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NURS: Toddler
45 cards·by cocostudies
What remains abdominal but becomes slower
Respirations
This decreases with toddler's physical growth
Pulse rate
This increases with toddler's physical growth
blood pressure
How does the brain and spine physically grow with the toddler?
Brain develops to 90% of adult size and myelination of the spinal cord is completed
What becomes physically possible to control for the toddler?
Bladder and bowel control
What sort of infections decrease or increase with toddler growth
GI and respiratory infections decrease, while ear infections remain common
What happens to the individual immune system?
It matures
How many pounds does a toddler gain?
5-10 pounds
What kind of tissue diminishes?
subcutaneous
What else decreases with the toddler?
appetite
What happens by 2 years of age?
Birth height is doubled
What happens to the head circumference for a toddler?
Growth of head circumference diminishes during the toddler period, reaching 4/5s of adult
size
What is the chest circumference?
It increases and becomes greater than head circumference
What happens to the abdomen of a toddler?
A prominent or protruding abdomen is common and normal
What happens to the spine?
A forward curve of the spine at the sacral area (lordosis) is common
How does a toddler walk?
With a wide stance
How many teeth does a toddler have?
During the 2nd year, 8 new teeth erupt and all 20 teeth are generally present by 3 years of age
What development crisis does the toddler endure?
Learning a sense of autonomy or independence vs shame or doubt
What predominates cognitive development for the toddler?
Preoperational thought
What does operation mean?
Reason
What does preparational mean?
pre reason
What is a toddler unable to do cognitively?
reason
How is language development fostered for a toddler?
By conversing and reading with the child, naming objects, simple and brief answers to
questions, and talking
What timeframe do milestones start?
15 months
Briefly list what milestones occur at 15 months
Can walk/sit alone, can stack blocks/put small pieces in small bottles/hold spoon and
cup/scribble, experiments w/ permanence
Briefly list more milestones at 15 months
Reassured by parents voice, vocalizes some intelligible words, anxious to interact (but
resists being cuddled), plays w/toys,requires safety
List milestones at 18 months
Run/jump/walk stairs with assistance, uses spoon better, knows 20 words, plays next to other
kids (not w/ them), enjoys toys that "do" stuff
List 18 months milestones
Easily climbs, safety imperative to prevent accidents
Milestones at 2 years
walks up/down stairs alone, turn doorknobs/unscrew lids/cloth self, knows 30 words n can put
together, more parallel play, imitates adults
Milestones at 2 years (cont)
safety measures remain imperative
Milestones at 2 1/2
jumps from stuff, write lines or crosses with pencil, problem solving starts, assimilation,
knows name n some colors, notices sex difference
Milesones at 2 1/2 (cont)
pre operational thought, continues parallel play, play is active n physical (toys used less
than imitation play), safety precautions remain
Hygiene for toddler
bathing is relaxing and enjoyable (must be supervised), self-brushing of teeth once a day,
flossing with assistance, dentist visit by 2
Dressing for toddler
some assistance but allow child to dress self, comfortable easy to put on clothes, firm
shoes(but no rigid arch support, prevents growth)
Sleep for toddler
need for sleep declines (12 hours per night and 1 nap), bedtime ritual common, resists sleep
Eating
high protein/low carb snacks encouraged to help growth and prevent dental carries, toddler
has a decreased appetite and is picky
Exercise
toddler's need for active play/fresh air/sunshine is needed
Normal behavioral problems for toddler
dawdling, ritualistic behavior, negativism, temper tantrums, and separation anxiety
Toilet training for toddler depends on
physiological growth, psychological growth, ability to hold urine and stool
Health problems
Toddler has few health problems except for frequent (10-12 per year) upper respiratory tract
infections.
Common fears for toddler
separation anxiety (protest, despair, detachment), interruption of routines, physical
restriction/threats to indep., separation
What is a complex achievement for a toddler
Language development
Appropriate toys for toddlers
stacking toys, put-in ad take-out toys, toys that move, toys that allow children to imitate
their parents (i.e., cooking, utensils, broom)
Appropriate play environment
Where child can play without fear of damaging anything and that simulates parents' work area
(play kitchen)
Age appropriate chores
make bed, pick up toys and books, put laundry in hamper, help wipe messes, dust (with socks on
hands)