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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.
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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.
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 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.
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.