Ch. 18 Toddler

Question 1

At a well-child visit, a 2-year old toddler measures 2 feet 8 inches tall. The nurse estimates the toddler’s approximate final adult height to be

A. 4 feet 8 inches
B. 5 feet
C. 5 feet 2 inches
D. 5 feet 4 inches

Answer 1

D. 5 feet 4 inches

Question 2

A 2.5 year old toddler is in for an office visit. He was born at 6 pounds, 10 ounces. At today’s visit, the nurse expects his weight to be

A. 13 pounds, 4 ounces
B. 19 pounds, 14 ounces
C. 26 pounds, 8 ounces
D. 33 pounds, 2 ounces

Answer 2

C. 26 pounds, 8 ounces

Question 3

At a well-child visit, the parents of a toddler ask the nurse how they should teach their toddler the importance of dental hygiene. Which of the following actions should the nurse recommend to the parents?

A. Remind the toddler to brush his teeth every day
B. Have the dentist tell the toddler about the importance of dental hygiene
C. Schedule a time to brush their own teeth with their toddler
D. Have the toddler watch an educational cartoon video on the teeth brushing

Answer 3

C. Schedule a time to brush their own teeth with their toddler

Question 4

A mother is concerned because her 22-month old has been skipping meals lately. Which of the following actions should the nurse recommend to the mother?

A. Put the child in time out whenever he skips a meal
B. Offer small amounts of favorite foods (cookies, chips) at meals to stimulate appetite
C. Limit the child’s consumption of juices and cookies
D. Talk to the child about how important it is to eat three meals a day

Answer 4

C. Limit the child’s consumption of juices and cookies

Question 5

Which of the following toddlers would require further investigation from the nurse?

A. Sitting quietly on a couch
B. Experiencing a temper tantrum
C. Playing with a toy next to another child also playing with a toy
D. Exploring his environment and playing with new toys

Answer 5

A. Sitting quietly on a couch

Question 6

Approximately how much sleep do toddlers require each day?

A. 10 h
B. 11 h
C. 12 h
D. 13 h

Answer 6

C. 12 h

Question 7

The inability of a toddler to put him- or herself in another’s shoes is known as

A. Autonomy
B. Egocentrism
C. Self-perception
D. Integrity

Answer 7

B. Egocentrism

Question 8

Which of the following statements is correct concerning hearing in the toddler?

A. Toddlers characteristically endlessly repeat sounds, words, and word combos
B. Mild hearing loss will not affect speech skills but moderate or worse loss will do so
C. Infants at risk who passed neonatal screening need diagnostic audio entry by age 15 to 18 months
D. All of the above statements are correct

Answer 8

A. Toddlers characteristically endlessly repeat sounds, words, and word combos

Question 9

A deviation of the line of vision from the midline resulting from extraocular muscle weakness or imbalance is known as

A. Amblyopia
B. Farsightedness
C. Nearsightedness
D. Strabismus

Answer 9

D. Strabismus

Question 10

A toddler has been diagnosed with amblyopia. Which of the following treatment measures would most likely be prescribed for the child?

A. Using corrective lenses
B. Patching of the eye
C. Applying artificial tears to the eye
D. Allowing the passage of time

Answer 10

B. Patching of the eye

Question 11

Which of the following behaviors exemplifies a toddler working through his developmental task?

A. Clinging to his mother
B. Refusing to take a bath
C. Playing quietly with one toy
D. Having no interest in a new toy

Answer 11

B. Refusing to take a bath

Question 12

A nurse is providing anticipatory guidance to parents about the self-perception - self-concept pattern of a toddler. Which of the following statements would the nurse most likely make?

A. “Temper tantrums are expected, so giving into them reduces parental stress.”
B. “Put your toddler in time out if he has a temper tantrum
C. “Childproof your home.”
D. “Always provide your toddler with challenging toys.”

Answer 12

C. “Childproof your home.”

Question 13

The mother of a 2-year old toddler recently lost her job. In addition, her husband asked for a separation. Which of the following actions should the nurse take based on this information?

A. Give the mother information about local supports groups
B. Provide the mother the name of a prominent local attorney
C. Do not offer any advice unless the mother asks
D. Help the mother find a job

Answer 13

A. Give the mother information about local support groups

Question 14

A 2-year old Asian american boy is being seen for an office visit. While examining the child, the nurse notices round bruises on his back. The mother does not volunteer any information during the exam. Which of the following actions should the nurse take after examining the child?

A. Report the suspected child abuse to the Department of Children and Families
B. Not a significant concern as the vast majority of toddler bruises are from falls
C. Ask the mother about the bruises
D. Schedule a follow-up appointment in 2 weeks to see if the bruises are still present

Answer 14

C. Ask the mother about the bruises

Question 15

An individual’s style of emotional and behavioral response across situations, especially those involving change or stress, is known as

A. Ritual
B. Temperament
C. Coping
D. Autonomy

Answer 15

B. Temperament

Question 16

Which of the following statements is correct concerning stress and coping for toddlers?

A. Toddlers commonly imitate their parent’s behavior in dealing with stressors
B. Siblings are viewed as allies and, thus, not common sources of stress for toddlers
C. Regressing to earlier infantile behavior is serious developmental problem
D. Discussing upcoming stressful events is ill-advised; it intensifies the child’s stress

Answer 16

A. Toddlers commonly imitate their parent’s behavior in dealing with stressors

Question 17

A toddler needs to have blood drawn at his next appointment. Which of the following actions would the nurse suggest that the mother do with the child before the next visit?

A. Tell the child about the blood work early on the day of the appointment
B. Tell the child about the blood work right before leaving for the appointment.
Tell the child at the office right before the phlebotomist enters the room.
C. Tell the child at the office right before the phlebotomist enters the room
D. Do not tell the child about the blood work

Answer 17

B. Tell the child about the blood work right before leaving for the appointment

Question 18

Which of the following events poses the greatest threat to a toddler’s health?

A. Childhood disease
B. Complications from adverse vaccine reactions
C. Accidents
D. Influenza in an unvaccinated child

Answer 18

C. Accidents

Question 19

A nurse is assessing the home environment of a toddler. Which of the following poses the greatest and most immediate risk to the child?

A. A fenced-in pool in the backyard
B. An entertainment center with the remote control on the top shelf
C. A closed window in the child’s bedroom
D. A toy box overflowing with toys

Answer 19

B. An entertainment center with the remote control on the top shelf

Question 20

A nurse is providing primary prevention education to reduce the risk of lead poisoning to a mother of a toddler. Which of the following recommendations would the nurse make?

A. Encourage the toddler to drink orange juice and eat yogurt
B. Encourage the toddler to eat concentrated carbohydrates to absorb the lead
C. Limit foods high in iron such as spinach because iron retains lead in the body
D. Encourage dark chocolate, which contains antioxidants to help reduce lead levels

Answer 20

A. Encourage the toddler to drink orange juice and eat yogurt

Question 21

An 18-month old toddler is being seen for a well-child visit. Which of the following strategies would the nurse use to enlist the toddler’s cooperation?

A. Ask the toddler if he wants to be examined today
B. Ask his mother the leave the room while the nurse examines him
C. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest
D. Have his mother hold him down while the nurse examines him

Answer 21

C. Have him hold the stethoscope diaphragm on his chest while the nurse listens to his chest

Question 22

A mother expresses her concern and frustration over the fact that her toddler has not been successful at toilet training yet. Which of the following would be the best response by the nurse?

A. “Don’t worry; eventually all children become toilet-trained.”
B. “How long does the child stay dry during the day?”
C. “Train him on a regular toilet instead of a potty chair.”
D. “Here is a training schedule to follow which is almost always successful.”

Answer 22

B. “How long does the child stay dry during the day?”

Question 23

A mother tells the nurse that ever since she started toileting training, the toddler has been touching his genitals. Which of the following statements is the most appropriate response by the nurse?

A. “This is a sign that he isn’t ready to toilet train yet.”
B. “This behavior is developmentally normal.”
C. “Tell him calmly to stop touching himself.”
D. “Mentioning it to the child will increase the behavior; best to ignore it.”

Answer 23

B. “This behavior is developmentally normal.”

Question 24

Which is common temperament pattern described by Chess and Thomas?

A. The fussy child
B. The happy child
C. The unhappy chid
D. The slow-to-warm-up child

Answer 24

D. The slow-to-warm-up child

Question 25

How many words are in a toddler’s receptive language at 24 months of age?

A. 500 words
B. 1200 words
C. 2400 words
D. 3600 words

Answer 25

B. 1200 words

Question 26

A mother asks her toddler if she is tired. The toddler responds by saying, “Sammy bed.” Based on her expressive language an speech pattern, the nurse determines that this child is likely how old?

A. 18 months
B. 24 months
C. 30 months
D. 36 months

Answer 26

B. 24 months

Question 27

Which scenario places a toddler at risk for injury? Select all that apply.

A. Toddler playing with his preschool sibling’s toy
B. Mop and a bucket of clearance water in the kitchen
C. Cup of hot coffee on the kitchen counter
D. A 25-pound toddler sitting in a forward-facing car seat in the back seat of a car

Answer 27

A. Toddler playing with his preschool sibling’s toy
B. Mop and a bucket of clearance water in the kitchen
C. Cup of hot coffee on the kitchen counter

Question 28

A nurse is assessing a toddler during a well-child visit. Which of the following findings warrant further investigation? Select all that apply.

A. Bare spots on the scalp, and broken hair
B. Overly concerned parents
C. Burns with sharply demarcated edges
D. Bruises to the knees and chin, reportedly from a fall

Answer 28

A. Bare spots on the scalp, and broken hair

C. Burns with sharply demarcated edges