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Wong’s Essentials of Pediatric Nursing

Marilyn J. Hockenberry; Cheryl C. Rodgers; David M. Wilson

Chapter 11

Health Promotion of the Toddler and Family - all with Video Answers

Educators

Chapter Questions

01:24

Problem 1

The typical play activity in which toddlers engage is called:
a. Solitary
b. Parallel
c. Associative
d. Cooperative

Keronhica Desir
Keronhica Desir
Numerade Educator
02:00

Problem 2

One indication that the toddler is ready to begin toilet training is:
a. Child recognizes urge to let go and hold on and is able to communicate this sensation to the parent
b. Child is able to stay dry all night
c. Child demonstrates mastery of dressing and undressing self
d. Child asks parent to have wet or soiled diaper changed

Tanner Fonjweng
Tanner Fonjweng
Numerade Educator

Problem 3

A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that the child's behavior is worrisome and possibly requires therapy or medication at minimum. The mother further explains that the child constantly responds to the mother's simple requests with a "no" answer even though the activity has been a favorite in the recent past. Furthermore, the child has had an increase in the number of temper tantrums at bedtime and refuses to go to bed. The mother is afraid her daughter will hurt herself during a temper tantrum because she holds her breath until the mother picks her up and gives in to her request. The nurse's best response to the mother is that:
a. The child probably would benefit from some counseling with a trained therapist.
b. The mother and father should evaluate their childrearing practices.
c. The child's behavior is normal for a toddler and may represent frustration with control of her emotions; further exploration of events surrounding temper tantrums and possible interventions should be explored.
d. The child's behavior is typical of toddlers, and the parents should just wait for the child to finish this phase because this will end soon as well.

Check back soon!

Problem 3

A mother brings her 3-year-old daughter to the well-child clinic and expresses concern that the child's behavior is worrisome and possibly requires therapy or medication at minimum. The mother further explains that the child constantly responds to the mother's simple requests with a "no" answer even though the activity has been a favorite in the recent past. Furthermore, the child has had an increase in the number of temper tantrums at bedtime and refuses to go to bed. The mother is afraid her daughter will hurt herself during a temper tantrum because she holds her breath until the mother picks her up and gives in to her request. The nurse's best response to the mother is that:
a. The child probably would benefit from some counseling with a trained therapist.
b. The mother and father should evaluate their childrearing practices.
c. The child's behavior is normal for a toddler and may represent frustration with control of her emotions; further exploration of events surrounding temper tantrums and possible interventions should be explored.
d. The child's behavior is typical of toddlers, and the parents should just wait for the child to finish this phase because this will end soon as well.

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Problem 4

Toddlers are often known to be finicky eaters and may exhibit abnormal eating patterns that may concern parents. Which of the following actions for feeding toddlers should be suggested so that adequate amounts of nutrients for growth and development are consumed? Select all that apply.
a. Avoid placing large food portions on the toddler's plate.
b. Allow the child to graze on nutritious (not "junk" food) snacks during the day.
c. Insist that the child sit at the table until all persons have completed their meals.
d. Allow the child to make certain food choices (within reasonable limits)-for example, would you like a half peanut butter or ham sandwich?
e. Provide meals at the same time of day as much as possible so that the toddler has a sense of consistency.
f. Make the child eat all of the food provided, and provide disciplinary actions, such as a "timeout" if the plate is not cleaned.

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02:12

Problem 5

A common cause of accidental death in children 1 to 19 years old involves motor vehicle crashes. Evidence from test crashes indicates that the safest action to prevent accidental deaths in toddlers includes:
a. Placing the child in a rear-facing weight-appropriate car restraint seat until 24 months old
b. Allowing the child to ride in the front seat with a lap-shoulder seat restraint to avoid emotional outbursts
c. Allowing the child to ride in a forward-facing booster restraint seat after 12 months old
d. Placing the child in the regular seat using the lap-shoulder belt as long as the child weighs at least 45 pounds

Maxime Rossetti
Maxime Rossetti
Numerade Educator
02:22

Problem 6

One of the primary reasons for monitoring the toddler's activities and intervening to prevent accidental injury is that:
a. Toddlers have oppositional defiant behavior and negativism.
b. Toddlers do not understand the concept of "cause and effect," so explaining that certain actions will result in serious injury is useless.
c. Toddlers will often listen to reasoning about why an activity should be avoided.
d. Toddlers enjoy making their parents worry about their safety and like to see the parents' reactions to the behavior.

Keronhica Desir
Keronhica Desir
Numerade Educator