A nurse is providing health promotion teaching to the parents of a toddler. Which of the following information should the nurse include in the teaching? (Select all that apply.)
Need for increased caloric intake
Management of tantrums
How to establish trust
How to encourage cooperative play
Dental care
Correct Answer : B,E
A. Toddlers experience slowed growth compared to infancy, leading to a natural decrease in appetite (physiologic anorexia). Instead of increasing caloric intake, parents should be encouraged to offer nutrient-dense foods in small, frequent meals and avoid pressuring the child to eat.
B. Tantrums are common in toddlers as they begin to assert independence but struggle with emotional regulation. Parents should use strategies such as remaining calm, setting clear limits, offering choices when appropriate, and using positive reinforcement to help manage tantrums effectively.
C. Establishing trust is a key developmental task of infancy (Erikson’s trust vs. mistrust stage). In toddlerhood (autonomy vs. shame and doubt stage), the focus is on developing independence, so guidance should focus on setting boundaries, providing choices, and allowing safe exploration rather than trust-building alone.
D. Cooperative play is typically aimed at older preschoolers and not toddlers, who are still developing social skills and tend to engage in parallel play rather than cooperative play.
E. Early dental hygiene is crucial for preventing cavities and establishing good oral health habits. Parents should begin brushing their toddler's teeth with a soft toothbrush and a small amount of fluoride toothpaste and schedule the first dental visit by 12 months of age or within 6 months of the first tooth eruption.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
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Correct Answer is A
Explanation
Children with congenital immunodeficiencies have compromised immune systems and may not be able to mount an adequate immune response to the vaccine. Administering live vaccines, such as MMR, to these children can potentially cause severe complications.
Correct Answer is A
Explanation
Preschoolers, typically between the ages of 3 and 5 years, engage in imaginative and pretend play. They often create scenarios, role-play, and use their imagination to create fictional situations and characters. This type of play is important for their cognitive, social, and emotional development.
Building a section of cards and controlling impulsive feelings are not specific developmental tasks typically associated with preschoolers. While building with blocks or other construction toys can enhance fine motor skills and problem-solving abilities, building a section of cards is not a common developmental milestone. Controlling impulsive feelings is an ongoing process that develops over time and requires guidance and support from parents and caregivers, but it is not solely expected of preschoolers.
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