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.
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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.
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.
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.
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.
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.
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