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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.

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The nurse is planning to explain the use of time-outs to the parent of a 3-year-old.How many minutes will the nurse indicate is appropriate for a child of this age?


A) 3
B) 6
C) 10
D) 15

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How many hours should toddlers be able to stay dry for the nurse to suggest they are ready to begin bladder training?


A) 1
B) 2
C) 3
D) 4

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When the previously potty-trained 3-year-old wets the bed after admission to the hospital,the nurse assesses this event is caused by a____________________ related to the new environment.

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regression
Regression occurs when a situ...

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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

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The nurse recognizes that when the toddler claims everything in the environment as "mine," it is an example of the toddler trait of ____________________.

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egocentrism
Toddlers are egocentric in t...

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The nurse points out which physiological change(s) in the toddler that serve(s) as protection against disease?


A) Toughening of the skin
B) Increased capillary response for thermoregulation
C) Stabilization of body temperature
D) Elevation in white blood cell count
E) Enlarged adenoids and tonsils

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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.

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A

Parents of a toddler are discussing the emotion of fear with the pediatric nurse.What information can the nurse offer regarding fear and the toddler?


A) Stress increases fear.
B) Rituals help deal with fear.
C) Teasing the child can decrease fear.
D) Once fear is learned it is difficult to eliminate.
E) Adults should openly share their fears.

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A,B,D

_________________________ is when toddlers increase their sense of security by making compulsive routines of simple tasks.

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Ritualism
Ritualism is when to...

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Parents tell the nurse they are frustrated with their toddler's recent behavior and refusal to agree with anything they ask of them.What does the nurse explain as the term for when a toddler tests their own power?


A) Negativism
B) Dawdling
C) Tantrums
D) Food fads

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What guideline should an adult follow when speaking to a toddler?


A) Be at eye level with the child.
B) Hold by the shoulders to keep the child's attention.
C) Seat the child to focus on conversation.
D) Speak in a firm strong voice.

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Why does day care for the toddler differ from that of the preschooler?


A) Toddlers have a shorter attention span.
B) Toddlers need more group play.
C) Toddlers are less prone to environmental dangers.
D) Toddlers require less outdoor space.

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Which finding would concern the nurse assessing vital signs on a 2-year-old?


A) Temperature of 37.1° C (98.8° F)
B) Pulse at 100 beats/min
C) Respirations of 36 breaths/min
D) Blood pressure of 90/60 mm Hg

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The toddler is in Erikson's stage of _______________versus_______________.

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autonomy; shame and doubt
The ...

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A 16-month-old child is attending a well-child visit at a pediatric clinic.Which assessment would indicate the biggest cause for concern?


A) Does not walk independently
B) Prefers finger feeding
C) Limited to single words
D) Is unable to climb steps

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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

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What does the nurse consider as an appropriate snack for a 2-year-old child?


A) Hot dog sections
B) Grapes
C) Popcorn
D) Applesauce

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D

When selecting a potty chair,the parents are encouraged to select one that has which characteristic(s) ?


A) Small enough for the child's feet to touch floor
B) Sturdy and stable
C) Supportive of child's back and arms
D) Made of plastic or fiberglass
E) Capable of being taken apart easily

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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.

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