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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.
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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.
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 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.
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.
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.