A parent asks the nurse what to do when the toddler has temper tantrums. What play materials
should the nurse suggest that the child be offered as another means of expressing anger?
Ball and bat
Wad of clay
Punching bag
Pegs and pounding board
A nurse is evaluating a 3-year-old child's developmental progress. The inability to perform which
task indicates to the nurse that there is a developmental delay?
Copying a square
Hopping on one foot
Catching a ball reliably
Using a spoon effectively
A 13-month-old toddler has a respiratory tract infection with a low-grade fever. When teaching
the parents, which intervention should the nurse emphasize?
Encouraging high-calorie snacks to prevent weight loss
Keeping the toddler wrapped in blankets to prevent shivering
Giving small amounts of clear liquids frequently to prevent dehydration
Using cool-water baths to prevent the toddler's fever from increasing further
How should a nurse respond to parents who are concerned about separation anxiety in their 15-
month-old toddler?
"This is an expected developmental reaction."
"You may be spending too much time with your child."
"It might be helpful to leave your child with someone once in a while."
"Toddlers who have separation anxiety may have difficulty when they start school."
A 15-month-old child is hospitalized after ingesting toilet bowl cleaner. The mother confides that
she feels guilty about leaving the cleaner where her child could get it. What is the best response
by the nurse?
"Anyone could make a mistake. Don't dwell on it."
"Let's not worry about the past. Your child is going to get better."
"It was an accident, but you should consider special locks on your closets."
"That was careless of you. Please make sure that you poison-proof your house."
A 2-year-old toddler has hearing loss caused by recurrent otitis media. What treatment does the
nurse anticipate that the practitioner will recommend?
Ear drops
Myringotomy
, Mastoidectomy
Steroid therapy
A 2-year-old toddler requires close supervision to protect against potential accidents. The nurse
teaches a class for parents about the learning style of toddlers. How do toddlers learn self-
protection?
Through trial-and-error strategies
By imitating playmates and siblings
By obeying orders from mother and father
By playing with age-appropriate toys and puzzles
he parents of a 2-year-old child are watching the nurse administer the Denver II Developmental
Screening Test to their child. They ask, "Why did you make our child draw on paper? We don't
let our child draw at home." What is the best response by the nurse?
"I should have asked you about drawing first."
"These drawings help us determine your child’s intelligence."
"It lets us test the child’s ability to perform tasks requiring the hands."
"I don't understand why drawing is forbidden in your home."
While obtaining the health history of a 15-month-old toddler, the child of a migrant worker, a
nurse learns that the infant recently had a fever, runny nose, cough, and white spots in the mouth
lasting 3 days. A rash started on the face and spread to the whole body. What communicable
disease does the nurse suspect the infant suffered from?
Rubella
Rubeola
Pertussis
Varicella
A nurse is assessing a 15-month-old girl at the well-child clinic. The nurse determines that
further education about toddler development is necessary when the mother says what?
"She's always trying to get out of her car seat."
"She cries when I leave her at the daycare center."
"She gets into everything and scatters toys everywhere."
"She has a temper tantrum every time I put her on the potty chair."
A nurse encourages parents to have their toddler's eyes tested especially for monocular
strabismus. What should the nurse explain may occur if the condition is not corrected early?
Dyslexia will develop.
Peripheral vision will disappear.
Vision in both eyes will be diminished.
Amblyopia will progress in the weak eye.
A nurse explains to the mother of a 1-year-old with a history of frequent ear infections that
the primary cause of otitis media in young children is what?
, Sinusitis
Recurrent tonsillitis
An inflamed mastoid process
An obstructed eustachian tube
A 2-year-old child who has been restricted to bed rest because of a diagnosis of meningitis is
now allowed out of bed. The nurse suggests going to the playroom. The child responds by
shaking the head vigorously from side to side, screaming, "No! Won't!" However, the child is
trying to climb out of the crib at the same time. In light of these behaviors, what is
the most likely conclusion by the nurse?
The child is trying to assert independence.
The child is eager to resume regular play activities.
The child is unsure of the difference between yes and no.
The child is confused as a result of increased intracranial pressure.
The parent of a 2-year-old calls a nurse who is a neighbor and reports that the child just ate
several multivitamins with iron. What should the nurse say to the parent?
"Give your child orange juice."
"Call the Poison Control Center."
"Iron-fortified multivitamins are safe for your child."
"Administer an emetic—syrup of ipecac, if you have it."
A nurse is observing hospitalized toddlers in the playroom. What does the nurse identify as
their most important need?
Stimulating play
Therapeutic play
Contact with their parents
Gentle discipline from the nurse
A nurse in the daycare center is teaching several aides about the play behavior of 2-year-old
toddlers. What is this type of play called?
Group
Parallel
Dramatic
Cooperative
A nurse in the pediatric clinic is examining a toddler with suspected enterobiasis (pinworm
infestation). For which first sign of an infestation should the nurse assess the child?
Anal itching
Scaly skin patches
Maculopapular rash
Bald spot on the head
, A child sitting on a chair in a playroom starts to have a tonic-clonic seizure with a clenched jaw.
What is the best initial action by the nurse?
Trying to open the jaw
Placing the child on the floor
Calling out for assistance from staff
Placing a pillow under the child's head
Which age range does the nurse know is classified as the toddler years?
12 to 18 months
12 to 24 months
12 to 36 months
12 to 48 months
What step should the nurse undertake during the administration of eardrops in children ages 1 to
3 years?
Pulling the auricle down and backward
Placing the cotton ball in the innermost part of the canal
Keeping the toddler in the side-lying position for 10 to 15 minutes
Holding the dropper 3 cm above the child’s ear canal to instill the drops
A nurse bases the plan of care for a 15-month-old toddler with celiac disease on the
pathophysiology of the disorder, which is characterized by what?
Inability to metabolize gluten
Absence of the enzyme phenylalanine
Excessive amount of salt in the sweat glands
Increase in the viscosity of mucous secretions
A parent asks a nurse for suggestions because a 2-year-old child wants to take a bath alone. What
is the most appropriate suggestion that the nurse should provide?
"Allow the child to wash herself with supervision."
"Distract the child with other activities."
"Instruct the child on how to take a bath alone."
"Punish the child for insisting on taking a bath alone."
At what age does the anterior fontanel of the skull close?
12 to 18 months
20 to 24 months
26 to 30 months
32 to 36 months
After a 4-year-old child undergoes craniotomy the nurse performs a neurologic assessment that
includes level of consciousness, pupillary activity, and reflex activity. What else should the nurse
include in this assessment?
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