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What does the nurse consider as an appropriate snack for a 2-year-old child?
- A. Hot dog sections
- B. Grapes
- C. Popcorn
- D. Applesauce
Correct Answer: D
Rationale: Applesauce is a healthy and safe snack food for the toddler. The toddler is at risk for choking on foods such as grapes, hot dogs, and popcorn.
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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 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.
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.
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.
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.