Nursing care of a family with a toddler

Question 1

1. Which development is necessary for toilet training readiness for a 2-year-old? Select all that apply.
   a. Adequate neuromuscular development for sphincter control.
   b. Appropriate chronological age.
   c. Ability to communicate the need to use the toilet.
   d. Desire to please the parents.
   e. Ability to play with other 2-year-olds.

Answer 1

A. Adequate neuromuscular development for sphincter control

C. Ability to communicate the need to use the toilet.

Question 2

2. A mother of a toilet-trained 3-year-old expresses concern over her child’s bedwetting while hospitalized. The nurse
   should tell the mother:
   a. “He was too immature to be toilet trained. In a few months he should be old enough.”
   b. “Children are afraid in the hospital and frequently wet their bed.”
   c. “It’s very common for children to regress when they’re in the hospital.”
   d. “This is normal. He probably received too much fl uid the night before.”

Answer 2

C. Its very common for children to regress when they’re in the hospital.

Question 3

3. When assessing a 2-year-old child brought by his mother to the clinic for a routine checkup, which of the following
   should the nurse expect the child to be able to do?
   a. Ride a tricycle.
   b. Tie his shoelaces.
   c. Kick a ball forward.
   d. Use blunt scissors

Answer 3

A. Ride a tricycle

Question 4

4. A 2-year-old child brought to the clinic by her parents is uncooperative when the nurse tries to look in her ears. Which
   of the following should the nurse try fi rst?
   a. Ask another nurse to assist.
   b. Allow a parent to assist.
   c. Wait until the child calms down.
   d. Restrain the child’s arms.

Answer 4

B. Allow parents to assist.

Question 5

5. When observing the parent instilling prescribed ear drops ordered twice a day for a toddler, the nurse decides that the
   teaching about positioning of the pinna for instillation of the drops is effective when the parent pulls the toddler’s pinna in
   which of the following directions?
   a. Up and forward.
   b. Up and backward.
   c. Down and forward.
   d. Down and backward

Answer 5

D. Down and backward

Question 6

6. The mother asks the nurse for advice about discipline for her 18-month-old. Which of the
   following should the nurse suggest that the mother use?
   a. Structured interactions.
   b. Spanking.
   c. Reasoning.
   d. Time out

Answer 6

D. Time out

Question 7

7. When assessing for pain in a toddler, which of the following methods should be the most
appropriate?
a. Ask the child about the pain.
b. Observe the child for restlessness.
c. Use a numeric pain scale.
d. Assess for changes in vital signs

Answer 7

B. Observe the child for restlessness.

Question 8

8. When planning a 15-month-old toddler’s daily diet with the parents, which of the following
   amounts of milk should the nurse include?
   a. ½ to 1 cup.
   b. 2 to 3 cups.
   c. 3 to 4 cups.
   d. 4 to 5 cups.

Answer 8

D. 4 to 5 cups

Question 9

9. Which assessment fi nding would the nurse consider abnormal for an 18-month-old child?
   a. Has a vocabulary of about six words
   b. Uses a spoon when eating
   c. Walks with support
   d. Shows readiness for toilet training

Answer 9

C. Walks with support

Question 10

10 Which observation by the nurse indicates that the parents of a toddler need additional
teaching regarding household safety?
a. Household cleaners are in their original containers.
b. Medicines are stored on a high shelf out of the child’s reach.
c. The hot water heater thermostat is set at 120°F (48.8°C).
d. The number for the poison control center is posted by the telephone

Answer 10

C. The hot water heater thermostat is set at 120 degree F (48.8 C)