Health Promotion and Maintenance: The Toddler and the Preschooler Flashcards
Which is the priority nursing action when performing a physical assessment on a toddler?
1. Leaving intrusive procedures such as eye and ear examinations until the end
2. Explaining each part of the examination to the child before performing it
3. Performing the assessment from head to toe
4. Asking the mother to tell the child not to be afraid
Answer: 1
At which age will the nurse begin to calculate body mass index (BMI) as a part of the
nursing assessment process?
1. 12 months
2. 18 months
3. 2 years
4. 4 years
Answer: 3
During a well-child visit with a 4-year-old girl the nurse notes that the parents speaks
harshly to the child and used negative remarks when speaking with the nurse. Which
statement by the nurse would be beneficial in this situation?
1. “Perhaps you should leave the room so that I can speak with your child privately.”
2. “I am going to refer you for counseling since your interactions with your child seem so
negative.”
3. Addressing the child, the nurse says, “Are you unhappy when mommy talks to you like
this?”
4. “Let’s talk privately. We should discuss the way you speak with your child and possible
ways to be more positive.”
Answer: 4
Which action by the nurse is appropriate when teaching the parents of a 2-year-old child
during a scheduled health maintenance visit?
1. Encouraging the parents to allow the child to pour liquids using a pitcher
2. Being sure that all major foods group have been introduced to the child
3. Teaching the parents that it is appropriate to switch from whole to 2% milk
4. Educating the child about food groups
Answer: 3
The visiting nurse is evaluating the home environments of several preschool-age children as
they relate to child safety. The nurse visits the home of each child and gathers the following
data. Which activity noted during the visit places a child at the greatest risk for bodily
harm?
1. The parents are in a methadone program.
2. The parents consume alcohol on a daily basis.
3. The child watches television for 2 hours each day.
4. The child is permitted to swim in the family pool unsupervised.
Answer: 4
The parents of a 2-year-old girl inquire about information to help their child transition to
bed each night. Which response by the nurse is appropriate?
1. Let the child cry self to sleep a few nights to adjust to the transition.
2. Play a favorite video at bedtime on a television in the child’s room to enhance
relaxation.
3. Read a book to the child just before bedtime each night.
4. Let the child fall asleep while playing and then put the child in bed.
Answer: 3
Parents of a preschool-age child report that they find it necessary to spank the child at least
once a day. Which response by the nurse is appropriate based on this information?
1. “Can you try spanking the child only every other day for 1 week and see how that
affects your child’s behavior?”
2. “Spanking is one form of discipline; however, you want to be sure that you do not leave
any marks on the child.”
3. “I think you are not parenting properly, so let’s talk about ways to improve your
parenting skills.”
4. “Let’s talk about other forms of discipline that have a more positive effect on the child.”
Answer: 4
Which parental statement during a scheduled health maintenance assessment for a preschool-
age child would cause the nurse concern?
1. “We have dinner together as a family each evening.”
2. “We are so proud that our child is able to recognize letters of the alphabet.”
3. “Our child wakes up each night screaming because of nightmares.”
4. “Our child attends a daycare program 3 days per week.”
Answer: 3
Which immunization will the nurse provide parental education during the health maintenance
visit for a 4-year-old child?
1. Hepatitis B #3
2. Haemophilus influenzae type B #2
3. Inactive poliovirus #3
4. Measles, mumps, and rubella #1
Answer: 3
The nurse is teaching the parents of a toddler-age child about injury prevention. Which
statement by the parent indicates the need for further education?
1. “I will turn the handles of the pots outward while I am cooking dinner.”
2. “We will make sure that our child always wears a life vest when we are out in the boat.”
3. “I will keep all our medications out of reach and ensure child-resistant containers.”
4. “We will provide safe climbing toys for our child.”
Answer: 1
Which assessment finding for a toddler-age child indicates an increased risk for an unhealthy
self-concept?
1. A parent who praises the child for his or her accomplishments
2. A parent who is attempting potty training but who understands that accidents will
happen
3. A parent who is observed spanking a child for taking a toy from another child in the
waiting room
4. A parent who reads a book to the toddler-age child each night before bed to encourage
cooperation
Answer: 3
The nurse is teaching the parents of a toddler-age child information regarding toy and
playground safety. Which parental statement indicates the need for further education?
1. “I allow my child to play with the packaging material for new toys.”
2. “I will avoid buying my child toys that are battery operated.”
3. “I allow my child to play with age-appropriate toys as indicated on the packaging.”
4. “I don’t let my child play on the playground without supervision.”
Answer: 1
The nurse is planning health promotion activities for a toddler-age child during a scheduled
health maintenance visit. Which action by the nurse is appropriate during this visit?
1. Connecting developmental skills with risks for injury
2. Recognizing that childcare attendance increases the risk for communicable disease
3. Planning education for treatment of common disease processes
4. Illustrating developmental progression on a screening tool
Answer: 4
Which action should the nurse include when providing education regarding methods to
enhance health promotion during a scheduled health maintenance visit for a 4-year-old
child?
1. Recognizing that food jags are common
2. Involving the child in snack selection and preparation
3. Encouraging the use of a highchair with a safety strap
4. Recommending the child consumes high-fat foods
Answer: 2
The nurse is conducting a physical assessment for a preschool-age child. When plotting the
child’s body mass index (BMI) the nurse notes that the child’s is at the 90th percentile.
Which action by the nurse is appropriate?
1. Referring the child to a nutritionist
2. Conducting a developmental assessment
3. Assessing the child’s level of activity
4. Checking a blood glucose level
Answer: 3
