A 2-year-old child is reported to be a “picky eater” by his father. What pointers could the nurse provide the parent to help minimize stress related to mealtime? (Select all that apply)
Offer small portions of 1 to 2 teaspoons to the child.
Do not use sweets as a reward for cleaning their plate.
Feed the toddler before the rest of the family.
Food jags need to be addressed and not given in to.
Mealtime for a toddler should not exceed 20 minutes.
Correct Answer : A,B,E
Choice A reason: Offering small portions (1-2 teaspoons) reduces overwhelm for a picky eater, encouraging trying new foods without pressure. This aligns with pediatric nutrition strategies for toddlers, minimizing mealtime stress, making it a correct pointer for the father to implement effectively for his 2-year-old.
Choice B reason: Avoiding sweets as rewards prevents reinforcing unhealthy eating habits and reduces mealtime battles. This promotes intrinsic motivation for eating, aligning with pediatric feeding guidelines, making it a correct strategy to minimize stress for a 2-year-old picky eater during meals with the family.
Choice C reason: Feeding the toddler before the family may disrupt social eating and does not address picky eating directly. Small portions and avoiding rewards are more effective, making this incorrect, as it does not minimize stress or encourage healthy mealtime behaviors in toddlers in a family setting.
Choice D reason: Food jags (preferring one food) are normal in toddlers and should be accommodated, not resisted, to avoid stress. Forcing variety escalates conflicts, making this incorrect compared to strategies like small portions that reduce mealtime tension for picky eaters in early childhood.
Choice E reason: Limiting mealtime to 20 minutes prevents prolonged battles, reducing stress for a picky eater. Short meals respect the toddler’s attention span, aligning with pediatric feeding recommendations, making it a correct pointer to help the father manage mealtime effectively for his 2-year-old child.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Lack of eye contact and developmental delay don’t directly indicate physical abuse, which typically shows fear or physical signs. Autistic behaviors like poor eye contact are more likely, making this incorrect, as the toddler’s behaviors align better with autism in the well-child assessment.
Choice B reason: Cocaine abuse by the caregiver might affect development but isn’t linked to specific behaviors like poor eye contact. Autistic traits better explain the toddler’s symptoms, making this speculative and incorrect compared to the nurse’s assessment of developmental concerns in the child.
Choice C reason: Poor eye contact and slower development at 23 months suggest autistic behaviors, common in autism spectrum disorder. This aligns with pediatric developmental screening, making it the correct additional assessment for the nurse to consider based on the toddler’s observed behaviors during the check.
Choice D reason: ADHD typically presents later with hyperactivity and inattention, not poor eye contact or developmental delay at 23 months. Autistic behaviors are more fitting, making this incorrect, as the toddler’s symptoms align better with autism than ADHD in the well-child evaluation.
Correct Answer is C
Explanation
Choice A reason: Using tweezers risks ear canal injury or pushing paper deeper in a 2-year-old, potentially causing trauma. Professional evaluation ensures safe removal, making this dangerous and incorrect compared to advising immediate medical attention to address the potential foreign object in the child’s ear safely.
Choice B reason: Delaying care for irritation risks complications like infection or eardrum damage from a foreign object in a 2-year-old. Immediate provider assessment is safer, making this inadequate and incorrect compared to prioritizing prompt medical evaluation for the child’s potential ear issue.
Choice C reason: Immediate care provider evaluation ensures safe removal of any paper, preventing ear damage or infection in a 2-year-old. Advising against inserting objects protects the child, aligning with pediatric safety protocols, making this the correct response to address the caregiver’s concern effectively.
Choice D reason: Washing the ear with a syringe may push paper deeper or injure a 2-year-old’s delicate ear canal. Professional intervention is needed, making this risky and incorrect compared to seeking immediate medical evaluation to safely address the potential foreign object in the child’s ear.
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