Toddlerhood Test Questions Test Bank Ch.7

Chapter 7. Toddlerhood – Test Questions

1. May is worried that 2-½-year-old Tracy has not grown in the past few months. The best response would be:

2. To help increase visual acuity in 2-year-old Charles, you would have his parents:

3. Bedtime rituals provide the child with a:

4. Toddlers are prone to accidents because:

5. The typical potbellied appearance of the toddler is due to:

6. In a greenstick fracture, the bone:

7. Toddlers are more prone to ear infections because the:

8. At what age can a child climb stairs two feet at a time?

9. Hand dominance is not determined until:

10. Bladder training can usually be accomplished by age:

11. After and during toilet training, accidents should be handled:

12. Discipline in the toddler years is directed toward:

13. To reduce temper tantrums, parents would best be instructed to:

14. In object permanence, the toddler:

15. The toddler’s eating habits are often influenced by:

16. The parent of 3-year-old Camille complains that she has eaten only a small amount of food over the past week. She does not appear to be ill, and her mother would like to know how to resolve the problem. You would advise her that:

17. To foster good eating habits, toddlers should have:

18. Play that is symbolic means the child:

19. Toddlers generally prefer to:

20. An example of play that fosters fine motor development is:

21. Sheila brings her 18-month-old toddler to the pediatric clinic. Which of the following findings would represent normal growth?

22. Mrs. King is concerned about what can be done to correct her toddler’s lazy eye. Which of the following responses by the nurse practitioner would be correct?

23. At 2-½ years old, which of the following vital signs would be considered normal?

24. Given paper and a pencil, a 3-year-old child can draw:

25. To enhance food intake, toddlers need:

26. Which of the following eating habits is common in toddlers?

27. The nurse instructs the parents of a 2-½-year-old boy on dental health. The nurse is correct to advise the parents to:

28. The parents of a 3-year-old and 5-month-old are concerned that their toddler is very jealous when they are caring for the infant. The toddler becomes demanding and unreasonable. The nurse is correct when he advises the parents that this is:

29. For toddlers, solitary play during infancy progresses to __________ ­play.

30. Which of the following gross motor skills is/are acquired during the toddler stage? (Select all that apply.)

31. At what age can the nurse expect a child to have their full set of deciduous teeth?

1. 1-½ years old
2. 2-½ years old
3. 4 years old
4. 4-½ years old

32. Which of the following describe(s) when readiness for toilet training occurs? (Select all that apply.)

1. During Freud’s oral stage
2. With sphincter control
3. With maturation of the sensory centers of the brain
4. After the child is walking for several months
5. Once the child has mastered language

33. The nurse reviewing a toddler’s health records would expect to find the date(s) they received which of the following immunizations? (Select all that apply.)

1. Measles
2. Mumps
3. Rubella
4. Varicella
5. Human papillomavirus

34. Two-year-old Bradley is a patient on the pediatric unit. Since his admission, his mother has been away at work most of the day, and he has been crying and screaming often. The health care worker understands this behavior may be caused by:

1. Separation anxiety
2. Negativistic behavior
3. Signs of repression
4. Signs of aggression

35. The mother of 2-½-year-old Jamie is concerned that he is still sucking his thumb and wants to know if he can harm himself. The nurse responds by telling her:

1. “He has protection against infection because his hands are always moist.”
2. “It may cause malpositioning of his teeth.”
3. “His speech may be delayed.”
4. “He may experience gastrointestinal irritation.”

36. Which of the following reports given by a child’s neighbor is an example/are examples of child neglect? (Select all that apply.)

1. Withholding food or shelter
2. Failure to provide special education for a child diagnosed with a learning disorder
3. Leaving a child with a stranger without a contact number
4. Withholding needed medical care

Chapter 7. Toddlerhood – Test Questions With Answers and Rationales

1. May is worried that 2-½-year-old Tracy has not grown in the past few months. The best response would be:

Rationale: Growth is most rapid during infancy and then slows during toddlerhood.

Nursing Process: Implementation

Client Needs: Physiological Integrity

2. To help increase visual acuity in 2-year-old Charles, you would have his parents:

Rationale: Holding objects at a distance of 6 feet helps develop visual ability.

Nursing Process: Planning

Client Needs: Physiological Integrity

3. Bedtime rituals provide the child with a:

Rationale: Sameness and habits provide people with a sense of security.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

4. Toddlers are prone to accidents because:

Rationale: Toddlers have not yet become aware of what is not safe in their environments and therefore need total adult supervision.

Nursing Process: Planning

Client Needs: Safe and Effective Care Environment

5. The typical potbellied appearance of the toddler is due to:

Rationale: As toddlers learn to stand erect and walk, their abdominal muscles strengthen.

Nursing Process: Assessment

Client Needs: Physiological Integrity

6. In a greenstick fracture, the bone:

Rationale: The bones of a toddler are soft and bend rather than break.

Nursing Process: Assessment

Client Needs: Physiological Integrity

7. Toddlers are more prone to ear infections because the:

Rationale: The eustachian tube is shorter and wider in a toddler than it is in the older individual.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

8. At what age can a child climb stairs two feet at a time?

Rationale: At 2 years, balance is not developed to the point where stairs can be managed using alternating feet.

Nursing Process: Planning

Client Needs: Safe and Effective Care Environment

9. Hand dominance is not determined until:

Rationale: Hand preference does not mature until 15 months.

Nursing Process: Assessment

Client Needs: Physiological Integrity

10. Bladder training can usually be accomplished by age:

Rationale: Bladder training occurs after muscle development takes place.

Nursing Process: Assessment

Client Needs: Physiological Integrity

11. After and during toilet training, accidents should be handled:

Rationale: It is best not to stress the child by placing an emphasis on accidents while he or she is being toilet trained.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

12. Discipline in the toddler years is directed toward:

Rationale: Toddlers learn by exploring their environments.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

13. To reduce temper tantrums, parents would best be instructed to:

Rationale: Parents should remove the child from the source of the tantrum to a quiet zone.

Nursing Process: Implementation

Client Needs: Psychososocial Integrity

14. In object permanence, the toddler:

Rationale: In the stage known as object permanence, the child realizes that just because the object is out of sight does not mean it no longer exists.

Nursing Process: Assessment

Client Needs: Health Promotion and Maintenance

15. The toddler’s eating habits are often influenced by:

Rationale: Older siblings teach the toddler, and some behavior is copied.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

16. The parent of 3-year-old Camille complains that she has eaten only a small amount of food over the past week. She does not appear to be ill, and her mother would like to know how to resolve the problem. You would advise her that:

Rationale: Toddlers have periods of reduced eating that will disappear if ignored.

Nursing Process: Implementation

Client Needs: Health Promotion and Maintenance

17. To foster good eating habits, toddlers should have:

Rationale: By the toddler period, the child is ready to eat three meals per day.

Nursing Process: Planning

Client Needs: Physiological Integrity

18. Play that is symbolic means the child:

Rationale: A symbolic play style is imaginative and representative of roles and learning.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

19. Toddlers generally prefer to:

Rationale: Toddler play style is known as parallel play.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

20. An example of play that fosters fine motor development is:

Rationale: Fine motor skills are those skills that use the hands.

Nursing Process: Planning

Client Needs: Physiological Integrity

21. Sheila brings her 18-month-old toddler to the pediatric clinic. Which of the following findings would represent normal growth?

Rationale: Between 12 and 18 months of age, the anterior fontanel closes.

Nursing Process: Assessment

Client Needs: Physiological Integrity

22. Mrs. King is concerned about what can be done to correct her toddler’s lazy eye. Which of the following responses by the nurse practitioner would be correct?

Rationale: Patching the stronger eye helps strengthen the muscles of the weaker eye.

Nursing Process: Evaluation

Client Needs: Health Promotion and Maintenance

23. At 2-½ years old, which of the following vital signs would be considered normal?

Rationale: A blood pressure of 110/60 is within the normal range for this age.

Nursing Process: Evaluation

Client Needs: Physiological Integrity

24. Given paper and a pencil, a 3-year-old child can draw:

Rationale: Vertical strokes can be drawn by a 3-year-old child.

Nursing Process: Evaluation

Client Needs: Physiological Integrity

25. To enhance food intake, toddlers need:

Rationale: Consistent mealtimes help the toddler develop an appetite.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

26. Which of the following eating habits is common in toddlers?

Rationale: Toddlers like eating the same foods consistently, they develop food fads, their appetites fluctuate, and they dawdle and play with their food.

Nursing Process: Planning

Client Needs: Psychosocial Integrity

27. The nurse instructs the parents of a 2-½-year-old boy on dental health. The nurse is correct to advise the parents to:

Rationale: Parents should avoid carbohydrates snacks, brush teeth after meals and before bed, and never put a milk bottle in the crib.

Nursing Process: Evaluation

Client Needs: Health Promotion

28. The parents of a 3-year-old and 5-month-old are concerned that their toddler is very jealous when they are caring for the infant. The toddler becomes demanding and unreasonable. The nurse is correct when he advises the parents that this is:

Rationale: Sibling rivalry is an expected behavior at this stage of development.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

29. For toddlers, solitary play during infancy progresses to ­­­­­__________ play.

Rationale: Parallel play is the style of toddlers.

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

30. Which of the following gross motor skills is/are acquired during the toddler stage? (Select all that apply.)

Rationale: Gross motor skills, including walking and stair climbing, are acquired during the toddler stage.

Nursing Process: Assessment

Client Needs: Physiological Integrity

31. At what age can the nurse expect a child to have their full set of deciduous teeth?

1. 1-½ years old
2. 2-½ years old
3. 4 years old
4. 4-½ years old

Rationale: Toddlers acquire their full set of deciduous teeth by 2-½ years of age.

Nursing Process: Assessment

Client Needs: Physiological Integrity

32. Which of the following describe(s) when readiness for toilet training occurs? (Select all that apply.)

1. During Freud’s oral stage
2. With sphincter control
3. With maturation of the sensory centers of the brain
4. After the child is walking for several months
5. Once the child has mastered language

Rationale: Toddlers acquire sphincter control, maturation of the brain’s sensory centers, walking, and language before toilet training is successful.

Nursing Process: Assessment

Client Needs: Physiological Integrity

33. The nurse reviewing a toddler’s health records would expect to find the date(s) they received which of the following immunizations? (Select all that apply.)

1. Measles
2. Mumps
3. Rubella
4. Varicella
5. Human papillomavirus

Rationale: Toddlers should receive MMR Rubella and Varicella immunizations at this time.

Nursing Process: Evaluation

Client Needs: Health promotion

34. Two-year-old Bradley is a patient on the pediatric unit. Since his admission, his mother has been away at work most of the day, and he has been crying and screaming often. The health care worker understands this behavior may be caused by:

1. Separation anxiety
2. Negativistic behavior
3. Signs of repression
4. Signs of aggression

Rationale: Toddlers go through separation anxiety when they are apart from their parent(s).

Nursing Process: Assessment

Client Needs: Psychosocial Integrity

35. The mother of 2-½-year-old Jamie is concerned that he is still sucking his thumb and wants to know if he can harm himself. The nurse responds by telling her:

1. “He has protection against infection because his hands are always moist.”
2. “It may cause malpositioning of his teeth.”
3. “His speech may be delayed.”
4. “He may experience gastrointestinal irritation.”

Rationale: Thumb sucking places pressure on the teeth and may lead to malpositioning.

Nursing Process: Implementation

Client Needs: Psychosocial Integrity

36. Which of the following reports given by a child’s neighbor is an example/are examples of child neglect? (Select all that apply.)

1. Withholding food or shelter
2. Failure to provide special education for a child diagnosed with a learning disorder
3. Leaving a child with a stranger without a contact number
4. Withholding needed medical care

Rationale: Withholding food, failing to provide necessary special education, leaving the child with a stranger, and withholding needed medical care are all examples of child neglect.

Nursing Process: Assessment

Client Needs: Health promotion