Nokea
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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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.
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.
On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-month-old child who lives there. What observation would lead the nurse to this conclusion?
- A. The fireplace has a screen.
- B. The dining room table has a tablecloth on it.
- C. There are paintings on the wall.
- D. The kitchen floor is clean but not shiny.
Correct Answer: B
Rationale: A tablecloth presents a safety hazard because the curious toddler will reach up and pull on it. The toddler could be injured if items on the table are moved when the tablecloth is pulled.
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 assessing a 2-year-old is satisfied to see that the present weight of the child is times their birth weight.
Correct Answer: 3
Rationale: The birth weight has usually tripled by the time the child is 2 years of age.