Exam (elaborations)
Chapter 7 Health Promotion during Early Childhood
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Chapter 7 Health Promotion during Early Childhood
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Chapter 7: Health Promotion during Early ChildhoodTest Bank
MULTIPLE CHOICE
1. The mother of a 14-month-old child is concerned because the child’s appetite has decreased.
The best response for the nurse to make to the mother is
a. “It is important for your toddler to eat three meals a day and nothing in between.”
b. “It is not unusual for toddlers to eat less.”
c. “Be sure to increase your child’s milk consumption, which will improve nutrition.”
d. “Giving your child a multivitamin supplement daily will increase your toddler’s
appetite.”
ANS: B
Feedback
A Toddlers need small, frequent meals. Nutritious selection throughout the day,
rather than quantity, is more important with this age-group.
B Physiologically, growth slows and appetite decreases during the toddler period.
C Milk consumption should not exceed 16 to 24 oz daily. Juice should be limited
to 4 to 6 oz per day. Increasing the amount of milk will only further decrease
solid food intake.
D Supplemental vitamins are important for all children, but they do not increase
appetite.
PTS: 1 DIF: Cognitive Level: Application REF: p. 128
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
2. Which toy is the most developmentally appropriate for an 18- to 24-month-old child?
a. A push-and-pull toy
b. Nesting blocks
c. A bicycle with training wheels
d. A computer
ANS: A
Feedback
A Push-and-pull toys encourage large muscle activity and are appropriate for
toddlers.
B Nesting blocks are more appropriate for a 12- to 15-month-old child.
C A bicycle with training wheels is appropriate for a preschool or young school-
age child.
D A computer can be appropriate as early as the preschool years.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 126 | Box 7-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
, 3. Which is the priority concern in developing a teaching plan for the parents of a 15-month-old
child?
a. Toilet training guidelines
b. Guidelines for weaning children from bottles
c. Instructions on preschool readiness
d. Instructions on a home safety assessment
ANS: D
Feedback
A Although it is appropriate to give parents of a 15-month-old child toilet training
guidelines, the child is not usually ready for toilet training, so it is not the
priority teaching intervention.
B Parents of a 15-month-old child should have been advised to beginning weaning
from the breast or bottle at 6 to 12 months of age.
C Educating a parent about preschool readiness is important and can occur later in
the parents’ educational process. The priority teaching intervention for the
parents of a 15-month-old child is the importance of a safe environment.
D Accidents are the major cause of death in children, including deaths caused by
ingestion of poisonous materials. Home and environmental safety assessments
are priorities in this age-group because of toddlers’ increased motor skills and
independence, which puts them at greater risk in an unsafe environment.
PTS: 1 DIF: Cognitive Level: Application REF: pp. 133-134
OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
4. What is the primary purpose of a transitional object?
a. It helps the parents deal with the guilt they feel when they leave the child.
b. It keeps the child quiet at bedtime.
c. It is effective in decreasing anxiety in the toddler.
d. It decreases negativism and tantrums in the toddler.
ANS: C
Feedback
A Decreased parental guilt (distress) is an indirect benefit of a transitional object.
B A transitional object may be part of a bedtime ritual, but it may not keep the
child quiet at bedtime.
C Decreasing anxiety, particularly separation anxiety, is the function of a
transitional object; it provides comfort to the toddler in stressful situations and
helps make the transition from dependence to autonomy.
D A transitional object does not significantly affect negativity and tantrums, but it
can comfort a child after tantrums.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 125
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
5. The nurse is teaching parents of a toddler about language development. Which statement best
identifies the characteristics of language development in a toddler?
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