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8 Cards in this Set

  • Front
  • Back
A 15 month old is playing in the playpen. The nurse evaluates that the child's ability to perform physical tasks is at the age-related norm when the child is able to:
1. Build a tower of six blocks
2. Walk across the playpen with ease
3. Throw all the toys out of the playpen
4. Stand in the playpen holding onto the sides
2 At 15 months, strength and balance have improved, and the toddler can stand and walk alone.
The nurse explains to the mother of a 2-year-old girl that the child's negativism is normal for her age and that it is helping her meet her need for:
1. Trust
2. Attention
3. Discipline
4. Independence
4 The toddler is in Erikson's stage of acquiring a sense of autonomy. The negativism is the result of the child's need to express her will and test out her environment.
When ordering a regular diet for a young toddler, the nurse should choose foods such as:
1. spaghetti-O's and Cheerios
2. Corn dog and French fries
3. Hamburger with bun and grapes
4. Hot dog with buns and potato chips
1 These are foods that a toddler likes and can handle; they provide good nutrition.
When observing a toddler playing with other children in the playroom, the nurse would expect the toddler to engage in:
1. Parallel play
2. Solitary play
3. Competitive play
4. Tumbling-type play
1 The toddler is still dependent on the mother, is narcissistic, and plays alone, but is aware of others playing nearby.
When providing nursing care to a preschooler,the nurse should remember that a child this age has a fear of:
1. Pain
2. Death
3. Isolation
4. Mutilation
4 Fear of mutilation and intrusive procedures is most common at this age because of fantasies and active imgination. These children also connect illness with being bad and view intrusion as punishment.
A mother tells the nurse that the pediatrician is concerned that her 4-year-old child exhibits developmental delays. The mother expresses readiness to place her child in a preschool program for retarded children. The nurse should:
1. Praise the mother for her acceptance and encourge her plan
2. Advise the mother to have the pediatrician help choose an appropriate program
3. Ask the mother for more specific information related to the developmental delays
4. Tell the mother that this is probably a premature action because developmental delays often disappear
3 More information is needed; developmental delay suggests some milestone for age is not being met at the average time; it is not synonymous with retardation.
The nurse plans to talk to a mother about toilet-training a toddler, knowing that the most important factor in the process of toilet training is the:
1. Child's desire to be dry
2. Ability of the child to sit still
3. Parent's willingness to work at it
4. Approach and attitude of the parent
4 The parents' sttitude, approach, and understanding of the child's physical and psychologic readiness are essential to letting the child proceed at his or her own pace with appropriate interventions by the parent.
References:
Nugent,P. Pelikan, P. Saxton, D. Mosby's Comprehensive Review for the NCLEX-RN Examination. 18th edition. 2006.
Jeremy Sherwin november 12, 2009