Chapter 17: The Toddler
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-
month-old child who lives there. What observation would lead the nurse to this conclusion?
a. The fireplace has a screen.
b. The dining room table has a tablecloth on it.
c. There are paintings on the wall.
d. The kitchen floor is clean but not shiny.
ANS: B
A tablecloth presents a safety hazard because the curious toddler will reach up and pull on it.
The toddler could be injured if items on the table are moved when the tablecloth is pulled.
DIF: Cognitive Level: Analysis REF: p. 424 | Health Promotion Box
OBJ: 10 TOP: Injury Prevention
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. What does the nurse consider as an appropriate snack for a 2-year-old child?
a. Hot dog sections
b. Grapes
c. Popcorn
d. Applesauce
ANS: D
Applesauce is a healthy and safe snack food for the toddler. The toddler is at risk for choking
on foods such as grapes, hot dogs, and popcorn.
DIF: Cognitive Level: Analysis REF: p. 424 | Health Promotion Box
OBJ: 10 TOP: Injury Prevention
KEY: Nursing Process Step: Planning
, MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. Which finding would concern the nurse assessing vital signs on a 2-year-old child?
a. Temperature of 37.1C (98.8F)
b. Pulse at 100 beats/minute
c. Respirations of 36 breaths/minute
d. Blood pressure of 90/60 mm Hg
ANS: C
In the toddler period, the respiratory rate decreases to 25 breaths/minute.
DIF: Cognitive Level: Analysis REF: pp. 416-417 OBJ: 2
TOP: Vital Signs KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. What would be an expected finding when assessing language development in a 2-year-old child?
a. A 900-word vocabulary
b. Use of two-word sentences
c. Use of pronouns and prepositions
d. 100% of speech is understandable
ANS: B
The 2-year-old child should be using two-word sentences.
DIF: Cognitive Level: Analysis REF: p. 418 | Table 17.2
OBJ: 5 TOP: Speech Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child. How
many minutes will the nurse indicate is appropriate for a child of this age?
a. 3
b. 6
c. 10
d. 15
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. On a home visit, the nurse notes that the parents require teaching intervention to protect the 15-
month-old child who lives there. What observation would lead the nurse to this conclusion?
a. The fireplace has a screen.
b. The dining room table has a tablecloth on it.
c. There are paintings on the wall.
d. The kitchen floor is clean but not shiny.
ANS: B
A tablecloth presents a safety hazard because the curious toddler will reach up and pull on it.
The toddler could be injured if items on the table are moved when the tablecloth is pulled.
DIF: Cognitive Level: Analysis REF: p. 424 | Health Promotion Box
OBJ: 10 TOP: Injury Prevention
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. What does the nurse consider as an appropriate snack for a 2-year-old child?
a. Hot dog sections
b. Grapes
c. Popcorn
d. Applesauce
ANS: D
Applesauce is a healthy and safe snack food for the toddler. The toddler is at risk for choking
on foods such as grapes, hot dogs, and popcorn.
DIF: Cognitive Level: Analysis REF: p. 424 | Health Promotion Box
OBJ: 10 TOP: Injury Prevention
KEY: Nursing Process Step: Planning
, MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. Which finding would concern the nurse assessing vital signs on a 2-year-old child?
a. Temperature of 37.1C (98.8F)
b. Pulse at 100 beats/minute
c. Respirations of 36 breaths/minute
d. Blood pressure of 90/60 mm Hg
ANS: C
In the toddler period, the respiratory rate decreases to 25 breaths/minute.
DIF: Cognitive Level: Analysis REF: pp. 416-417 OBJ: 2
TOP: Vital Signs KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Physiological Integrity: Physiological Adaptation
4. What would be an expected finding when assessing language development in a 2-year-old child?
a. A 900-word vocabulary
b. Use of two-word sentences
c. Use of pronouns and prepositions
d. 100% of speech is understandable
ANS: B
The 2-year-old child should be using two-word sentences.
DIF: Cognitive Level: Analysis REF: p. 418 | Table 17.2
OBJ: 5 TOP: Speech Development
KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
5. The nurse is planning to explain the use of time-outs to the parent of a 3-year-old child. How
many minutes will the nurse indicate is appropriate for a child of this age?
a. 3
b. 6
c. 10
d. 15
