Exam (elaborations)
Chapter 11. Health Promotion of theToddler and Family
- Course
- Pediatric nursing
- Institution
- Baylor College Of Medicine
Chapter 11. Health Promotion of theToddler and Family
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Chapter 11. Health Promotion of theToddler and FamilyMULTIPLE CHOICE
1. What factor is most important in predisposing toddlers to frequent infections?
a. Respirations are abdominal.
b. Pulse and respiratory rates in toddlers are slower than those in infants.
c. Defense mechanisms are less efficient than those during infancy.
d. Toddlers have short, straight internal ear canals and large lymph tissue.
ANS: D
Toddlers continue to have theshort, straight internal ear canals of infants. thelymphoid tissue of
the tonsils and adenoids continues to be relatively large. These two anatomic conditions combine
to predispose toddlers to frequent infections. theabdominal respirations and lowered pulse and
respiratory rate of toddlers do not affect their susceptibility to infection. thedefense mechanisms
are more efficient compared with those of infancy.
DIF: Cognitive Level: Analyzing REF: dl. 490
,TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
2. What do thepsychosocial developmental tasks of toddlerhood include?
a. Development of a conscience
b. Recognition of sex differences
c. Ability to get along with age mates
d. Ability to delay
gratification ANS: D
If theneed for basic trust has been satisfied, then toddlers can give up dependence for control,
independence, and autonomy. One of thetasks that toddlers are concerned with is theability to
delay gratification. Development of a conscience and recognition of sex differences occur during
thepreschool years. theability to get along with age mates develops during thepreschool and
school-age years.
DIF: Cognitive Level: Understanding REF: dl. 490
TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity
3. The developmental task with which thechild of 15 to 30 months is likely to be struggling is a
sense of which?
a. Trust
b. Initiative
c. Intimacy
d. Autonomy
ANS: D
Autonomy versus shame and doubt is thedevelopmental task of toddlers. Trust versus mistrust is
, TOP: Nursing Process: Assessment MSC: Client Needs: Physiological Integrity
the developmental stage of infancy. Initiative versus guilt is thedevelopmental stage of early
childhood. Intimacy and solidarity versus isolation is thedevelopmental stage of early adulthood.
DIF: Cognitive Level: Remembering REF: dl. 490
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. Parents of an 18-month-old boy tells thenurse that he says no to everything and has rapid
mood swings. If he is scolded, he shows anger and then immediately wants to be held. What
isthenurses best interpretation of this behavior?
a. This is normal behavior for his age.
b. This is unusual behavior for his age.
c. He is not effectively coping with stress.
d. He is showing he needs more
attention. ANS: A
Toddlers use distinct behaviors in thequest for autonomy. They express their will with continued
negativity and use of theword no. Children at this age also have rapid mood swings. thenurse
should reassure theparents that their child is engaged in expected behavior for an 18-month-old.
DIF: Cognitive Level: Understanding REF: dl. 491
TOP: Integrated Process: Teaching/Learning
MSC: Client Needs: Health Promotion and Maintenance
5. A 17-month-old child should be expected to be in which stage, according to Piaget?
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