Author Question: The nurse is teaching a parent of an 18-month-old about developmental milestones associated with ... (Read 85 times)

Garrulous · **on:** Jun 28, 2018

The nurse is teaching a parent of an 18-month-old about developmental milestones associated with feeding. What should the nurse include in the teaching? (Select all that apply.)

a. The child will begin to use a fork.
b. The child will be able use a straw and cup.
c. The child will be able to hold a cup with both hands.
d. The child will be able to drink from a cup with a lid.
e. The child will begin to use a spoon but may turn it before reaching the mouth.

Question 2

A parent tells the nurse, My toddler tries to undo the car seat harness and climb out of the seat. What strategies should the nurse recommend to the parent to encourage the child to stay in the seat? (Select all that apply.)

a. Allow your child to hold a favorite toy.
b. Allow your child out of the seat occasionally.
c. Avoid using rewards to encourage cooperative behavior.
d. When child tries to unbuckle the seat harness, firmly say, No.
e. It may be necessary to stop the car to reinforce the expected behavior.

IAPPLET · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C, D, E
An 18-month-old child can hold a cup with both hands, is able to drink from a cup with a lid, and begins to use a spoon but may turn it before reaching the mouth. Using a fork is a developmental milestone of a 36-month-old child. Using a straw and cup is a milestone seen at 24 months.

Answer to Question 2

ANS: A, D, E
Strategies to encourage a child to stay in a car seat include allowing the child to hold favorite toy, firmly saying No if the child begins to undo the harness, and stopping the car to reinforce the expected behavior. Rewards, such as stars or stickers, can be used to encourage cooperative behavior. The child should stay in the car seat at all times, even for short trips.