Which would be least effective in gaining the cooperation of a toddler during a physical examination?

Tell the child that another child the same age wasn't afraid.

Permit the child to sit on the parent's lap during the examination.

Offer immediate praise for holding still or doing what was asked.

Allow the child to touch and hold the equipment when possible.

Answer and Explanation

The Correct Answer is A

A. Tell the child that another child the same age wasn't afraiD. This approach may backfire as toddlers may not fully understand or relate to the concept of comparison with other children. Additionally, it could potentially increase the child's anxiety by implying that being afraid is abnormal.

B. Permit the child to sit on the parent's lap during the examination: Allowing the child to stay close to their caregiver can provide comfort and security, promoting cooperation during the examination.

C. Offer immediate praise for holding still or doing what was askeD. Positive reinforcement can encourage desired behavior and cooperation by reinforcing the child's efforts to comply with the examination process.

D. Allow the child to touch and hold the equipment when possiblE. Giving the child a sense of control and familiarity with the examination tools can help alleviate fear and increase cooperation during the examination.

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Correct Answer is A

Explanation

A. Stands on one foot for a few seconds: By age 3, children typically begin to develop the ability to stand briefly on one foot, although they may not be able to maintain balance for an extended period.

B. Skips and hops on one foot: Skipping and hopping on one foot are more advanced gross motor skills that usually develop around ages 4 to 5, so it would be less expected for a 3-year-old.

C. Walks backwards heel to toE. Walking backwards heel to toe requires a higher level of coordination and balance and is usually mastered later in childhood, typically around ages 4 to 6.

D. Has a vocabulary of 1,500 words: While vocabulary development varies among children, a vocabulary of 1,500 words would be advanced for a 3-year-old. Most children at this age have a vocabulary of around 200 to 1,000 words.

A. Use of car seats and other safety measures B. Use of supplements and vitamins C. Prenatal and perinatal histories D. The child's race and ethnicity E. The child's toileting habits

Correct Answer is ["A","B","E"]

Explanation

A. The use of car seats and other safety measures is crucial for the child's safety and is a standard part of a functional history to ensure that the child is being protected from common household and travel-related injuries.

B. The use of supplements and vitamins can significantly impact a child's health, especially at a developmental age, and should be monitored and recorded.

C. Prenatal and perinatal histories are typically reviewed during initial visits and not necessarily part of a routine functional history for a 2-year-old unless there are ongoing health issues related to birth.

D. The child's race and ethnicity are important for demographic data but are not typically part of a functional history unless there are specific cultural practices or genetic predispositions that affect the child's health.

E. The child's toileting habits are an important aspect of their development and daily functioning, and changes or issues in this area can indicate health concerns.

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Which would be least effective in gaining the cooperation of a toddler during a physical examination?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 3-year-old child at a routine wellness checkup. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

The nurse is questioning the parents of a 2-year-old child to obtain a functional history. Which topics might the nurse include? Select all that apply.

Correct Answer is ["A","B","E"]

Explanation

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