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PUD
A nurse is teaching parents of a toddler about language development.
Which statement best identifies the characteristics of language
development in a
toddler?
a. Language development skills slow during the toddler period.
b. The toddler understands more than he or she can express.
c. Most of the toddlers speech is not easily understood.
d. The toddlers vocabulary contains approximately 600
words. ANS: B
The toddlers ability to understand language (receptive language) exceeds
the childs ability to speak it (expressive language). Although language
development varies in relationship to physical activity, language skills
are rapidly accelerating by 15 to 24 months of age. By 2 years of age,
60% to 70% of the toddlers speech is understandable. The toddlers
vocabulary contains approximately 300 or more words.
Parents of a toddler ask the nurse when they should start toilet training.
Which statement best addresses their concerns
a. When the child is 18 months of age
NURSING 325 HCAL EXAM 3 TODDLER REVIEWER Exam
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b. When the child exhibits signs of physical and psychological readiness
c. When the child has been walking for 9 months
d. When the child is able to sit on the potty for 10 to 15
minutes ANS: B
Neurological development is completed at approximately 18 months of age.
Parents need to know that both physical and psychological readiness are
necessary for toilet training to be successful. The child needs to
demonstrate signs of bowel or bladder control before attempting toilet
training. Waiting until 24 to 30 months of age makes the task easier;
toddlers are less negative, more willing to control their sphincters, and
want to please their parents. One of the physical signs of readiness for
toilet training is that the child has been walking for 1 year. The ability to
sit on the potty 10 to 15 minutes may demonstrate parental control
rather than being a sign of developmental readiness for toilet training.
Which statement by a mother of a toddler indicates a
correct understanding of the use of discipline?
a. I always include explanations and morals when I am disciplining my toddle
I always try to be consistent when disciplining the children, and I correct m
ch
b. time they are misbehaving.
NURSING 325 HCAL EXAM 3 TODDLER REVIEWER Exam
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c. I believe that discipline should be done by only one family member.
d. My rule of thumb is no more than one spanking a
day. ANS: B
Consistent and immediate discipline for toddlers is the most effective
approach. Unless disciplined immediately, the toddler will have difficulty
connecting the discipline with the behavior. The toddlers cognitive level of
development precludes the use of explanations and morals as a part of
discipline. Discipline for the toddler should be immediate; therefore, the
family member caring for the child should provide discipline to the toddler
when it is necessary. Discipline is required for unacceptable behavior,
and the one-spanking-a-day rule contradicts the concept of a consistent
response to inappropriate behavior. Additionally, spanking is an
inappropriate method of disciplining a child.
Which comment indicates that the mother of a toddler needs further
teaching about dental care?
a. We use well water so I give my toddler fluoride supplements.
b. My toddler brushes his teeth with my help.
c. My child will not need a dental checkup until his permanent teeth come in
d. I use a small nylon bristle brush for my toddlers
teeth. ANS: C
NURSING 325 HCAL EXAM 3 TODDLER REVIEWER Exam
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Children should first see the dentist 6 months after the first primary tooth
erupts and no later than age 30 months. Toddlers need fluoride supplements when
they use a water supply that is not fluorinated. Toddlers need supervision with dent
care. The parent should finish brushing areas not reached by the child. A small nylo
bristle brush works best for cleaning toddlers teeth.
Which assessment finding in a preschooler would suggest the need
for further investigation?
a. The child is able to dress independently.
b. The child rides a tricycle.
c. The child has an imaginary friend.
d. The child has a 2-pound weight gain in 12
months. ANS: D
Preschool children gain an average of 5 pounds a year. A gain of only 2
pounds is less than half of the expected weight gain and should be
investigated. A preschool child should be able to dress independently and
be able to ride a tricycle. Imaginary friends are common for preschoolers.
Which is the most appropriate action for the nurse to take when telling a
preschool child about an upcoming procedure?
NURSING 325 HCAL EXAM 3 TODDLER REVIEWER Exam
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