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 D

Explanation

At this age, children have developed the physical coordination and balance necessary to navigate stairs with more control and safety. They may still require support from holding onto the railing for added stability and security. As children grow older, they continue to refine their motor skills, balance, and coordination, and by the age of 4, 5, and 6 years, they typically demonstrate more advanced stair-descending skills, such as alternating feet and using the railing less for support.

A. Distract the child by offering to play a game. B. Tell the child that temper tantrums are not acceptable. C. Ignore the temper tantrums. D. Restrain the child physically.

Correct Answer is A

Explanation

Distracting the child with a different activity or redirecting their attention can help diffuse the situation and shift their focus away from the tantrum. Offering to play a game or engage in a preferred activity can help redirect their energy and emotions.

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.

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.

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Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is D

Explanation

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 A

Explanation

A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)

A nurse is caring for a newborn whose mother voices concerns about sudden infant death syndrome (SIDS). The nurse should include which of the following statements in a discussion with the mother?

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?

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?

A nurse is assessing a toddler at a well-child visit. At what point in the physical examination should the nurse examine the child's tympanic membrane?

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