Nokea
Which characteristic best describes the gross motor skills of a 24-month-old child?
- A. Skips
- B. Broad jumps
- C. Rides tricycle
- D. Walks up and down stairs
Correct Answer: D
Rationale: A 24-month-old child can go up and down stairs alone with two feet on each step. Skipping and broad jumping are skills acquired at age 3 years. Tricycle riding is achieved at age 4 years.
You may also like to solve these questions
What do the psychosocial developmental tasks of toddlerhood include?
- A. Development of a conscience
- B. Recognition of sex differences
- C. Ability to get along with age mates
- D. Ability to delay gratification
Correct Answer: D
Rationale: If the need for basic trust has been satisfied, then toddlers can give up dependence for control, independence, and autonomy. One of the tasks that toddlers are concerned with is the ability to delay gratification. Development of a conscience and recognition of sex differences occur during the preschool years. The ability to get along with age mates develops during the preschool and school-age years.
Which statement is correct about toilet training?
- A. Bladder training is usually accomplished before bowel training.
- B. Wanting to please the parent helps motivate the child to use the toilet.
- C. Watching older siblings use the toilet confuses the child.
- D. Children must be forced to sit on the toilet when first learning.
Correct Answer: B
Rationale: Voluntary control of the anal and urethral sphincters is achieved sometime after the child is walking. The child must be able to recognize the urge to let go and to hold on. The child must want to please the parent by holding on rather than pleasing him- or herself by letting go. Bowel training precedes bladder training. Watching older siblings provides role modeling and facilitates imitation for the toddler. The child should be introduced to the potty chair or toilet in a nonthreatening manner.
The nurse is discussing with a parent group the importance of fluoride for healthy teeth. What should the nurse recommend?
- A. Determine whether the water supply is fluoridated.
- B. Use fluoridated mouth rinses in children older than 1 year.
- C. Give fluoride supplements to infants beginning at age 2 months.
- D. Brush teeth with fluoridated toothpaste unless the fluoride content of water supply is adequate.
Correct Answer: A
Rationale: The decision about fluoride supplementation cannot be made until it is known whether the water supply contains fluoride and the amount. It is difficult to teach toddlers to spit out mouthwash. Swallowing fluoridated mouthwashes can contribute to fluorosis. Fluoride supplementation is not recommended until after age 6 months and then only if the water is not fluoridated. Fluoridated toothpaste is still indicated if the fluoride content of the water supply is adequate, but very small amounts are used.
What is a characteristic of a toddlers language development at age 18 months?
- A. Vocabulary of 25 words
- B. Use of holophrases
- C. Increasing level of understanding
- D. Approximately one third of speech understandable
Correct Answer: C
Rationale: During the second year of life, the understanding and understanding of speech increase to a level far greater than the childs vocabulary. This is also true for bilingual children, who are able to achieve this linguistic milestone in both languages. An 18-month-old child has a vocabulary of approximately 10 words. At this age, the child does not use the one-word sentences that are characteristic of 1-year-old children. The child has a very limited vocabulary of single words that are comprehensible.
Parents of an 18-month-old boy tells the nurse that he says no to everything and has rapid mood swings. If he is scolded, he shows anger and then immediately wants to be held. What is the nurses best interpretation of this behavior?
- A. This is normal behavior for his age.
- B. This is unusual behavior for his age.
- C. He is not effectively coping with stress.
- D. He is showing he needs more attention.
Correct Answer: A
Rationale: Toddlers use distinct behaviors in the quest for autonomy. They express their will with continued negativity and use of the word no. Children at this age also have rapid mood swings. The nurse should reassure the parents that their child is engaged in expected behavior for an 18-month-old.