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.)

Need for increased caloric intake

Management of tantrums

How to establish trust

How to encourage cooperative play

Dental care

Answer and Explanation

Correct Answer : B,E

A. Toddlers experience slowed growth compared to infancy, leading to a natural decrease in appetite (physiologic anorexia). Instead of increasing caloric intake, parents should be encouraged to offer nutrient-dense foods in small, frequent meals and avoid pressuring the child to eat.

B. Tantrums are common in toddlers as they begin to assert independence but struggle with emotional regulation. Parents should use strategies such as remaining calm, setting clear limits, offering choices when appropriate, and using positive reinforcement to help manage tantrums effectively.

C. Establishing trust is a key developmental task of infancy (Erikson’s trust vs. mistrust stage). In toddlerhood (autonomy vs. shame and doubt stage), the focus is on developing independence, so guidance should focus on setting boundaries, providing choices, and allowing safe exploration rather than trust-building alone.

D. Cooperative play is typically aimed at older preschoolers and not toddlers, who are still developing social skills and tend to engage in parallel play rather than cooperative play.

E. Early dental hygiene is crucial for preventing cavities and establishing good oral health habits. Parents should begin brushing their toddler's teeth with a soft toothbrush and a small amount of fluoride toothpaste and schedule the first dental visit by 12 months of age or within 6 months of the first tooth eruption.

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Correct Answer is A

Explanation

This is an evidence-based recommendation to reduce the risk of SIDS. The American Academy of Pediatrics (AAP) recommends placing infants on their back for sleep as the safest sleep position. This position has been shown to significantly reduce the incidence of SIDS. The nurse should emphasize the importance of following safe sleep practices, including placing the baby on their back, providing a firm and safe sleep surface, keeping the sleep area free of soft bedding or objects, and avoiding overheating.

A. 6 years B. 5 years C. 4 years D. 3 years

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.

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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.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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?

Correct Answer is A

Explanation

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

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