Chapter 07: Health Promotion During Early Childhood McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition

Chapter 07: Health Promotion During Early Childhood McKinney: Evolve Resources for Maternal-Child Nursing, 5th Edition MULTIPLE CHOICE 1. The parent of a 14-month-old child is concerned because the child’s appetite has decreased. The best response for the nurse to make to the parent is, a. “It is important for your toddler to eat three meals a day and no snacks.” b. “It is not unusual for toddlers to eat less due to slower growth.” c. “Be sure to increase your child’s milk consumption, which will improve nutrition.” d. “Give your child a multivitamin daily to increase your toddler’s nutrition.” ANS: B Physiologically, growth slows and appetite decreases during the toddler period. So the nurse should assure the parent that this is normal behavior. Toddlers need small, frequent meals. Nutritious selection throughout the day, rather than quantity, is more important with this age- group. Milk consumption should not exceed 16 to 24 oz daily. Juice should be limited to 4 to 6 oz per day. Increasing the amount of milk will only further decrease solid food intake. Supplemental vitamins are important for all children, but they do not increase appetite. PTS: 1 DIF: Cognitive Level: Application/Applying REF: p. 116 OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance 2. Which toy is the most developmentally appropriate for an 18- to 24-month-old child? a. A push-and-pull toy b. Nesting blocks c. A bicycle with training wheels d. A computer ANS: A Push-and-pull toys encourage large muscle activity and are appropriate for toddlers. Nesting blocks are more appropriate for a 12- to 15-month-old child. This child is too young for bicycles or computers. PTS: 1 DIF: Cognitive Level: Knowledge/Remembering REF: Box 7.1 OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 3. The nurse is planning to teach parents of a 15-month-old child. Which is the priority concern the nurse should address? a. Toilet training guidelines b. Guidelines for weaning children from bottles c. Instructions on preschool readiness d. Instructions on a home safety assessment ANS: D