C HAPTER 16: C ARE OF THE T ODDLER
MULTIPLE CHOICE
1. Which comment indicates that the mother of a toddler needs further teaching
about dental care?
a. We use well water so I give my toddler fluoride supplements.
b. My toddler brushes his teeth with my help.
c. My child will not need a dental checkup until his permanent teeth come in.
d. I use a small nylon bristle brush for my toddlers teeth.
ANS: C
Children should first see the dentist 6 months after the first primary tooth
erupts and no later than age 30 months. Toddlers need fluoride supplements
when they use a water supply that is not fluorinated. Toddlers need
supervision with dental care. The parent should finish brushing areas not
reached by the child. A small nylon bristle brush works best for cleaning
toddlers teeth.
2. Which assessment finding in a preschooler would suggest the need for further
investigation?
a. The child is able to dress independently.
b. The child rides a tricycle.
c. The child has an imaginary friend.
d. The child has a 2-pound weight gain in 12 months.
ANS: D
, Preschool children gain an average of 5 pounds a year. A gain of only 2
pounds is less than half of the expected weight gain and should be
investigated. A preschool child should be able to dress independently and be
able to ride a tricycle. Imaginary friends are common for preschoolers.
3. Which is the most appropriate action for the nurse to take when telling a
preschool child about an upcoming procedure?
a. Explain all the information in detail to the child.
b. Speak loudly and clearly to the child.
c. Inform the parents of the procedure and ask them to tell the child.
d. Use symbolic play to explain the procedure.
ANS: D
Symbolic play is important for emotional development because it allows the
child to work through distressing feelings and can be therapeutic. It is
inappropriate to give a preschooler all the information in detail. The child
needs to understand what is going to happen to him without explicit details of
the procedure. Speaking in clear sentences with simple words is important,
but the conversation should be conducted at a nonthreatening normal sound
level. The nurse has the most knowledge and best ability for explaining the
procedure to the child; however, the parents can be an important res ource
when explaining the procedure.
4. In caring for a 4-year-old child with a diagnosis of suspected child abuse, which
is the best nursing intervention?
a. Avoid touching the child.
b. Provide the child with play situations that allow for disclosure.
c. Discourage the child from remembering the incident.
d. Deny the suspected perpetrator visiting rights to the child.
MULTIPLE CHOICE
1. Which comment indicates that the mother of a toddler needs further teaching
about dental care?
a. We use well water so I give my toddler fluoride supplements.
b. My toddler brushes his teeth with my help.
c. My child will not need a dental checkup until his permanent teeth come in.
d. I use a small nylon bristle brush for my toddlers teeth.
ANS: C
Children should first see the dentist 6 months after the first primary tooth
erupts and no later than age 30 months. Toddlers need fluoride supplements
when they use a water supply that is not fluorinated. Toddlers need
supervision with dental care. The parent should finish brushing areas not
reached by the child. A small nylon bristle brush works best for cleaning
toddlers teeth.
2. Which assessment finding in a preschooler would suggest the need for further
investigation?
a. The child is able to dress independently.
b. The child rides a tricycle.
c. The child has an imaginary friend.
d. The child has a 2-pound weight gain in 12 months.
ANS: D
, Preschool children gain an average of 5 pounds a year. A gain of only 2
pounds is less than half of the expected weight gain and should be
investigated. A preschool child should be able to dress independently and be
able to ride a tricycle. Imaginary friends are common for preschoolers.
3. Which is the most appropriate action for the nurse to take when telling a
preschool child about an upcoming procedure?
a. Explain all the information in detail to the child.
b. Speak loudly and clearly to the child.
c. Inform the parents of the procedure and ask them to tell the child.
d. Use symbolic play to explain the procedure.
ANS: D
Symbolic play is important for emotional development because it allows the
child to work through distressing feelings and can be therapeutic. It is
inappropriate to give a preschooler all the information in detail. The child
needs to understand what is going to happen to him without explicit details of
the procedure. Speaking in clear sentences with simple words is important,
but the conversation should be conducted at a nonthreatening normal sound
level. The nurse has the most knowledge and best ability for explaining the
procedure to the child; however, the parents can be an important res ource
when explaining the procedure.
4. In caring for a 4-year-old child with a diagnosis of suspected child abuse, which
is the best nursing intervention?
a. Avoid touching the child.
b. Provide the child with play situations that allow for disclosure.
c. Discourage the child from remembering the incident.
d. Deny the suspected perpetrator visiting rights to the child.
