Chapter 17 Quiz

Which behavior reported by a parent of an 18-month-old toddler would the nurse report to the pediatrician as a cause for concern?

• a. Has temper tantrums.

• b. Feeds self sloppily.

• c. Walks by holding onto furniture.

• d. Speaks in short sentences.

Answer explanation

By 18 months, a toddler should have been walking alone for several months. The toddler who walks holding onto furniture should be evaluated by a developmental specialist.

What would the nurse assessing growth and development of a 2-year-old child expect to find? that the children were not interacting with one another. What type of play is this?

• a. The child jumps with both feet.

• b. Twenty deciduous teeth have erupted.

• c. The child can hop on one foot.

• d. The child has a vocabulary of 900 words.

Answer explanation

The 2-year-old child can jump with both feet. The remaining achievements occur after 2 years of age.

A parent remarks, ―My 18-month-old daughter carries her blanket around everywhere. Is this normal?‖ What is the best explanation a nurse who has an understanding of toddler development might give?

• a. She carries her blanket because she is ritualistic.

• b. Carrying her favorite blanket is self-consoling behavior.

• c. This behavior can be discouraged by offering new toys to the child.

• d. This could be indicative of emotional distress.

Answer explanation

Favorite possessions and repetitive rituals are self-consoling behaviors for the toddler.

The nurse observed three toddlers playing side by side with dolls. Closer observation revealed that the children were not interacting with one another. What type of play is this?

• a. Solitary

• b. Parallel

• c. Associative

• d. Cooperative

Answer explanation

Toddlers engage in parallel play. Children play next to, but not with, each other.

What instruction would the nurse include when planning anticipatory guidance for parents of a toddler?

• a. Adhere to a rigid schedule because the toddler is ritualistic.

• b. Limit-setting should include praise.

• c. Shoes should fit snugly at the toe and arch.

• d. Dress the toddler in pants with a zipper so that he or she can learn to zip and unzip

  clothes.

Answer explanation

Limit-setting should include praise as well as disapproval for undesired behavior.

What is the best advice the nurse can offer a parent concerned because her 2-year-old child is very active and does not eat much?

• a. Insist that the child eat one food on the plate.

• b. Help the child wind down with a quiet activity before mealtime.

• c. Maintain a consistent eating schedule for the family.

• d. Serve the meal with a variety of interesting plates, cups, and utensils.

Answer explanation

Quiet time before meals provides an opportunity for the active toddler to wind down.

How would the nurse advise a parent who states, ―I never know how much food to feed my child‖?

• a. Serving sizes should not exceed 1 teaspoon of each type of food.

• b. Food quantities must be carefully measured to avoid overfeeding.

• c. Use 1 tablespoon of each food for each year of age as a guideline.

• d. A toddler should eat three balanced meals. Snacks are not necessary.

Answer explanation

A tablespoon of each type of food for each year of age is a good guideline to follow when

determining serving sizes.

The nurse is discussing toilet training with parents. What behavior by the child would identify toilet training readiness?

• a. Willing to sit on the potty for 15 to 20 minutes

• b. Dry in the daytime for 4-hour periods

• c. Able to communicate that he or she is wet

• d. Curious about bathroom activities

Answer explanation

Children are ready for toilet training when they can communicate in some fashion that they are wet or need to urinate or defecate.

What is the most appropriate toy for the nurse to select for a normal 2-year-old child?

• a. Bicycle with training wheels

• b. Dump truck

• c. Wind-up toy

• d. Building block set

Answer explanation

The 2-year-old child enjoys playing with objects that can be pushed or pulled.

What could the nurse recommend to a child‘s mother to encourage a toddler to practice independence?

• a. Offer a variety of items to choose from to stimulate his mind.

• b. Allow the child to determine his own daily routine.

• c. Offer him a choice between two items.

• d. Set the routine herself, but discuss with her toddler how he or she would have done it differently.

Answer explanation

The toddler can be allowed to make choices as the situation warrants, but the number of choices should be limited because too many confuse the toddler.