Capstone VATI Nursing care of Children Health Promotion and Maintenance quiz 1 3-26-19
The parent of a two-year-old child reports feeling frustrated with the fact that her son is saying no to
everything. The nurse should teach the parent that this behavior is a normal expression of the child’s
desire to accomplish which of the following?
Select one:
a. Gratify their oral fixation.
b. Develop their sense of trust.
c. Finish a project they set out to do.
d. Increase their independence.
CORRECT. The drive for independence is expressed by the toddler opposing the desires of those in
authority (tantrums) and attempting to do everything for themselves. The Erickson developmental
stage for this age is “Autonomy vs. Shame and Doubt.”
Feedback
The correct answer is: Increase their independence.
At a well-child visit, the parents report that their toddler occasionally touches and fondles her genital
area. The parents ask the nurse if this behavior is something to be concerned about. Which of the
following is a correct response?
Select one:
a. This is a possible infection or irritation in the genital area
b. Your child is probably imitating behaviors that she has observed
c. Awareness of body structures and sensations is normal and expected
CORRECT. Genital self-stimulation by the toddler is normal and expected. It is a new area to
explore, similar to exploring the toes at an earlier age, but it has pleasurable sensations too! It
should be ignored unless the behavior becomes pervasive, and then it should still be ignored and
the child should be distracted to come and do some fun and exciting activity
d. This is an early emergence of sexual expression that should be discouraged
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