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 ["A","B","C","D"]

Explanation

Allowing a parent to be present provides comfort and reassurance to the child. The familiar presence of a parent can help reduce anxiety and fear.

Allowing the child to have a familiar toy from home can provide a sense of security and distraction during procedures. It can help redirect the child's attention and provide a comforting element.

If there are multiple invasive procedures that need to be done, it is best to schedule them close together rather than spreading them out over a longer period. Clustering procedures reduces the number of times the child needs to go through the distressing experience and minimizes the overall stress and anxiety.

Minimizing the duration of the procedure helps reduce the child's discomfort and anxiety. Swift and efficient execution of the procedure can help make it less distressing for the child.

Using mummy restraints during painful procedures is not a recommended strategy.

A. Emphasize the quantity, rather than the quality, of food consumed B. Add fruit juice to the child's diet to increase vitamin intake C. Expect that food consumption might not decrease significantly D. Have the child remain at the table after meals to increase food intake

Correct Answer is C

Explanation

It is important to recognize that picky eating is a common behavior among preschool-age children and may be a normal part of their development. Children at this age often exhibit preferences for certain foods and may be resistant to trying new foods or eating a wide variety of foods. It is important for parents to understand that this behavior is generally temporary and will likely improve over time.

The nurse should reassure the mother that it is normal for young children to have fluctuations in their appetite and food preferences. Encouraging a positive mealtime environment and offering a variety of healthy foods is important, but pressuring or forcing the child to eat can lead to negative associations with food and mealtime.

Emphasizing the quantity of food consumed over the quality is not recommended, as it may promote unhealthy eating habits. It is important to prioritize offering a balanced diet with a variety of nutrient-rich foods.

Adding fruit juice to the child's diet to increase vitamin intake is not recommended as the primary strategy. Fruit juice is often high in sugar and low in fiber, and excessive consumption can contribute to poor eating habits and dental caries. It is better to focus on offering whole fruits and vegetables for their nutritional benefits.

Having the child remain at the table after meals to increase food intake is not recommended either. It is important to respect the child's appetite and avoid creating negative associations with mealtime. Forcing a child to stay at the table can increase mealtime stress and may further reinforce picky eating behaviors.

Overall, the nurse should provide reassurance to the mother, promote a positive mealtime environment, offer a variety of healthy foods, and allow the child to regulate their own food intake.

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Naxlex Comprehensive Predictor Exams

A nurse is caring for a 3-year-old child whose parents report that she has an intense fear painful procedures, such as injections. Which of the following strategies should the nurse add to the child's plan of care? (Select all that apply.)

Correct Answer is ["A","B","C","D"]

Explanation

A nurse in a pediatric clinic is talking with the mother of a preschool-age child. The mother tells the nurse that her son is a "picky eater." Which of the following instructions should the nurse include in the teaching?

Correct Answer is C

Explanation

A nurse is teaching the parents of a 6-month-old infant about age-specific growth and development. Which statement is true regarding infant development? Select all that apply.

A nurse is collecting data from a child who is descending stairs by placing both feet on each step and holding on to the railing. The nurse should understand that these actions are developmentally appropriate at which of the following ages?

A nurse is caring for a 6-month-old infant. Which of the following findings should indicate to the nurse that the client is experiencing pain following a procedure?

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?

A nurse is developing a health program for the parents of school-age boys. Which of the following information about pubescent changes should the nurse include in the program?

A nurse is administering vaccines at a county health immunization clinic. Which of the following clients should the nurse plan to administer the meningococcal conjugate (MCV4) vaccine?

A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

A nurse is preparing to administer the first measles, mumps, and rubella (MMR) immunization to 15-month-old toddler. Which of the following findings is a contraindication for this immunization?