Examples of stress experienced by toddlers - ANSWER 1.
separation anxiety from parents, grief reactions
2. regression
3. refusal to eat
4. difficulty sleeping
Three phases of separation anxiety and behavioral responses exhibited during
each phase - ANSWER 1. protest; clings to parent to force
them to stay
2. despair, inactive + withdrawn and regress
3. detachment, denial, after prolonged separation , denies need for parents lvoe,
affection to nurses
Nursing interventions to reduce separation anxiety - ANSWER
1. encourage family contact
2. familiar belonging brought from home
3. provide therapeutic play
,4. accept regression
5. consistent routine with familiar staff
6. extra cuddling and holding
Example of a coping strategy found amongst toddlers when in stress - ANSWER
throwing games
List the major developmental tasks for toddlers - ANSWER
1. development of autonomy
2.. control environment
3. act of movement with no restraining
Identify examples of collaborative efforts to assist toddlers with control and
mobility - ANSWER 1. assist child with ambulation within
their control
2. throwing games, vent frustrations
3. child life specialist, modified toys
4. physical therapist, promote strength and flexibility
,List nursing interventions used to prepare a toddle for a procedure - ANSWER
1. brief explanations, 5-10 mins, emphasize what the child will see, hear, taste, or
feel
2. see age appropriate videos with parents
3. comfort by use of bandages to stop bleeding, avoid deception to gain
compliance
Identify the initial step to effective pain management and special considerations
made for a toddler - ANSWER 1. assessment, meaning of
hurt, what word is used for pain
2. prior pain experience
3. what does your child do when she/he is hurting
4. anything special that need to know about the child in pain
List behavioral cues demonstrated by a a toddler when experiencing pain -
ANSWER 1. frowning
2. crying
2. restlessness
, List physiological cues demonstrated by a toddler when experiencing pain. -
ANSWER 1. rapid pulse
2. rapid respiration
3. perspiration
Identify nursing interventions used for pain management with a toddler -
ANSWER 1. form of relaxation, deep breaths
2. form of distraction
3. transport to treatment room for treatments
4. medical personnel restrains, not parents
5. the parents presence
6. explain in a a few simple words
7. administration of pain meds
Provide examples of fostering autonomy and independence when planning for
discharge - ANSWER 1. select favoring snacks
2. help with dressing change
3. allow playing if on bed rest ( can play near bed)
4. continue to perform toileting and hygiene skills
5. toys for psychosocial development
6. give independence and allow exploration within safe guidelines
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