The parents of a 2-year-old are concerned because the toddler only says a few words. What strategy should the nurse suggest to the parents?
Use pronouns when speaking
Have the toddler watch educational television
Read to their child daily to encourage language development
Use baby talk when speaking
The Correct Answer is C
Choice A reason: Using pronouns may help model language, but it is not the most effective strategy for promoting vocabulary development. Toddlers benefit more from exposure to rich, descriptive language and interactive communication.
Choice B reason: Educational television may provide passive exposure to language, but it lacks the interactive component necessary for optimal language acquisition. Studies show that direct human interaction is far more effective than screen time for language development in toddlers.
Choice C reason: Reading to a child daily is one of the most evidence-based strategies for promoting language development. It exposes the child to new vocabulary, sentence structure, and storytelling. It also fosters bonding and encourages active listening and verbal engagement.
Choice D reason: Baby talk may be comforting but does not support proper language development. Clear, correct language models are more beneficial for helping toddlers learn to speak and understand words.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: By age 2½ years, most toddlers have a full set of 20 deciduous (primary) teeth. These include incisors, canines, and molars. The eruption pattern typically begins around 6 months and completes by 30 months. This is the expected dental milestone for this age group.
Choice B reason: Having only 12 deciduous teeth at 2½ years may indicate delayed tooth eruption. While some variation exists, this number is below the expected range and would prompt monitoring or dental consultation.
Choice C reason: Permanent teeth do not begin to erupt until around age 6. A toddler should not have any permanent teeth at 2½ years. This choice is anatomically incorrect.
Choice D reason: The presence of permanent teeth at this age is abnormal. A toddler should have only deciduous teeth. This combination suggests either a misunderstanding or a developmental anomaly.
Correct Answer is C
Explanation
Choice A reason: Cyanosis is a hallmark sign during feeding in infants with tracheoesophageal fistula (TEF). It occurs due to aspiration of milk into the trachea, leading to hypoxia. The abnormal connection between the trachea and esophagus allows food to enter the airway, compromising oxygenation.
Choice B reason: Choking is a classic symptom of TEF during feeding. The infant struggles to swallow properly due to the disrupted anatomy, leading to aspiration and choking episodes. This is one of the primary signs that prompt further evaluation.
Choice C reason: Choanal atresia is a congenital condition involving blockage of the nasal passages, unrelated to TEF. It is not one of the "Cs" associated with feeding difficulties in TEF. Including it in this context is incorrect, as it pertains to a different anatomical defect and clinical presentation.
Choice D reason: Coughing is another key symptom during feeding in infants with TEF. It results from aspiration and irritation of the airway due to the abnormal communication between the trachea and esophagus. This symptom, along with cyanosis and choking, forms the classic triad of TEF feeding complications.
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