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PSYC 3402c32 QUESTIONS AND ANSWERS.
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PSYC 3402c32 QUESTIONS AND ANSWERS.Chapter 32: The Toddler and Family
Perry: Maternal Child Nursing Care, 6th Edition
MULTIPLE CHOICE
1. Which factor is most important in predisposing toddlers to
frequent infections such as otitis media, tonsillitis, and upper
respiratory tract 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. The presence of short, straight
internal ear/throat structures and
large tonsil/adenoid lymph tissue.
ANS: D
Toddlers continue to have the short, straight internal ear canal of
infants. The lymphoid tissue of the tonsils and adenoids continues to
be relatively large. These two anatomic conditions combine to
predispose the toddler to frequent infections. The abdominal
respirations and lowered pulse and respiratory rate of toddlers do not
affect their susceptibility to infection. The defense mechanisms are
more efficient compared with those of infancy.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Physiologic Integrity
2. What are the psychosocial developmental tasks of
toddlerhood?
a. Development of a conscience.
b. Recognition of sex differences.
c. Ability to get along with age
mates.
d. Ability to withstand delayed
gratification.
ANS: D
If the need for basic trust has been satisfied, toddlers can give up
dependence for control, independence, and autonomy. One of the tasks
that the toddler is concerned with is the ability to withstand delayed
gratification. Development of a conscience occurs during the preschool
years. The recognition of sex differences occurs during the preschool
years. The ability to get along with age mates develops during the
preschool and school-age years.
PTS: 1 DIF: Cognitive Level: Comprehension
,PSYC 3402c32 QUESTIONS AND ANSWERS.
OBJ: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
3. A parent of an 18 month old tells the nurse that the child
says “no” to everything and has rapid mood swings. If scolded, the
child shows anger and
,PSYC 3402c32 QUESTIONS AND ANSWERS.
then immediately wants to be held. What is the nurse’s best
interpretation of this behavior?
a. This is normal behavior for the
child’s
age.
b. This is unusual behavior for the
child’s
age.
c. The child is not effectively coping
with
stress.
d. The child is showing the need for
more attention.
ANS: A
Toddlers use distinct behaviors in the quest for autonomy. They
express their will with continued negativity and the use of the word
“no.” Children at this age also have rapid mood swings. The nurse
should reassure the parents that their child is engaged in expected
behavior for an 18 month old.
PTS: 1 DIF: Cognitive Level: Analysis
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
4. The nurse is planning care for a 17-month-old child.
According to Piaget, in what stage would the nurse expect the child
to be?
a. Trust
b. Preoperations
c. Secondary circular reaction
d. Tertiary circular reaction
ANS: D
The 17 month old is in the fifth stage of the sensorimotor phase:
tertiary circular reactions. The child uses active experimentation to
achieve previously unattainable goals. Trust is Erikson’s first stage.
Preoperation is the stage of cognitive development, usually present in
older toddlers and preschoolers.
Secondary circular reactions last from about ages 4 to 8 months.
PTS: 1 DIF: Cognitive Level: Comprehension
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and
Maintenance
5. Which statement describes a toddler’s cognitive
development at age 20 months?
a. Searches for an object only if he or
she sees it being hidden.
b. Realizes that “out of sight” is not
, PSYC 3402c32 QUESTIONS AND ANSWERS.
out of
reach.
c. Puts objects into a container but
cannot take them out.
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