ch 26 growth and developement toddler Flashcards
the nurse is performing a physical assessment of a 3 year old girl. what finding would be a concern for the nurse?
the toddlers anterior fontanel is not fully closed
the nurse is describing the maturation of various organ systems during toddlerhood to the parents. what would the nurse correctly include in this description?
myelination of the brain an spinal cord is complete at about 24 months
the nurse is teaching the parents of a 2 year old toddler methods of dealing with their child’s “negativism”. based on Erikson’s theory of development, what would be the appropriate intervention for this child?
encourage the child to pick out his own clothes
the nurse is caring for a toddler who is in Piaget’s sensorimotor stage of cognitive development. which task would the nurse expect the toddler to be able to perform?
knowing which are his or her toys
the nurse is observing a 24-month old boy in a day care center. which finding suggests delayed motor development?
the child is unable to push a toy lawnmower
what activity would the nurse expect to find in an 18 month old
climbing stairs with assistance
the pediatric nurse is planning quiet activities for a hospitalized 18 month old. what would be an appropriate activity for a child of this age group?
stacking blocks
the nurse is performing a cognitive assessment of a 2 year old. which behavior would alert the nurse to a developmental delay in this area?
the child does not point to named body parts
the nurse is interviewing a 3 year old who tells the nurse “want to go potty” the parents tell the nurse that their daughter often speaks in this type of broken speech. what would the nurse’s appropriate response be
this is a normal, common speech pattern in the 3 year old and is called telegraphic speech.
after teaching a group of parents about language development in toddlers, what if stated by a member of the group indicates successful teaching?
when my 3 year old asks “why?” all the time, this is completely normal
the nurse is testing the sensory development of a toddler brought to the clinic for a well visit. what might alert the nurse to a potential problem with the child’s sensory development?
the toddler does not respond to commands whispered in his ear
the nurse is observing toddlers in a day care center notes that they may be happy and pleasant one moment and over react to limit setting the next minute by throwing a tantrum. what is the focus of the toddler’s developmental task that is driving this behavior?
the need for separation and control
the nurse is teaching parents interventions appropriate to the emotional development of their toddlers. what is a recommended intervention for his age group?
do not blame toddlers for aggressive behavior; instead, point out the results of their behavior
the nurse is assessing a 3 year old boys development during a well child visit. which response by the child indicates a need for further assessment?
he laughs when his brother cries while getting vaccinated.
the nurse is designing a nursing care plant or a toddler with lymphoma, who is hospitalized for treatment. what is a priority intervention that the nurse should include in the child’s nursing plan?
monitoring the toddler for developmental delays
the nurse is watching toddlers at play. which normal behavior would the nurse observe?
toddlers engage in parallel play
the nurse is developing a teaching plan for toddler safety to present at a parenting seminar. which safety intervention should the nurse address?
advise parents to use a forward facing car seat with harness straps and a clip, placed in the back seat of the car.
during a health history, the nurse explores the sleeping habits of a 3 year old boy by interviewing his parents. which statement from the parents reflects a recommended guideline for promoting healthy sleep in this age group?
we keep a strict bedtime ritual for our son, which includes a bath and bedtime story
the nurse is teaching good sleep habits for toddlers to the mother of a 3 year old boy. which response indicates the mother understands sleep requirements for her son?
he needs 12 hours of sleep per day including his nap
the parents of a 1 year old girl, both of whom have perfect teeth, are concerned about their child getting dental caries. which is the best advice the nurse can provide?
tell the parents to limit the child’s eating to meal and snack times.
the nurse is helping parents prepare a healthy meal plan for their toddler. which guidelines for promoting nutrition should be followed when planning meals? select all that apply.
-extending breastfeeding into toddlerhood is believed to be beneficial to the child
-adequate calcium intake and appropriate exercise lay the foundation for proper bone mineralization
-the toddler requires an average intake of 700 mg calcium per day
the nurse is choosing foods for toddler’s diet that are high in vitamin a. what foods could be added to the menu? select all that apply.
-sweet potatoes
-spinach
-carrots
when instructing the parents of a toddler about appropriate nutrition, what would the nurse recommend?
approximately 16-24 oz of milk per day
the nurse is teaching the parents of an overweight 18-month old girl about diet. which intervention will be most effective for promoting proportionate growth?
remove high calorie, low nutrient food from the diet
the nurse is providing anticipatory guidance to the parents of an 18 month old girl. which guidance will be most helpful for toilet teaching?
advising them to use praise, no scolding
the parents of a 2 year old girl are frustrated by the frequent confrontations they have with their child. which is the best anticipatory guidance the nurse can offer to prevent confrontations?
you need to adhere to various routines
the nurse is providing guidance after observing a mother interact with her negative 2 year old boy. for which interaction will the nurse advise the mother that she is handling the negativism properly?
telling the child firmly that we don’t scream in the office
the nurse is teaching the parents of a 2 year old girl how to deal with common toddler situations. which is the best advice?
have the child help clean up a bowel incident
the nurse is assessing a 2 year old boy who has missed some developmental milestones. which finding will point to the cause of motor skills delays?
the child is homeless and has no toys
the nurse emphasizes that a toddler younger than 18 months should never be spanked primarily for which reason?
there is an increased risk for injury in this age group
