C HAPTER 17: T HE T ODDLER
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. 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
ANS: D
Applesauce is a healthy and safe snack food for the toddler. The
toddler is at risk for choking on foods such as grapes, hot dogs, and
popcorn.
DIF: Cognitive Level: Anal ysis REF: Page 415, Health
Promotion box OBJ: 10 TOP: Injury Prevention KEY:
Nursing Process Step: Planning MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
2. 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 breath s/min
, d. Blood pressure of 90/60 mm Hg
ANS: C
In the toddler period, the respiratory rate decreases to 25 breaths/min.
DIF: Cognitive Level: Anal ysis REF: Page 408 OBJ: 2
TOP: Vital Signs KEY: Nursing Process Step: Data
Collection MSC: NC LEX: Physiol ogical Integrit y:
Physiological Adaptation
3. What would be an expected finding when assessing language development
ina 2-year-old?
a. A 900-word vocabulary
b. Use of two -word sentences
c. Use of pronouns and prepositions
d. 100% of speech is understandable
ANS: B
The 2-year-old should be using two -word sentences.
DIF: Cognitive Level: Anal ysis REF: Page 409, Table 17 -2
OBJ: 5 TOP: Speech Development KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Growth and Developmen t
, 4. 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
ANS: A
Timing for time-out is usuall y based on 1 minute per year of age.
DIF: Cognitive Level: Comprehension REF: Page 410
OBJ: 6 TOP: Guidance and Discipline KEY: Nursing
Process Step: Evaluation MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
5. The parent of a toddler tells the nurse, “My daughter’ s appetite has
decreased. Thank goodness she loves to drink milk.” What is the most
appropriate response by the nurse?
a. “Has your daughter been sick recentl y?”
b. “How much milk does she drink ina day? ”
c. “Has she become a fussy eater, too?”
d. “Have you tried offe ring her finger foods?”
ANS: B
Milk should be limited to 24 ounces a day. Too few solid foods can
lead to dietary deficiencies of iron.
Introduction to Maternity and Pediatric Nursing , 8th Edition ; Leifer
MULTIPLE CHOICE
1. 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
ANS: D
Applesauce is a healthy and safe snack food for the toddler. The
toddler is at risk for choking on foods such as grapes, hot dogs, and
popcorn.
DIF: Cognitive Level: Anal ysis REF: Page 415, Health
Promotion box OBJ: 10 TOP: Injury Prevention KEY:
Nursing Process Step: Planning MSC: NC LEX: Health
Promotion and Maintenance: Growth and Development
2. 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 breath s/min
, d. Blood pressure of 90/60 mm Hg
ANS: C
In the toddler period, the respiratory rate decreases to 25 breaths/min.
DIF: Cognitive Level: Anal ysis REF: Page 408 OBJ: 2
TOP: Vital Signs KEY: Nursing Process Step: Data
Collection MSC: NC LEX: Physiol ogical Integrit y:
Physiological Adaptation
3. What would be an expected finding when assessing language development
ina 2-year-old?
a. A 900-word vocabulary
b. Use of two -word sentences
c. Use of pronouns and prepositions
d. 100% of speech is understandable
ANS: B
The 2-year-old should be using two -word sentences.
DIF: Cognitive Level: Anal ysis REF: Page 409, Table 17 -2
OBJ: 5 TOP: Speech Development KEY: Nursing
Process Step: Data Collection MSC: NC LEX: Health
Promotion and Maintenance: Growth and Developmen t
, 4. 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
ANS: A
Timing for time-out is usuall y based on 1 minute per year of age.
DIF: Cognitive Level: Comprehension REF: Page 410
OBJ: 6 TOP: Guidance and Discipline KEY: Nursing
Process Step: Evaluation MSC: NC LEX: Health Promotion
and Maintenance: Growth and Development
5. The parent of a toddler tells the nurse, “My daughter’ s appetite has
decreased. Thank goodness she loves to drink milk.” What is the most
appropriate response by the nurse?
a. “Has your daughter been sick recentl y?”
b. “How much milk does she drink ina day? ”
c. “Has she become a fussy eater, too?”
d. “Have you tried offe ring her finger foods?”
ANS: B
Milk should be limited to 24 ounces a day. Too few solid foods can
lead to dietary deficiencies of iron.
