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.
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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.
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.
How many hours should toddlers be able to stay dry for the nurse to suggest they are ready to begin bladder training?
- A. 1
- B. 2
- C. 3
- D. 4
Correct Answer: B
Rationale: If the toddler is mature enough to retain urine for 2 hours, bladder training can be effective.
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 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.
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