Young Child & Communicable Disease Flashcards
What is advice for parents when children sleepwalk?
– Reassure parents that it goes away
– Reintroduce nap
– Don’t wake—causes more confusion
– Guide back to bed
– Safety proofing; bell on bedroom door, motion detectors, gates, locks, etc.
– Consider scheduled awakenings
What is advice for parents when toddlers engage in negative behavior?
-Limit opportunities for child to say no
-Praise and reinforce good behavior
What is safety advice for parents when toddlers are “into everything”?
Lock up medicines, sharps, anything that could be a danger
Which factor is most important in predisposing toddlers to frequent infections?
a. Respirations are abdominal.
b. Pulse and respiratory rates are slower than those in infancy.
c. Defense mechanisms are less efficient than those during infancy.
d. Toddlers have a short, straight internal ear canal and large lymph tissue.
d. Toddlers have a short, straight internal ear canal and large lymph tissue
Which characteristic best describes the gross motor skills of a 24-month-old child?
a. Skips and can hop in place on one foot
b. Rides tricycle and broad jumps
c. Jumps with both feet and stands on one foot momentarily
d. Walks up and down stairs and runs with a wide stance
c. Jumps with both feet and stands on one foot momentarily
In the clinic waiting room, a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks. The nurse should recognize in this situation that:
a. Blocks at this age are used primarily for throwing
b. Toddlers are too young to imitate the behavior of others
c. Toddlers are capable of building a tower of blocks
d. Toddlers are too young to build a tower of blocks
c. Toddlers are capable of building a tower of blocks
A parent asks the nurse about negativism in toddlers. Which is the most appropriate recommendation?
a) Punish the child
b) Provide more attention
c) Ask the child to not always say “no”
d) Reduce the opportunities for a “no” answer
d) Reduce the opportunities for a “no” answer
A father tells the nurse that his daughter wants the same plate and cup used at every meal, even if they go to a restaurant. The nurse should explain that this is:
a) A sign that the child is spoiled
b) A way to exert unhealthy control
c) Regression, common at this age
d) Ritualism, common at this age
d) Ritualism, common at this age
What should the nurse expect for a child’s language development at 18 months?
a. Vocabulary of 25 words
b. Increasing level of comprehension
c. Use of holophrases
d. Approximately one third of speech understandable
a. Vocabulary of 25 words
The nurse observes some children in the playroom. Which of the following play situations exhibit the characteristics of parallel play?
a) Kimberly and Amanda sharing clay to each make things
b) Brian playing with his truck next to Kristina playing with her truck
c) Adam playing a board game with Kyle, Steven and Erik
d) Danielle playing with a music box on her mother’s lap
b) Brian playing with his truck next to Kristina playing with her truck
You are screening 14-month-old Joshua, prior to his appointment in the Well Baby clinic. His mother reports in an irritated tone of voice that her son has been difficult to toilet train. Your best
response would be:
a) “I can understand how frustrated you must feel. Let’s talk about some techniques that might
be helpful to add to your current toilet training efforts.”
b) “I wouldn’t worry too much about this…boys usually take longer to toilet train than girls do…”
c) “His progress with toilet training does seem a bit delayed, compared to other children his age…be sure to discuss this during your appointment with the pediatrician.”
d) “Let’s talk about Joshua’s development and his readiness to use the toilet.”
d) “Let’s talk about Joshua’s development and his readiness to use the toilet.”
The nurse recommends to parents that peanuts are not a good snack food for toddlers. What is the nurse’s rationale for this action?
a) Low in nutritive value
b) High in sodium
c) Cannot be easily digested
d) Can be easily aspirated
d) Can be easily aspirated
The parent of 16-month-old Chris asks, “What is the best way to keep Chris from getting into our medicines at home?” The nurse should advise which of the following?
a) “All medicines should be locked securely away.”
b) “The medicines should be placed in high cabinets.”
c) “Chris just needs to be taught not to touch medicines.”
d) “Medicines should not be kept in the homes of small children.”
a) “All medicines should be locked securely away.”
A nurse is providing teaching about methods to promote sleep to the parent of a preschool age child. Which of the following statements by the parent indicates an understanding of the
teaching?
a. “I will sleep in the bed with my child if she wakes up during the night.”
b. “I will let my child stay up an additional two hours on weekend nights.”
c. “I will let my child watch television for 30 minutes just before bedtime each night.”
d. “I will keep a dim lamp on in my child’s room during the night.”
d. “I will keep a dim lamp on in my child’s room during the night.”
A parent tells you that her preschool-aged child has begun to sleepwalk. Which of the following statements would you include in counseling her about these episodes?
a) Advise that sleepwalking will most likely persist into adulthood.
b) Advise that re-introducing a nap may help decrease the frequency of sleepwalking
c) Advise that she should wake the child up when sleepwalking and put him back to bed
d) Advise that she should allow the child to move freely around the house during the episodes
b) Advise that re-introducing a nap may help decrease the frequency of sleepwalking
