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 corner of 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?

Developing autonomy

An anxiety reaction

Resentment toward the mother

Regression

Answer and Explanation

The Correct Answer is B

These behaviors suggest that the child is experiencing distress or discomfort in response to the separation from the mother and the hospital environment.

Anxiety reactions are common in toddlers who are hospitalized or experience separation from their primary caregivers. It is a normal response to unfamiliar and potentially stressful situations. Toddlers at this age are still developing a sense of security and trust in their environment, and being in the hospital can disrupt their routine and comfort.

It is important for the nurse to provide a calm and supportive environment for the toddler, offering reassurance and comfort. The nurse can engage in activities that promote a sense of security and provide opportunities for the toddler to express their emotions and fears, such as through play or comforting rituals.

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Correct Answer is C

Explanation

Correct answer: C

A. While distraction can sometimes work, it may inadvertently reinforce the tantrum if the child perceives that having a tantrum leads to getting attention or special activities.

B. Telling the child that temper tantrums are not acceptable may not be effective as toddlers may not fully comprehend or control their emotions yet. Ignoring the tantrums can also be challenging as it may reinforce the behavior or escalate the intensity.

C.When a tantrum does happen, parents should ignore itifitisn’t dangerous.When kids get attention for tantrums,they are more motivated to keep having them. Instead, give attention to yourchildwhen they do something good. Give lots of praise whenthey compromise,try to calm themselves downor do something difficult without a tantrum.

D. Physically restraining the child is not recommended as it can be distressing for the child and potentially cause harm. It is important to use positive and supportive strategies to manage and address temper tantrums in toddlers.

A. "Sometimes my child acts bossy with his friends." B. "My child often cheats when we play board games C. "My child has recently lost both front top teeth." D. "The teacher says my child has to squint to see the board”

Correct Answer is D

Explanation

This indicates a potential vision problem in the child that needs further evaluation and intervention. Squinting to see the board suggests that the child may be experiencing difficulty with vision or visual acuity, which can impact their academic performance and overall well-being.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A parent of a toddler asks a nurse at a well-child visit how the child's frequent temper tantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

Correct Answer is C

Explanation

A nurse is speaking with the mother of a 6-year-old child. Which of the following statements by the mother should concern the nurse?

Correct Answer is D

Explanation

A nurse is assisting with a routine physical examination of an adolescent. The provider observes a lateral curvature of the spine. The nurse should expect the provider to document which of the following disorders?

A nurse is assessing a newborn who has developmental dysplasia of the hip (DDH). Which of the following findings should the nurse expect?

A nurse is providing anticipatory guidance about child development to the parents of a preschooler. Which of the following developmental tasks should the nurse include as being expected of a preschooler?

A nurse is collecting data from an infant at a well-child visit. The nurse should understand that birth weight typically doubles by what age?

An 8-year-old girl is being admitted to the hospital from the emergency department with an injury from falling off her bicycle. What intervention will help her most in her adjustment to the hospital?

A nurse is assessing a 15-month-old toddler. Which of the following findings should the nurse report to the provider?

The mother of a child who is 2 year 6 months in age has arranged a play date with the neighbor and her child who is 2 year 9 months old. During the play date the two mothers should expect that the children will do which of the following?

A nurse is providing care to a child who has an allergy to eggs. The nurse should question the prescription for which of the following immunizations?