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Although a 14-month-old girl received a shock from an electrical outlet recently,her parents found her about to place a paper clip in another outlet.What is the best interpretation of this behaviour?


A) Her cognitive development is delayed.
B) This is typical behaviour because toddlers are not very developed.
C) This is typical behaviour because of her inability to transfer knowledge to new situations.
D) This is not typical behaviour because toddlers should know better than to repeat an act that caused pain.

E) B) and C)
F) All of the above

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A parent asks the nurse about how to deal with negativism in toddlers.What is the most appropriate recommendation?


A) Punish the child.
B) Provide more attention.
C) Ask the child to not always say "no."
D) Reduce the opportunities for a "no" answer.

E) All of the above
F) None of the above

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D

Parents tell the nurse that their toddler daughter eats a little at mealtime,only sits at the table with the family briefly,and wants snacks "all the time." What should the nurse recommend to the parents?


A) Give her planned, frequent, and nutritious snacks.
B) Offer rewards for eating at mealtimes.
C) Avoid snacks so she is hungry at mealtimes.
D) Explain to her in a firm manner what is expected of her.

E) B) and C)
F) B) and D)

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Which one of the following is a psychosocial developmental task of toddlerhood?


A) Development of a conscience
B) Recognition of sex differences
C) Ability to get along with age mates
D) Ability to delay gratification

E) None of the above
F) A) and B)

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What is the leading cause of death for toddlers?


A) Injuries
B) Infectious diseases
C) Congenital disorders
D) Childhood diseases

E) B) and C)
F) None of the above

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Kimberly's parents have been using a rearward-facing convertible car seat since she was born.Most car seats can be safely switched to the forward-facing position when the child reaches which weight,in kilograms?


A) 5
B) 10
C) 15
D) 20

E) All of the above
F) A) and B)

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What best describes a toddler's cognitive development at age 20 months?


A) Searches for an object only if he or she sees it being hidden
B) Realizes that "out of sight" is not out of reach
C) Puts objects into a container but cannot take them out
D) Understands the passage of time, such as "just a minute" and "in an hour"

E) A) and B)
F) B) and D)

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A toddler's parent asks the nurse for suggestions on dealing with temper tantrums.Which is the most appropriate recommendation?


A) Punish the child.
B) Leave the child alone until the tantrum is over.
C) Ignore the behaviour, provided that it is not injurious.
D) Explain to the child that this is wrong.

E) A) and B)
F) A) and C)

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C

Two toddlers are playing in a sandbox,when one child suddenly grabs a toy from the other.What is the best interpretation of this behaviour?


A) This is typical behaviour because toddlers are aggressive.
B) This is typical behaviour because toddlers are egocentric.
C) Toddlers should know that sharing toys is expected of them.
D) Toddlers should have the cognitive ability to know right from wrong.

E) None of the above
F) A) and C)

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The parents of a newborn say that their toddler "hates the baby ...he suggested that we put him in the trash can so the trash truck could take him away." What is the best way for the nurse to reply?


A) "Let's see if we can figure out why he hates the new baby."
B) "That's a strong statement to come from such a small boy."
C) "Let's refer him to counselling to work this hatred out. It's not a normal response."
D) "That is a normal response. Let's look at ways to deal with this."

E) A) and B)
F) A) and C)

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What is the most effective way to clean a toddler's teeth?


A) Child brushes regularly with toothpaste of his or her choice.
B) Parent stabilizes the chin with one hand and brushes with the other.
C) Parent brushes the mandibular occlusive surfaces, leaving the rest for the child.
D) Parent brushes the front labial surfaces, leaving the rest for the child.

E) B) and D)
F) B) and C)

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What is the most fatal type of burn for the toddler age group?


A) Flame burn from playing with matches
B) Scald burn from high-temperature tap water
C) Hot object burn from cigarettes or irons
D) Electric burn from electrical outlets

E) A) and B)
F) A) and C)

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Developmentally,most children at age 12 months do which of the following?


A) Use a spoon adeptly.
B) Relinquish the bottle voluntarily.
C) Eat the same food as the rest of the family.
D) Reject all solid food in preference for the bottle.

E) All of the above
F) None of the above

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Which characteristic best describes the gross motor skills of a 24-month-old child?


A) The child skips.
B) The child rides a tricycle.
C) The child broad jumps.
D) The child walks up and down stairs.

E) B) and C)
F) B) and D)

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D

In the clinic waiting room,a nurse observes a parent showing an 18-month-old child how to make a tower out of blocks.What should the nurse recognize in this situation?


A) Blocks at this age are used primarily for throwing.
B) Toddlers are too young to imitate the behaviour of others.
C) Toddlers are capable of building a tower of blocks.
D) Toddlers are too young to build a tower of blocks.

E) All of the above
F) B) and C)

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A father tells the nurse that his daughter wants the same plate and cup used at every meal,even if they go to a restaurant.Which of the following should be the nurse's response?


A) It is a sign that the child is spoiled.
B) It is a way for her to exert unhealthy control.
C) It shows regression, which is common at this age.
D) It demonstrates ritualism, which is common at this age.

E) All of the above
F) C) and D)

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According to Piaget,which stage is a 17-month-old child expected to be in?


A) Trust
B) Preoperations
C) Secondary circular reactions
D) Tertiary circular reactions

E) B) and C)
F) A) and B)

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What is an appropriate recommendation for preventing tooth decay in young children?


A) Substitute raisins for candy.
B) Serve sweets after a meal.
C) Use honey or molasses instead of refined sugar.
D) Serve sweets between meals.

E) C) and D)
F) B) and D)

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The parent of 16-month-old Chris asks,"What is the best way to keep Chris from getting into our medicines at home?" What should the nurse advise?


A) "All medicines should be locked securely away."
B) "The medicines should be placed in high cabinets."
C) "Chris just needs to be taught not to touch medicines."
D) "Medicines should not be kept in the homes of small children."

E) All of the above
F) A) and D)

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Which statement is correct about toilet training?


A) Bladder training is usually accomplished before bowel training.
B) Wanting to please the parent helps motivate the child to use the toilet.
C) Watching older siblings use the toilet confuses the child.
D) Children must be forced to sit on the toilet when first learning.

E) A) and B)
F) None of the above

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