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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.
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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 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.
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.
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 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.