Author Question: The nurse is providing guidance strategies to a group of parents with toddlers at a community ... (Read 65 times)

danielfitts88 · **on:** Jun 28, 2018

The nurse is providing guidance strategies to a group of parents with toddlers at a community outreach program. Which statement by a parent indicates a correct understanding of the teaching?

a. I should expect my 24-month-old child to express some signs of readiness for toilet training.
b. I should be firm and structured when disciplining my 18-month-old child.
c. I should expect my 12-month-old child to start to develop a fear of darkness and to need a security blanket.
d. I should expect my 36-month-old child to understand time and proximity of events.

Question 2

The nurse is assessing a 20-month-old toddler during a well-child visit and notices tooth decay. The nurse should understand that early childhood caries are caused by what?

a. Allowing the child to eat citrus foods at bedtime
b. A hereditary factor that cannot be prevented
c. Poor fluoride supply in the drinking water
d. Giving the child a bottle of juice or milk at naptime

mcinincha279 · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
A 24-month-old toddler starts to show readiness for toilet training; it is important for the parent to be aware of this and be ready to start the process. At 18 months of age, a child needs consistent but gentle discipline because the child cannot yet understand firmness and structure with discipline. Development of fears and need for security items usually occurs at the end of the 18- to 24-month stage. A 36-month-old child does not yet understand time and proximity of events, so the parent needs to understand that the toddler cannot hurry up or we will be late.

Answer to Question 2

ANS: D
One cause of early childhood caries is allowing the child to go to sleep with a bottle of milk or juice; as the sweet liquid pools in the mouth, the teeth are bathed for several hours in this cariogenic environment. Eating citrus fruit at bedtime and poor fluoride supply in drinking water do not cause early childhood caries. The problem is not hereditary and can be prevented with proper education.