Nursing 219 Toddlers (exam 2) – Flashcards
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When a child takes their first steps alone (12-15 months) and ends at about 3 years
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The toddler stage begins:
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18 months
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Anterior Fontanel closes at:
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4-5 inches/year
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1 to 2 year olds height increases:
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2-3.5 inches/year
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2 to 3 year olds height increases:
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Add the mom and dad's height (cm) and divide it by 2 if a girl then subtract 13 cm and if a boy add 13 cm
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Formula to predict how tall a baby will be:
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Toddlers limbs grow faster than their torso
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Proximodistal:
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It's tougher, they lost water through their skin and any external rashes are cleared
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Toddlers skin matures:
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antibodies develop when they're exposed to viruses/bacteria prone to respiratory infections b/c lots of lymph Lymphatic tissues enlarge (tonsils)
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Toddler immune system:
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At adult levels
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Toddler blood cell count:
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Increase as their chest grows allowing them better chest function
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Toddler Respirations:
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500 mL
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How much can a toddler's stomach hold:
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16 teeth
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How many teeth do 2 year olds have:
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80% of the adult size
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How large is the two year olds brain:
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higher maturity in the left hemisphere (language ability)
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Female brain development:
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higher maturity in the right hemisphere (spacial ability)
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Male brain development:
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They are walking and becoming better at it
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Toddlers gross motor movement:
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They are picking things up
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Toddlers fine motor movement:
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They are far-sighted and have 20/10 by two years old
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Toddlers vision:
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1300 calories/day
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How many calories does a 3 year old need:
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1000 calories/day
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How many calories does a 1 year old need:
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1.8 grams/kg/day
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How much protein do toddlers need:
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115-125 mL/kg/day
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How much fluid do toddlers need:
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20 grams/day
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How much fiber do toddlers need:
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one year (12 months)
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When may toddlers switch to low-fat milk:
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Two years old
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When may toddlers switch to 2% milk:
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Until they are two years old
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To what age should toddlers drink whole milk:
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One tablespoon of food for every year of age
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What is a serving size of food for a toddler:
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Not getting the correct amounts of food. -Makes toddlers lose focus/energy and they need high calorie foods
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Malnutrition:
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Steadily gaining too much weight and going over the growth curve
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Over-feeding:
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Do not punish a child for not eating Don't bribe a child with food
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Food refusal and food jags:
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Serve smaller portions, make it easy for them to handle, allow them choices, avoid empty calories, don't make them finish all their food, allow them to feed themselves, if they "don't like it" then reintroduce it later
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What to do when child starts a meal time face off:
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3 meals and 3 healthy snacks a day
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How many meals/snacks should toddlers have a day:
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10-12 hours a day (at night)
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How much sleep should toddlers have a day:
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Never
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Should you co-sleep with a child:
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12-18 months
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Duration of Piaget's Tertiary Reactions Substage 5:
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They are trying new things, object permanence is there, the very beginning of intellectual reasoning
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What occurs in Piaget's substage 5:
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They can walk alone and kneel down
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15 months gross motor movement:
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They can build a tower of 2 blocks, put small things in a bottle, use a cup and scribble
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15 months fine motor movement:
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They become very expressive, know 4-6 words
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15 months language:
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S-ask for ab object by pointing to it, knows "no", kisses and hugs, can't talk so temper tantrums P- Likes to name things (nose, eyes), blocks board books, baby dolls
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15 months social/play:
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DTap and Hib
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Vaccines for 15 months:
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They can run clumsily and fall often, walk upstairs, jump in place and throw overhand
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18 months gross motor movement:
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They can build towers of 3-4 blocks, turn book pages 3-4 at a time, can use a spoon
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18 months fine motor movement:
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They know at least 10 words, points to objects
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18 months language:
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They know what belongs to them and they do not want to share it
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18 months social:
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Hep A and Pneumococcal
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Vaccines for 18 months:
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19-24 months
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Piaget's Sensorimotor Substage 6 duration:
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The transitional stage, they can begin to imitate things out of sight, trial and error begins, identifies with the same sex parents their main goal is fulfillment of survival and comfort, understanding basic needs
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Substage 6:
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They can walk upstairs alone, kick a ball and runs well
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24 months gross motor movement:
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They can build a tower with 6-7 blocks, turn pages in book one by one, unscrew lids and turn door knobs
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24 months fine motor movement:
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They know 300 words and can speak in 2 word phrases
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24 months language:
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S- They know their own names and know their gender, temper tantrums decrease b/c they can talk to you more P- They like parallel play and have a longer attention span, they like toy kitchens and telephones (adult things)
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24 months social/play:
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"Pre-conceptual" 2-4 years old
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Piaget's Pre-operational though Substage one duration:
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knows one word for an object, time is only current, distance to them is as far as they can see, they are egocentric
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Substage 1 Pre-conceptual:
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They only understand themselves and care about themselves
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Egocentric:
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knowledge of one thing is transferred to another thing
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Transductive:
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focusing on only one way of seeing things
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Centration:
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Giving human like qualities to non human things
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animism:
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Failure to realize that things can go two ways
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Irreversibility:
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Anything can happen if you think it can
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Magical thinking:
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Not being able to tell the difference in the same amount of water in two different sized glasses
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Inability to conserve:
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If they are not learning language well then it is a sign of autism
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Autism in Toddlers:
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Saying the word "clock" and they point to a clock
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Syncretic speech:
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shortcut of speech by saying 1-2 words for a numerous word thing... wanting water so they say "water"
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Telegraphic speech:
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Deafness, cognitive impairment, emotional disturbances, lots of children in the home so they speak for the child
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Causes for delays in speech:
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Anal
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What psychosocial stage of Freud's are toddlers in:
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1.5-3 years old
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Duration of Anal stage:
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Potty training
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What is the major conflict of the anal stage:
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At three years old
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When should you start toilet training:
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Waking up with dry diaper, watching others pee
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Signs that toddlers are ready to be potty trained:
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birth until age 2, we have no morals
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Duration of Kohlberg Premoral stage:
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2-4 years old
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Duration of Kohlberg pre-convetional stage:
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They know someone else is in charge of them, they do the right thing to not get into trouble
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Toddler's in Pre-conventional stage:
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Autonomy vs. Shame/Doubt
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What stage of Erikson's are toddlers in:
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They will have low self-esteem, be excessively defiant, give up too easily, become passive, sneaky, excessively messy
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Consequences of Toddler not passing A vs. S/D:
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FLACC and comfort scale
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Ways to assess toddlers pain (2):
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Faces, legs, activity, crying, consolability
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FLACC:
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1. Protest 2. Despair 3. Denial
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Toddlers separated from parents undergo three phases of mourning and grief:
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This lasts hours and even days, crying continuously
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Protest:
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The toddler mourns, they become quiet and hopeless, less activity
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Despair:
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They become more interested in their surroundings and their mother doesn't matter. It leads to psychological attachment disorders
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Denial:
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They are interested in their own body parts
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Toddlers sexual identity at 15 months:
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They refer to themselves by their own name
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Toddlers sexual identity at 21 months:
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They can distinguish who is a male or female `
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Toddlers sexual identity at 2 years:
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Allow them choices, decide when to pick your battles, remove temptations, no open-ended questions, be consistent with questions, provide a safe play environment
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Disciplining a Toddler:
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The Family
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Who is the toddler's chief molder of personality:
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The diameter of the upper respiratory tract is small
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Which physical growth and development change in toddlers places them at risk for airway obstruction?
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Participate in parallel play
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The nurse is teaching a group of mothers about toddlers and their play activities by explaining that toddlers:
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Use personal flotation devices on the toddler when boating
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The nurse, presenting a class on strategies to prevent drowning in toddlers, instructs parents to:
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"I require my child to sit on the potty until she goes"
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Which statement, if made by a parent after attending a teaching session on initiating a toilet training program for toddlers, indicates a need for further teaching?
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Parental delays in seeking help
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When the nurse is assessing a toddler for signs of child abuse, observations of parental behavior may include:
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Talk in word phrases, and 2 to 3 word sentences
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The nurse assessing a 24-month-old toddler expects expressive language to include:
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Autonomy
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According to Erikson, what is the developmental task of toddlers?
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Otitis media
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Nurses caring for the toddler population instruct parents that one of the leading causes of visits to health care providers is:
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1. Weight gain of 4-6 pounds per year 2. bowel control generally occurs before urinary control
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Which of the following physical changes are expected during the toddler years?
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Avoid foods that cause choking, do not use food to bribe, reward or punish the toddler, serve small portions and let the toddler ask for more
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The nurse offers interventions to parents to enhance toddlers' nutritional pattern by telling the parents to: