ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 11 : Health Promotion of the Toddler and Family Questions
Question 1 of 5
Which characteristic best describes the gross motor skills of a 24-month-old child?
Correct Answer: D
Rationale: A 24-month-old child can go up and down stairs alone with two feet on each step. Skipping and broad jumping are skills acquired at age 3 years. Tricycle riding is achieved at age 4 years.
Question 2 of 5
What developmental characteristic does not occur until a child reaches age 2 1/2 years?
Correct Answer: C
Rationale: Usually by age 30 months, the primary dentition of 20 teeth is complete. Birth weight doubles at approximately ages 5 to 6 months. The anterior fontanel closes at ages 12 to 18 months. Binocularity is established by age 15 months.
Question 3 of 5
Which statement is correct about toilet training?
Correct Answer: B
Rationale: Voluntary control of the anal and urethral sphincters is achieved sometime after the child is walking. The child must be able to recognize the urge to let go and to hold on. The child must want to please the parent by holding on rather than pleasing him- or herself by letting go. Bowel training precedes bladder training. Watching older siblings provides role modeling and facilitates imitation for the toddler. The child should be introduced to the potty chair or toilet in a nonthreatening manner.
Question 4 of 5
The parents of a newborn say that their toddler hates the baby. He suggested that we put him in the trash can so the trash truck could take him away. What is the nurses best reply?
Correct Answer: D
Rationale: The arrival of a new infant represents a crisis for even the best prepared toddler.
Toddlers have their entire schedules and routines disrupted because of the new family member. The nurse should work with the parents on ways to involve the toddler in the newborns care and to help focus attention on the toddler. The toddler does not hate the infant. This is an expected, normal response to the changes in routines and attention that affect the toddler. The toddler can be provided with a doll to imitate parents behaviors. The child can care for the dolls needs at the same time the parent is performing similar care for the newborn.
Question 5 of 5
A toddlers parent asks the nurse for suggestions on dealing with temper tantrums. What is the most appropriate recommendation?
Correct Answer: D
Rationale: The best way to deal with temper tantrums is to ignore the behaviors, provided that the actions are not dangerous to the child. Tantrums are common during this age group as the child becomes more independent and overwhelmed by increasingly complex tasks. The parents and caregivers need to have consistent and developmentally appropriate expectations. Punishment and explanations will not be beneficial. The presence of the parent is necessary both for safety and to provide a feeling of control and security to the child when the tantrum is over.