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.
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The nurse suggests offering which food(s) to support the toddler's desire to self-feed? (Select all that apply.)
- A. Pureed foods
- B. Finger foods
- C. Foods served cold
- D. Foods in colorful dishes
- E. Foods that are varied and colorful
Correct Answer: B,D,E
Rationale: Finger foods that are varied and colorful and served in colorful dishes at a moderate temperature are all attractive. Foods can be chopped into small pieces but not pureed.
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.
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.
Why does day care for the toddler differ from that of the preschooler?
- A. Toddlers have a shorter attention span.
- B. Toddlers need more group play.
- C. Toddlers are less prone to environmental dangers.
- D. Toddlers require less outdoor space.
Correct Answer: A
Rationale: Toddlers have a shorter attention span than preschoolers and are prone to investigate other opportunities in the environment that may put them in harm's way.
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.
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