Chapter 17: The Toddler

Chapter 17: The Toddler

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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

 

 

ANS:  C

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.

 

DIF:    Cognitive Level: Analysis                REF:   Page 407, Table 17-1

OBJ:   2                    TOP:   Delayed Walking

KEY:  Nursing Process Step: Data Collection

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

 

2. What would the nurse assessing growth and development of a 2-year-old child expect to find?

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.

 

 

ANS:  A

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

 

DIF:    Cognitive Level: Comprehension     REF:   Page 407, Table 17-1

OBJ:   2                    TOP:   Jumping         KEY:  Nursing Process Step: Data Collection

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

 

3. 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.

 

 

ANS:  B

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

 

DIF:    Cognitive Level: Application           REF:   Page 406 | Page 410

OBJ:   6                    TOP:   Self Consoling

KEY:  Nursing Process Step: Implementation

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

 

4. 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

 

 

ANS:  B

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

 

DIF:    Cognitive Level: Comprehension     REF:   Page 418        OBJ:   11

TOP:   Play                KEY:  Nursing Process Step: Data Collection

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

 

5. 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.

 

 

ANS:  B

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

 

DIF:    Cognitive Level: Application           REF:   Page 410        OBJ:   6

TOP:   Limit Setting                                   KEY:  Nursing Process Step: Planning

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