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Which finding would concern the nurse assessing vital signs on a 2-year-old child?
- A. Temperature of 37.1?°C (98.8?°F)
- B. Pulse at 100 beats/minute
- C. Respirations of 36 breaths/minute
- D. Blood pressure of 90/60 mm Hg
Correct Answer: C
Rationale: In the toddler period, the respiratory rate decreases to 25 breaths/minute.
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How would the nurse advise a parent who states, 'I never know how much food to feed my child'?
- A. Serving sizes should not exceed 1 teaspoon of each type of food.
- B. Food quantities must be carefully measured to avoid overfeeding.
- C. Use 1 tablespoon of each food for each year of age as a guideline.
- D. A toddler should eat three balanced meals. Snacks are not necessary.
Correct Answer: C
Rationale: A tablespoon of each type of food for each year of age is a good guideline to follow when determining serving sizes.
Why does day care for the toddler differ from that of the preschooler?
- A. Toddlers have a shorter attention span.
- B. Toddlers need more group play.
- C. Toddlers are less prone to environmental dangers.
- D. Toddlers require less outdoor space.
Correct Answer: A
Rationale: Toddlers have a shorter attention span than preschoolers and are prone to investigate other opportunities in the environment that may put them in harm's way.
What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?
- A. Adhere to a rigid schedule because the toddler is ritualistic.
- B. Limit-setting should include praise.
- C. Shoes should fit snugly at the toe and arch.
- D. Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip clothes.
Correct Answer: B
Rationale: Limit-setting should include praise as well as disapproval for undesired behavior.
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 observed three toddlers playing side by side with dolls. Closer observation revealed that the children were not interacting with one another. What type of play is this?
- A. Solitary
- B. Parallel
- C. Associative
- D. Cooperative
Correct Answer: B
Rationale: Toddlers engage in parallel play. Children play next to, but not with, each other.