Chapter 17 The Toddler - Leifer Maternity and Pediatric Nursing

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Chapter 17 The Toddler - Leifer Maternity and Pediatric Nursing

NURSINGTB.COM 1. 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 ANS: C 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. DIF: Cognitive Level: Analysis REF: Page 413 OBJ: 2 TOP: Delayed Walking KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 2. 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. ANS: A The 2-year-old can jump with both feet. The remaining achievements occur after 2 years of age. DIF: Cognitive Level: Comprehension REF: Page 413 OBJ: 2 TOP: Jumping KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 3. 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. ANS: B Favorite possessions and repetitive rituals are self-consoling behaviors for the toddler. DIF: Cognitive Level: Application REF: Page 412 OBJ: 6 TOP: Self Consoling KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development 4. 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 ANS: B Toddlers engage in parallel play. Children play next to, but not with, each other. DIF: Cognitive Level: Comprehension REF: Page 424

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