Toddler Development and Separation Strategies

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Questions and Answers

What approach can help reduce a toddler's negative responses?

Encourage independence by giving them options

Make statements instead of asking questions (correct)

Ask more questions to engage them

Use humor to lighten the mood

Which of the following strategies is most effective for easing separation anxiety in toddlers?

Leaving without saying goodbye to avoid distress

Making long, drawn-out goodbyes to explain the situation

Ensuring a consistent caregiver or babysitter is present (correct)

Changing caregivers frequently to keep them unpredictable

Why might a toddler's inclination to say 'no' be important for their development?

It indicates strong emotional attachment

It establishes their identity as separate individuals (correct)

It helps them form bonds with caregivers

It reduces their anxiety in social settings

What is a recommended way to reassure a toddler before separating?

Notify them firmly that you will return after they wake Signup and view all the answers

How should a parent ideally say goodbye to a toddler to ease separation?

Firmly, with a clear explanation and assurance of return Signup and view all the answers

What should parents ensure before implementing a timeout for their child?

The child understands the timeout procedure. Signup and view all the answers

What is the recommended duration for a child's timeout?

1 minute for every year of age. Signup and view all the answers

What action should parents take if the child exhibits disruptive behavior during timeout?

Restart the timeout time until the child is quiet. Signup and view all the answers

Where should parents direct their children for a timeout?

To a nonstimulating area such as a hallway. Signup and view all the answers

What tool can be helpful for parents to signal the end of a timeout duration?

A timer that rings when the time is up. Signup and view all the answers

What is a common cause of temper tantrums in toddlers?

Independence without adequate vocabulary Signup and view all the answers

Which approach is recommended for parents dealing with temper tantrums?

Ignore the tantrum and accept the child warmly afterward Signup and view all the answers

What distinguishes discipline from punishment?

Discipline sets rules, while punishment results from broken rules Signup and view all the answers

Which of the following is a key component of effective discipline?

Parental consistency in applying rules Signup and view all the answers

What is one of the general rules for effective discipline?

Praise correct behavior rather than punish wrong behavior Signup and view all the answers

What is the purpose of using a ‘timeout’ as a discipline technique?

To help children learn that actions have consequences Signup and view all the answers

Why might excessive screen time contribute to behavioral issues in toddlers?

It reduces their ability to express emotions Signup and view all the answers

What role do parents play in disciplining toddlers effectively?

They need to be consistent and reinforce expectations Signup and view all the answers

Study Notes

Nurse in Progress

Learning never stops, life never stops
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Notre Dame of Marbel University Nursing Department

Course: NCM 107 A: Care of Mother, Child, and Adolescents (Well Clients)
Level: Bachelor of Science in Nursing, Level III
Course Topic: Care of the Toddler

The Nurse's Prayer

Prayer for faithfulness in the nursing profession
Seeking guidance, gentleness, and hope for those in suffering
Recognition of the need for God's help

Online Classroom Rules

10 colorful, clear, and simple rules for successful distance teaching:
- Be on time
- Enter the virtual classroom quietly
- Stay in one place and face the camera
- Eat before entering the virtual classroom
- Mute yourself
- Turn camera and sound on
- No distractions
- Always do your best work
- Always be respectful

Intended Learning Outcomes

Upon completing the lesson, students demonstrate understanding of concepts related to the care of a family with a toddler.
Focus on normal growth, developmental milestones, and family-centered care
Specific learning objectives include describing normal growth and development of a toddler, recognizing associated parental concerns, differentiating each milestone achieved by the toddler, and utilizing critical thinking to analyze methods of family-centered care.

Biological/Physical Development

12 months: Birth weight triples, birth length increases by 50%, equal head and chest circumference, six to eight teeth
15 months: Growth rate slows, weight 24 lb (11 kg), height 31 inches (74.7 cm), urinary bladder capacity increases
18 months: Growth decreases, appetite lessens, anterior fontanel closes, abdomen protrudes, canine teeth erupt
2 years: Weight 26-28 lb (11-12 kg), height 32-33 inches (80-82 cm), chest circumference greater than head, dental care, full set of 20 temporary teeth
Body Contour: Prominent abdomen, forward spine curve (lordosis), waddling or wide stance gait
Body Systems: Respiratory rate slows, heart rate 90-110 beats per minute, blood pressure increases to 99/64 mm Hg, brain development nearly 90% of adult size, respiratory system becomes less prone to infection, stomach secretions more acidic, stomach capacity increases. Control of urinary/anal sphincter possible

Gross and Fine Motor Development

15 months: Walks alone with wide base, builds tower of two blocks
18 months: Runs clumsily, climbs stairs, manages spoon, build tower of three to four cubes
2 years: Gross motor skills refined; walks up and down stairs, one step at a time, builds tower of 6-7 cubes
30 months: Walks on tiptoe, stands on one foot, builds tower of eight blocks, copies horizontal or vertical lines

Sensory Development

2 years: Develops eye accommodation, visual acuity 20/40

Vocalization and Language Development

Infants' language development proceeds through a critical period during toddlerhood
Toddlers need ongoing exposure to conversation and the language around them to grow and master words.
Parents should encourage and foster language development by naming objects.
Toddlers must be asked questions for them to use language.
Answer questions succinctly; toddlers have short attention spans. Assessing language development in children includes observing how often parents encourage language.
Language is learned through listening, imitation, and practice

Vocalization & Language Development Promotion

For learning new words, exposure to conversation is crucial.
Toddlers learn language by imitating, so they will speak like the people around them
Avoid baby talk; it hinders proper pronunciation and use of certain words (nouns).
15 months: 4-6 word vocabulary; states name; says "no."
18 months: 10 or more word vocabulary
2 years: vocabulary of 300 words or more; uses two- and three-word phrases; uses pronouns, obeys simple commands and makes choices, when appropriate.

Developmental Theories

18 months to 3 years: Psychosocial Development: Sense of Autonomy — asserting independence, parents must understand this isn't misbehavior
13 to 18 months: Tertiary Circular Reactions: Actively experimenting with new goals, discovering object permanence and relationships (spatial, cause/effect, temporal), early memory
19 to 24 months: Cognitive Development Theory - unlimited object permanence, cause/effect, symbolic mimicry, understanding time and anticipating future events, developing the ability to wait.
2 to 4 years: Language used as mental symbolizing, increased sense of time, space, causality.

15 months: Says "no."
18 months: Awareness of strangers, separation anxiety, temper tantrums
2 years: Increasing individuality, making choices, becoming ritualistic, especially at bedtime; caregiver should establish boundaries and help with self-care
30 months: Developing sense of self, recognizes their individuality from others' observations, and becoming increasingly independent

Toddler Care Concerns

Nutrition: Meeting nutritional needs; choosing fresh foods.
Diet: Reflects cultural preferences and parent/sibling influences. Calorie and nutrient requirements increase with age; diverse foods are encouraged, including fruits and vegetables.
Eating/Drinking Behavior: Preferences for finger foods, avoiding excessive intake of sweet drinks and juices.
Nutrition Problems: Obesity or underweight, difficulties eating, and possible nutritional deficiencies for some toddlers.

Feeding Milestones

18 months: Balanced diet of table foods, vegetables, fruits and whole grains recommended.
Toddlers may be picky eaters, or fussy, with varying preferences for foods and portion sizes.
Toddlers often engage in ritualistic behavior related to eating.

Toilet Training

Establishing readiness and implementing a consistent approach: Sphincter control, urination awareness, and willingness to cooperate are considered signs of readiness.
Process and Timing: Toilet training frequently begins with the child needing to respond to bowel movement and then bladder control. Encouraging the use of a potty works well.
Parent's Role: Parents will play a key role in ensuring that potty training is a comfortable and positive experience for a toddler.
- Parents should be sure that their expectations align with the child's development to avoid frustration
- Employing specific words to indicate the act and having a specific time and place for elimination will help
- Avoid punishing or embarrassing the child for any accidents
In Summary: Child capable of walking, squatting, maintaining bowel and bladder function, independently removing clothes, and responding to caretakers' requests.

Dental Care

Encourage parents to provide toddlers fruits, vegetables, and proteins rather than carbohydrates for snacks.
Calcium intake via milk, cheese, and yogurt is vital for tooth development
Toddlers need individualized toothbrushes and supervision.
Parents should schedule a first dental appointment by 12 months

Behavior

Ritualism: Toddlers often insist on specific routines, foods, and utensils.
Negativism: Toddlers frequently resist and decline suggestions, which often is part of self-assertion. Parents should limit the number of questions asked and use clear statements rather than open-ended questions.
Separation Anxiety: It is common for toddlers to exhibit separation anxiety. Consistent caregivers, and explanations for separation in an age-appropriate way can help.
Temper Tantrums: Toddlers may cry as a means to communicate their desires, while these tantrums may be undesirable, parents should proceed normally as if the tantrum did not happen. This helps the child see negative behaviors as less impactful than their desires.

Play

Toddlers' play is characterized by parallel play. This includes playing alongside other children but less with them. This type of play focuses on the different senses, exploration, and distinguishing their uniqueness.

Safety

Accidental ingestion (poisoning) is a frequent type of accident. Toddlers are more likely to ingest potentially harmful objects.
Parents should supervise toddler children at all times.
Parents should childproof the home by carefully managing items that could be harmful to a toddler

Additional Points

Assessment: Include questions and activities to assess toddlers for specific developmental stages
Conclusion: Provide clear conclusions on the key takeaways of the lessons from the slides.

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Description

Test your knowledge about effective strategies for managing toddler behavior, especially during separation. This quiz explores approaches to reduce negativity, ease separation anxiety, and implement timeouts. Enhance your understanding of toddler development with these key concepts.