Toddlers

Question 1

Which statement by the mother of an 18-month-old would lead the nurse to believe that the child should be referred for further evaluation for developmental delay? 1. “My child is able to stand but is not yet taking steps independently.”

2. “My child has a vocabulary of approximately 15 words.”
3. “My child is still sucking his thumb.”
4. “My child seems to be quite wary of strangers

Answer 1

1. The child should be walking independently by 15 to 18 months. Because this toddler is 18 months and not walking, a referral should be made for a developmental consult.

Question 2

The mother of a child 2 years 6 months has arranged a play date with the neighbor and her child 2 years 9 months. During the play date the two mothers should expect that the children will do which of the following? 1. Share and trade their toys while playing.

2. Play with one another with little or no conflict.
3. Play alongside one another but not actively with one another.
4. Only play with one or two items, ignoring most of the other toys.

Answer 2

3. Toddlers engage in parallel play. They often play alongside another child, but they rarely engage in activities with the other child.

Question 3

Which foods would the nurse recommend to the mother of a 2-year-old with anemia?

1. 32 oz of whole cow’s milk per day.
2. Meats, eggs, and green vegetables.
3. Fruits, whole grains, and rice.
4. 8 oz of juice, three times per day.

Answer 3

2. Meat, eggs, and green vegetables are excellent sources of iron.

Question 4

A 2-year-old admitted to the hospital 2 days ago has been crying and is inconsolable much of the time. The nurse’s best response to the child’s parents who are concerned about this behavior is that the child is in the: 1. Detachment phase of separation anxiety, which is normal for children during hospitalization.

2. Despair stage of separation anxiety, which is normal for children during hospitalization.
3. Bargaining stage of separation anxiety, which is normal for children during hospitalization.
4. Protest stage of separation anxiety, which is normal for children during hospitalization

Answer 4

4. During the protest stage of separation anxiety, children are often inconsolable, and often cry more than they do when they are at home. These children also frequently ask to go home.

Question 5

Which should the nurse do to prevent separation anxiety in a hospitalized toddler?

1. Assume the parental role when parents are not able to be at the bedside.
2. Encourage the parents to always remain at the bedside.
3. Establish a routine similar to that of the child’s home. 4. Rotate nursing staff so the child becomes comfortable with a variety of nurses.

Answer 5

3. It is very important to try to maintain a child’s home routine both when parents are present and when they have to leave the hospital. This will increase the child’s sense of security and decrease anxiety.

Question 6

According to developmental theories, which important event is essential to the development of the toddler?

1. The child learns to feed self.
2. The child develops friendships.
3. The child learns to walk.
4. The child participates in being potty-trained.

Answer 6

4. Developmental theorists like Erickson and Freud believe that toilet training is the essential event that must be mastered by the toddler.

Question 7

Which comment should the parent of a 2-year-old expect from the toddler about a new baby brother?

1. “When the baby takes a nap, will you play with me?” 2. “Can I play with the baby?”
2. “The baby is so cute. I love him.”
3. “It is time to put him away so we can play.”

Answer 7

4. This is a typical statement that would be made by a toddler. Toddlers are very egocentric and do not consider the needs of the other child.

Question 8

Which stressor is common in hospitalized toddlers? Select all that apply.

1. Social isolation.
2. Interrupted routine.
3. Sleep disturbances.
4. Self-concept disturbances.
5. Fear of being hurt.

Answer 8

2. Common stressors of the hospitalized toddler include interrupted routine, sleep pattern disturbances, and fear of being hurt.
3. Common stressors of the hospitalized toddler include interrupted routine, sleep pattern disturbances, and fear of being hurt.
4. Common stressors of the hospitalized toddler include interrupted routine, sleep pattern disturbances, and fear of being hurt.