Correct Answer: A
Rationale: Timing for time-out is usually based on 1 minute per year of age.
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What would be an expected finding when assessing language development in a 2-year-old child?
- A. A 900-word vocabulary
- B. Use of two-word sentences
- C. Use of pronouns and prepositions
- D. 100% of speech is understandable
Correct Answer: B
Rationale: The 2-year-old child should be using two-word sentences.
Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern?
- A. Has temper tantrums.
- B. Feeds self sloppily.
- C. Walks by holding onto furniture.
- D. Speaks in short sentences.
Correct Answer: C
Rationale: By 18 months, a toddler should have been walking alone for several months. The toddler who walks holding onto furniture should be evaluated by a developmental specialist.
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.
The nurse points out which physiological change(s) in the toddler that serve(s) as protection against disease? (Select all that apply.)
- A. Toughening of the skin
- B. Increased capillary response for thermoregulation
- C. Stabilization of body temperature
- D. Elevation in white blood cell count
- E. Enlarged adenoids and tonsils
Correct Answer: A,B,C,E
Rationale: With the exception of an increased white blood cell (WBC) count, which is always pathological, the other options are all maturing changes that equip the toddler to better fight disease.
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.