A nurse is caring for an 18-month-old toddler who has been hospitalized for 10 days. After the toddler's mother leaves the room, the nurse observes the toddler sitting quietly in the cornerof the crib, sucking her thumb. When the nurse approaches the crib, the toddler turns away from the nurse. The nurse should understand that these behaviors indicate which of the following developmental reactions?
An anxiety reaction
Regression
Resentment toward the mother
Developing autonomy
The Correct Answer is A
A. An anxiety reaction: The toddler's behavior of sitting quietly, sucking her thumb, and turning away from the nurse when approached after her mother leaves the room suggests anxiety. These
behaviors are common signs of distress or discomfort in young children, especially when separated from their primary attachment figure (in this case, the mother).
B. Regression: Regression involves reverting to earlier, more immature behaviors in response to stress or discomfort. While thumb sucking can be considered a form of regression, the behavior observed in this scenario is more indicative of anxiety rather than a broader regression in
developmental milestones.
C. Resentment toward the mother: There is no evidence in the scenario to suggest that the toddler is expressing resentment toward the mother. The behaviors observed are more likely related to
the child's emotional response to separation and hospitalization.
D. Developing autonomy: Developing autonomy typically involves asserting independence and exploring one's environment. The behaviors observed in the scenario are more indicative of anxiety and distress rather than autonomous behavior.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C","E"]
Explanation
A. Need for increased caloric intake
While toddlers may require adequate nutrition, emphasizing the need for increased caloric intake without individualized assessment and guidance may not be appropriate for all children.
B. Management of tantrums
Toddlers commonly experience tantrums as part of their development. Teaching parents effective strategies for managing and responding to tantrums can help promote positive behavior and reduce stress for both the child and the parents.
C. Dental care
Promoting good oral hygiene practices, such as regular brushing with fluoride toothpaste and routine dental check-ups, is essential for maintaining the toddler's oral health.
D. How to establish trust
While establishing trust is important for the parent-child relationship, this aspect of teaching may be more applicable to infants rather than toddlers who are already in the process of developing
trust with their caregivers.
E. How to encourage cooperative play
Encouraging cooperative play helps foster social skills, sharing, and cooperation in toddlers. Providing guidance on facilitating playdates, sharing toys, and resolving conflicts can support healthy social development.
Correct Answer is A
Explanation
A. Do nothing: this is a normal condition for toddlers: Lordosis, also known as swayback, is a common and typically normal finding in toddlers as they develop and their posture adjusts. It is characterized by an exaggerated curvature of the lumbar spine. In most cases, lordosis resolves on its own as the child grows and their musculoskeletal system matures. Therefore, no
intervention is usually necessary.
B. Notify the primary care healthcare provider about the condition: Lordosis alone is not
typically considered a concerning finding in toddlers unless it is severe or accompanied by other
symptoms. It is not necessary to notify the primary care provider unless there are additional concerning signs or symptoms.
C. Refer the toddler to a physical therapist: Referring the toddler to a physical therapist for lordosis alone is not warranted unless there are other significant musculoskeletal issues or developmental concerns.
D. Explain that the child will need a back bracE. Lordosis in toddlers does not typically require the use of a back brace. It is usually a benign and self-limiting condition that resolves with time as the child's musculoskeletal system matures.
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