What guideline should an adult follow when speaking to a toddler?
- A. Be at eye level with the child.
- B. Hold by the shoulders to keep the child's attention.
- C. Seat the child to focus on conversation.
- D. Speak in a firm strong voice.
Correct Answer: A
Rationale: Being at eye level is helpful to hold the child's attention and is especially important when the child is frightened.
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What is the most appropriate toy for the nurse to select for a normal 2-year-old child?
- A. Bicycle with training wheels
- B. Dump truck
- C. Wind-up toy
- D. Building block set
Correct Answer: B
Rationale: The 2-year-old child enjoys playing with objects that can be pushed or 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.
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.
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.
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.
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