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Questions and Answers
How should nurses approach toilet training during Freud's Anal Stage, and what potential negative outcomes should they avoid?
How should nurses approach toilet training during Freud's Anal Stage, and what potential negative outcomes should they avoid?
Nurses should approach toilet training positively, and avoid punishment that may cause shame or anxiety.
In what ways can nurses support and promote cognitive growth in toddlers based on Piaget's transition from the Sensorimotor to the Preoperational Stage?
In what ways can nurses support and promote cognitive growth in toddlers based on Piaget's transition from the Sensorimotor to the Preoperational Stage?
Nurses should encourage play and exploration, and introduce simple concepts.
According to Erikson's theory, what is the primary conflict that toddlers face, and how does it influence their development of independence?
According to Erikson's theory, what is the primary conflict that toddlers face, and how does it influence their development of independence?
The primary conflict is Autonomy vs. Shame and Doubt. Successfully resolving this conflict allows toddlers to develop independence.
Explain how parents might experience conflicting emotions during the toddler stage as their child transitions from infancy to toddlerhood.
Explain how parents might experience conflicting emotions during the toddler stage as their child transitions from infancy to toddlerhood.
How does a toddler's development of symbolic thinking, as described by Piaget, influence their interactions and understanding of the world?
How does a toddler's development of symbolic thinking, as described by Piaget, influence their interactions and understanding of the world?
Summarize the key skills learned by toddlers and their impact on overall development.
Summarize the key skills learned by toddlers and their impact on overall development.
Describe how understanding toddler development can assist healthcare professionals in providing holistic care.
Describe how understanding toddler development can assist healthcare professionals in providing holistic care.
Can you describe in your own words what a toddler is?
Can you describe in your own words what a toddler is?
According to Kohlberg's theory, how do toddlers typically make moral decisions in the preconventional stage, and what is one way nurses can guide parents to support their child's moral development?
According to Kohlberg's theory, how do toddlers typically make moral decisions in the preconventional stage, and what is one way nurses can guide parents to support their child's moral development?
A toddler is brought in for a check-up. The nurse observes that the toddler has a prominent abdomen and a noticeable lordosis. How should the nurse explain these findings to the parents?
A toddler is brought in for a check-up. The nurse observes that the toddler has a prominent abdomen and a noticeable lordosis. How should the nurse explain these findings to the parents?
Describe how a nurse can support a toddler's autonomy during daily care activities, providing specific examples related to feeding or dressing.
Describe how a nurse can support a toddler's autonomy during daily care activities, providing specific examples related to feeding or dressing.
At what age should a toddler typically have all 20 deciduous teeth, and what are the names of the teeth that erupt during the second year of life?
At what age should a toddler typically have all 20 deciduous teeth, and what are the names of the teeth that erupt during the second year of life?
Explain why toddlers tend to walk with a wide stance and waddle. What aspect of their physical development contributes to this?
Explain why toddlers tend to walk with a wide stance and waddle. What aspect of their physical development contributes to this?
A nurse is assessing a 2-year-old toddler. List three key physical characteristics that are commonly observed in toddlers of this age.
A nurse is assessing a 2-year-old toddler. List three key physical characteristics that are commonly observed in toddlers of this age.
Outline two significant changes in the body systems of a toddler compared to an infant?
Outline two significant changes in the body systems of a toddler compared to an infant?
Explain how to interpret BMI percentiles for toddlers, including the ranges that indicate underweight, healthy weight, overweight, and obese status.
Explain how to interpret BMI percentiles for toddlers, including the ranges that indicate underweight, healthy weight, overweight, and obese status.
Why might a two-year-old frequently say "No," and what should caregivers understand about this behavior?
Why might a two-year-old frequently say "No," and what should caregivers understand about this behavior?
How does passive screen time affect language development in toddlers, and what does the American Academy of Pediatrics recommend regarding screen time for children under 18 months?
How does passive screen time affect language development in toddlers, and what does the American Academy of Pediatrics recommend regarding screen time for children under 18 months?
Describe two strategies caregivers can use to encourage language development in toddlers during daily routines or play.
Describe two strategies caregivers can use to encourage language development in toddlers during daily routines or play.
Explain the difference between receptive and expressive vocabulary in active toddlers, and why one might be larger than the other.
Explain the difference between receptive and expressive vocabulary in active toddlers, and why one might be larger than the other.
According to Erikson, what is the primary developmental task of the toddler years, and how should caregivers support this?
According to Erikson, what is the primary developmental task of the toddler years, and how should caregivers support this?
Describe how a toddler's eating habits change as their stomach capacity increases, and at what point are they typically able to eat three meals a day?
Describe how a toddler's eating habits change as their stomach capacity increases, and at what point are they typically able to eat three meals a day?
How does the play behavior of toddlers at the parallel play stage differ from cooperative play, and why is parallel play considered developmentally normal?
How does the play behavior of toddlers at the parallel play stage differ from cooperative play, and why is parallel play considered developmentally normal?
Explain the relationship between myelination of the spinal cord and a toddler's ability to be toilet trained.
Explain the relationship between myelination of the spinal cord and a toddler's ability to be toilet trained.
Give an example of imitative play seen in two-year-olds, and explain why this type of play is significant for their development.
Give an example of imitative play seen in two-year-olds, and explain why this type of play is significant for their development.
How can understanding a toddler’s preference for independent play inform the selection of suitable toys, and provide two examples of such toys?
How can understanding a toddler’s preference for independent play inform the selection of suitable toys, and provide two examples of such toys?
Describe the changes in a toddler's immune system around the age of 2 years, focusing on antibody production and the waning of passive immunity.
Describe the changes in a toddler's immune system around the age of 2 years, focusing on antibody production and the waning of passive immunity.
How does a 15-month-old toddler typically interact with small objects and writing tools, according to their fine motor skills development?
How does a 15-month-old toddler typically interact with small objects and writing tools, according to their fine motor skills development?
Describe the typical gross motor skills of an 18-month-old toddler in terms of running, jumping, and stair climbing.
Describe the typical gross motor skills of an 18-month-old toddler in terms of running, jumping, and stair climbing.
Explain the language development milestones typically achieved by a 24-month-old toddler, including vocabulary size and sentence structure.
Explain the language development milestones typically achieved by a 24-month-old toddler, including vocabulary size and sentence structure.
How does a 30-month-old toddler demonstrate their fine motor skills and cognitive understanding through drawing and self-identification?
How does a 30-month-old toddler demonstrate their fine motor skills and cognitive understanding through drawing and self-identification?
Distinguish between parallel play and imitative play, and provide an example of each as seen in toddlers between 18 and 30 months old.
Distinguish between parallel play and imitative play, and provide an example of each as seen in toddlers between 18 and 30 months old.
How does a toddler in Piaget's sixth stage of sensorimotor development typically approach problem-solving?
How does a toddler in Piaget's sixth stage of sensorimotor development typically approach problem-solving?
Describe how a toddler transitioning to the preoperational stage might react when struggling with a toy or object, according to the provided text.
Describe how a toddler transitioning to the preoperational stage might react when struggling with a toy or object, according to the provided text.
Why might spending quality time with a child help reduce attention-seeking tantrums?
Why might spending quality time with a child help reduce attention-seeking tantrums?
A child is having a tantrum because they are hungry and tired. What time-out method is most appropriate, and why?
A child is having a tantrum because they are hungry and tired. What time-out method is most appropriate, and why?
Explain why simply ignoring a refusal tantrum might not be the most effective strategy.
Explain why simply ignoring a refusal tantrum might not be the most effective strategy.
What is the recommended approach for handling destructive tantrums, and what is the rationale behind it?
What is the recommended approach for handling destructive tantrums, and what is the rationale behind it?
How does deferred imitation relate to the development of symbolic thought in toddlers?
How does deferred imitation relate to the development of symbolic thought in toddlers?
Describe how consistency plays a role in managing refusal tantrums, and explain why it is important.
Describe how consistency plays a role in managing refusal tantrums, and explain why it is important.
Flashcards
Developmental Milestones
Developmental Milestones
Key developmental achievements toddlers reach between 1-3 years.
Freud's Anal Stage
Freud's Anal Stage
Stage where toddlers gain control over bowel and bladder functions (1-3 years).
Piaget's Sensorimotor Stage
Piaget's Sensorimotor Stage
Initial stage where toddlers develop sensory and motor skills (0-2 years).
Preoperational Stage
Preoperational Stage
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Erikson's Autonomy vs. Shame
Erikson's Autonomy vs. Shame
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Fine Motor Skills
Fine Motor Skills
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Gross Motor Skills
Gross Motor Skills
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Holistic Care Understanding
Holistic Care Understanding
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Supporting Autonomy
Supporting Autonomy
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Kohlberg's Preconventional Stage
Kohlberg's Preconventional Stage
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Toddler Physical Growth
Toddler Physical Growth
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Body Mass Index Percentiles
Body Mass Index Percentiles
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Toddler Body Contour
Toddler Body Contour
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Deciduous Teeth Eruption
Deciduous Teeth Eruption
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Average Toddler Appearance
Average Toddler Appearance
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Body Systems Maturation
Body Systems Maturation
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Two-Word Phrases
Two-Word Phrases
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Autonomy vs. Shame
Autonomy vs. Shame
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Passive Screen Time
Passive Screen Time
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Naming Objects
Naming Objects
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Imitation in Toddlers
Imitation in Toddlers
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Parallel Play
Parallel Play
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Receptive vs. Expressive Vocabulary
Receptive vs. Expressive Vocabulary
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Pronoun Mastery
Pronoun Mastery
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Little Scientists
Little Scientists
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Deferred Imitation
Deferred Imitation
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Object Permanence
Object Permanence
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Transition to Preoperational Stage
Transition to Preoperational Stage
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Attention-Seeking Tantrums
Attention-Seeking Tantrums
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Frustration or Fatigue-Related Tantrums
Frustration or Fatigue-Related Tantrums
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Refusal Tantrums
Refusal Tantrums
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Destructive Tantrums
Destructive Tantrums
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Toddler Growth Pattern
Toddler Growth Pattern
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Toilet Training Readiness
Toilet Training Readiness
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Fine Motor Skill at 15 months
Fine Motor Skill at 15 months
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Gross Motor Skill at 18 months
Gross Motor Skill at 18 months
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Language Development at 24 months
Language Development at 24 months
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Imitation in Play
Imitation in Play
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Language Development Importance
Language Development Importance
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Study Notes
Nursing Care of a Family with a Toddler
- Toddlers are typically defined as children aged 1 to 3 years
- They experience significant growth and development during this stage
- They transition from dependent infants to walking and talking young ones who begin to assert their independence
- This evolution involves achieving various developmental milestones that reshape both the child and family dynamics
- Parents may need to adjust their approaches
- Some parents might miss the nurturing tasks of infancy, while others embrace the energy of engaging with a more active child
- Understanding what a toddler is means recognizing these crucial developmental changes and their impact on family life
Objectives
- After an hour of varied lecture discussion, students will be able to enhance their positive attitude, recognize key developmental milestones in toddlers, and gain foundational knowledge for promoting healthy growth and well-being in this age group
- Define the key developmental milestones of toddlers using Freud, Piaget, Erikson, and Kohlberg's theories
- Describe the physical, emotional, and cognitive characteristics of toddlers
- Differentiate between fine and gross motor skills, providing at least three examples of each
- Summarize the key skills learned by toddlers and their impact on overall development
- Appreciate the significance of understanding toddler development in promoting holistic care
Developmental Theories: Toddler
- Freud's Anal Stage (1-3 years): Focuses on toddlers gaining control over bowel and bladder functions. Nurses should support toilet training positively, avoiding punishment to prevent shame or anxiety related to bodily functions.
- Piaget's Sensorimotor Stage transition to the Preoperational Stage (2-7 years): Toddlers develop symbolic thinking but lack logical reasoning. Nurses should encourage play and exploration to promote cognitive growth and introduce simple concepts for better understanding.
- Erikson's Autonomy vs. Shame and Doubt: Emphasizes independence. Nurses can support parents in fostering autonomy by allowing safe choices and encouraging self-help skills, like feeding and dressing.
- Kohlberg's Preconventional Stage: Toddlers base moral decisions on avoiding punishment or gaining rewards. Nurses can teach parents to use positive reinforcement and model appropriate behavior to shape their moral development.
Nursing Assessment of a Toddler to Developmental Milestones
- This nursing assessment systematically evaluates a toddler's developmental progress across physical, cognitive, social-emotional, and linguistic domains to facilitate early detection of any delays and enable timely intervention.
Physical Growth
- Weight: 5 to 6 lb (2.5 kg)
- Height: 5 in (12 cm)
- Head Circumference: Increases only about 2 cm during the second year compared to about 12 cm during the first year.
Body Mass Index (BMI)
- Underweight: <5th percentile
- Healthy weight: 5th–<85th percentile
- Overweight: 85th–<95th percentile
- Obese: ≥95th percentile
Body Contour
- Toddlers tend to have a prominent abdomen
- Abdominal muscles are not yet strong
- They have a forward curve of the spine at the sacral area (lordosis)
- Toddlers often waddle or walk with a wide stance
Teeth
- Eight new teeth (the canines and the first molars) erupt during the second year
- All 20 deciduous teeth are generally present by 2.5 to 3 years of age
Appearance of the Average Toddler
- Speaks in two-word sentences
- 20 deciduous teeth present at 2.5 years
- Heart rate: 90 to 110 beats/minute
- "Pouchy" abdomen from weak abdominal muscles
- Chest circumference becomes bigger than head circumference at 2 years
- Noticeable lordosis
- "Baby fat" begins to disappear
- Wide-based gait
Body Systems
- Respirations slow slightly but continue to be mainly abdominal
- Heart rate slows from 110 to 90 beats per minute
- Blood pressure increases to about 99/64 mm Hg
- The brain develops to about 90% of its adult size
- In the respiratory system, the lumens of vessels enlarge progressively, so the incidence of lower respiratory infection decreases
- Stomach secretions become more acidic
- Stomach capacity increases to the point that a child can eat three meals a day
- Control of the urinary and anal sphincters becomes possible with complete myelination of the spinal cord, so toilet training is possible
- Immunoglobulin (IgG) and IgM antibody production becomes mature at 2 years of age. Passive immunity obtained during intrauterine life is no longer operative
Developmental Milestones
- The developmental milestones of the toddler years are less numerous but no less dramatic
- This is a period of slow and steady growth
- Toddler development influenced by social contact and opportunities to explore new degrees of independence
- Strongly influenced by individual readiness for a new skill
Fine and Gross Motor Skills (Ages 15-24 months)
- Specific milestones are listed by age in the provided images (see the age-specific milestones)
Language Development
- Assess any 2-year-old not using two-word phrases
- "No" is a common expression of emerging autonomy
- Children need to be exposed to conversations
- Limit screen time
- Active children may have larger receptive (understanding) vocabularies than expressive (spoken) vocabularies
- Children learn by imitation
- Pronouns (I, me, him, her) may be challenging; mastery may not occur until 3.5-4 years old
Emotional Development
- Children change in their ability to understand the world and how they relate to people
- Autonomy is a developmental task involving independence vs shame and doubt
- Caregivers should provide consistent rules to support healthy autonomy
- Independence vs Clinging
- At 15 months, toddlers may be still enthusiastic about interacting with people
- By 18 months, toddlers imitate caregiver actions
- By 2 or 4 years, toddlers become aware of gender
Play Behavior
- Play is a significant aspect
- Parallel play: toddlers playing beside, not with, other children is typical and normal
- Independent play: toddlers enjoy toys that allow them control
Cognitive Developmental Milestones
- Toddlers are still in the final stages of Piaget's sensorimotor stage, described as "little scientists"
- Begin problem-solving and symbolic thought
- May struggle to differentiate similar objects
- Exhibit prelogical reasoning (faulty conclusions)
- Demonstrate deferred imitation (imitating actions later)
- Object permanence is fully developed
- Transition to preoperational stage: Difficulty adapting thoughts to situations; instead, they adapt the situation to their thoughts
Tantrums and Time-Out Methods
- Different types of tantrums (attention-seeking, frustration/fatigue-related, refusal, or destructive)
- Corresponding time-out methods which promote a safe environment and calm response
- Strategies for addressing behaviors and needs during these periods
References
- Maternal and Child Health Nursing (Care of the Childbearing and Childrearing Family) 9th edition
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Description
Explore toddler development through the lens of Freud, Piaget, and Erikson. Learn about toilet training during the anal stage, cognitive growth during the sensorimotor to preoperational transition, independence, symbolic thinking, and key skills learned by toddlers.