Nokea
When selecting a potty chair, the parents are encouraged to select one that has which characteristic(s)? (Select all that apply.)
- A. Small enough for the child's feet to touch floor
- B. Sturdy and stable
- C. Supportive of child's back and arms
- D. Made of plastic or fiberglass
- E. Capable of being taken apart easily
Correct Answer: A,B,C
Rationale: Potty chairs should be small and sturdy and supportive of the child's back and arms. The composition is not important as long as it is stable.
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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.
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.
Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them. What does the nurse explain as the term for when a toddler tests their own power?
- A. Negativism
- B. Dawdling
- C. Tantrums
- D. Food fads
Correct Answer: A
Rationale: By refusing to eat, dress, sleep, or anything else by saying 'No,' toddlers test their own power to control. Because toddlers are also egocentric, they come to believe that their negativism is absolute.
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.
The nurse is discussing toilet training with parents. What behavior by the child would identify toilet training readiness?
- A. Willing to sit on the potty for 15 to 20 minutes
- B. Dry in the daytime for 4-hour periods
- C. Able to communicate that he or she is wet
- D. Curious about bathroom activities
Correct Answer: C
Rationale: Children are ready for toilet training when they can communicate in some fashion that they are wet or need to urinate or defecate.