Chapter 07: The Toddler

 Chapter 07: The Toddler

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. When assessing an 18-month-old toddler, the nurse would expect the child to be able to:

a.	Jump with both feet
b.	Walk upstairs with one hand held
c.	Use a vocabulary of 300 words
d.	Demonstrate daytime bowel and bladder control

 

 

ANS:   B

An 18-month-old can walk upstairs if the hand is held. The child is just beginning to have physiologic control of the sphincters, but does not achieve daytime control of the bowel and bladder until later. The child cannot jump with both feet until about 30 months of age.

 

DIF:    Cognitive Level: Application             REF:    p. 125              OBJ:    2

TOP:    Summary of Toddler Growth and Development

KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

2. At a well-child visit, a mother voices concern that her 30-month-old has a much smaller vocabulary than other children in his daycare. The nurse should:

a.	Explain to the mother that the child has a significant developmental delay
b.	Assess the child for other age-appropriate development
c.	Suspect that the child is not getting sufficient attention from the parent
d.	Suggest that the child’s hearing be evaluated

 

 

ANS:   B

No two toddlers have the same vocabulary at the same age. The nurse should assess the other developmental markers before any conclusions can be drawn. There is no sufficient evidence to support that the mother is giving the child insufficient attention or that the child has a developmental delay.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 129              OBJ:    2

TOP:    Language Development                     KEY:   Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

3. The parents of a hospitalized 2-year-old need to leave the unit for a couple of hours to get some sleep. The nurse should:

a.	Tell the parents that one of them should remain with the child
b.	Instruct the parents to leave while the baby is distracted
c.	Tell the toddler that the parents are leaving, but will be back after lunch
d.	Leave the toddler alone to cry himself to sleep

 

 

ANS:   C

Parents occasionally need to take a break. Do not encourage the parents to sneak out. This will damage the trust relationship and further traumatize the child. The nurse should provide comfort while the parents are gone.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 126              OBJ:    3

TOP:    Developmental Tasks                         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Psychosocial Integrity: Coping and Adaptation

 

4. At a well-child visit, the mother of a 2-year-old asks about the significance of milk in a 1000-calorie diet. The nurse informs the mother that the child needs:

a.	4 to 5 cups of milk per day
b.	To substitute fruit juices for milk
c.	To drink skim milk or low-fat milk
d.	To drink whole milk

 

 

ANS:   C

A 2-year-old child should be switched to skim or low-fat milk to prevent weight gain. This child should have 2 cups of milk daily and 2 ounces of meat or beans.

 

DIF:    Cognitive Level: Analysis                  REF:    p. 131              OBJ:    4

TOP:    Nutritional Counseling                       KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Growth and Development

 

5. A parent tells the nurse that his 2-year-old son does not like to eat fruit, but loves juice. The nurse advises him:

a.	To give the child 10 to 12 ounces of juice per day
b.	That a high intake of fruit juice can lead to diarrhea
c.	That a high intake of juice will make his teeth stronger
d.	To give juice before meals to stimulate the appetite

 

 

ANS:   B

A high intake of fruit juice can lead to diarrhea. Juice will also cause tooth decay. Fruit juice should be limited to 4 to 6 ounces daily. Juice will interfere with appetite for meals.

 

DIF:    Cognitive Level: Application             REF:    p. 131              OBJ:    4

TOP:    Nutrition         KEY:   Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance: Prevention and Early Detection of