Nokea
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.
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What is the best advice the nurse can offer a parent concerned because her 2-year-old child is very active and does not eat much?
- A. Insist that the child eat one food on the plate.
- B. Help the child wind down with a quiet activity before mealtime.
- C. Maintain a consistent eating schedule for the family.
- D. Serve the meal with a variety of interesting plates, cups, and utensils.
Correct Answer: B
Rationale: Quiet time before meals provides an opportunity for the active toddler to wind down.
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 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.
A parent remarks, 'My 18-month-old daughter carries her blanket around everywhere. Is this normal?' What is the best explanation a nurse who has an understanding of toddler development might give?
- A. She carries her blanket because she is ritualistic.
- B. Carrying her favorite blanket is self-consoling behavior.
- C. This behavior can be discouraged by offering new toys to the child.
- D. This could be indicative of emotional distress.
Correct Answer: B
Rationale: Favorite possessions and repetitive rituals are self-consoling behaviors for the toddler.
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.