Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 4 Growth and Development of the Toddler (Already Graded A+)

Carman Essentials of Pediatric Nursing 3rd Ed - Ch. 4 Growth and Development of the Toddler (Already Graded A+) The parents of an overweight 2-year-old boy admit that their child is a bit "chubby," but argue that he is a picky eater who will eat only junk food. Which response by the nurse is best to facilitate a healthier diet? a. "You may have to serve a new food 10 or more times." b. "Serve only healthy foods. He'll eat when he's hungry." c. "Give him more healthy choices with less junk food available." d. "Calorie requirements for toddlers are less than infants." - ANSWER Answer: c Suggesting that the parents transition the child to a healthier diet by serving him more healthy choices along with smaller portions of junk food will reassure them that they are not starving their child. The parents would have less success with an abrupt change to healthy foods. Explaining calorie requirements and the time line for acceptance of a new food do not offer a practical reason for making a change in diet. The nurse is observing a 36-month-old boy during a well-visit. Which motor skill has he most recently acquired? a. Undress himself b. Push a toy lawnmower c. Kick a ball d. Pull a toy while walking - ANSWER Answer: a This child has most recently acquired the ability to undress himself. Pushing a toy lawnmower and kicking a ball are things he learned at about 24 months. He was able to pull a toy while walking at about 18 months. The nurse is providing anticipatory guidance to the parents of an 18-month-old girl. Which recommendation should be the most helpful to the parents? a. Giving the child time out for 1 ½ minute b. Ignoring bad behavior and praising good behavior c. Slapping her hand using one or two fingers d. Describing proper behavior when she misbehaves - ANSWER Answer: d Stopping the child when she is misbehaving and describing proper behavior sets limits and models good behavior and will be the most helpful advice to the parents. The child is too young to use time out or extinction as discipline. Slapping her hand, even done carefully with two fingers, is corporal punishment, which has been found to have negative effects on child development. The nurse is teaching a first-time mother with a 14-month-old boy about child safety. Which is the most effective overall safety information to provide guidance for the mother? a. "Place a gate at the top of each stairway." b. "Never let him out of your sight when outdoors."