M10_MURR8663_08_SE_CH10.QXD 312 10:16 AM Page 312 Unit III The Developing Person and Family Unit: Infancy Through Adolescence BOX 10-4 5/27/08 Examples of Educational Toys and Play for the Toddler 13–15 MONTHS Toy telephone Toy horse for rocking, rocking chair Carriage or other toys for pushing and pulling Household objects, such as pots or pans and unbreakable cups, or food cartons of various sizes for nesting and stacking Pot lids for banging together Wooden blocks of various sizes and shapes for stacking Large plastic clothespins Larger balls or stuffed animals Toys that encourage acrobatic movement 16–18 MONTHS Sandbox and toys that can be pushed through sand Simple musical instruments, such as tambourine or drum Large colored beads Jack-in-the-box Equipment for blowing bubbles, with adult help 19–21 MONTHS Rocking horse Kiddie cars Toys to take apart and fit together Small rubber balls Digging toys Large crayons, large sheets of paper Easy puzzles with large and few pieces, colorful pictures of animals, foods, and other objects in the environment, made of sturdy material or wood Dirt for making mud pies Big cardboard boxes to play hide and seek (self and others) 22–24 MONTHS Kiddie lawn mower Kitchen sets for make-believe play, including toy utensils Modeling clay Construction blocks or sets Actions toys, e.g., toy trains, dump trucks, cars, and fire engines Old magazines that can be used to point out pictures and also torn up Baskets, boxes, and tubes of various sizes for multiple uses in action and fantasy play Containers (e.g., pots, pans) with lids 2–3 YEARS Dolls, male and female, various ethnicity, with accessories like clothing, strollers, baby bottle, feeding utensils Beginner tricycle Kiddie swimming pool Mini-trampoline Age-appropriate roller skates Swing set, mini-basketball hoop Dress-up clothes (parents’ and older siblings’ clothing no longer used) for male and female Crayons, markers, finger paints, large sheets of paper Coloring books, not too detailed in design Easel or chalkboard and chalk Kiddie cassette player and tapes Kiddie woodworking bench MediaLink Centers for Disease Control and Prevention Note: Toys played with at an earlier age continue to be enjoyed, especially if they can be used in different ways or with different actions. Puppets and age-appropriate musical tapes and cloth or vinyl books should be available throughout toddlerhood. Sleep problems may occur with co-sleeping, which can be stressful (44). During hospitalization, the child may experience restlessness, insomnia, and nightmares. Hospitals permit parents to spend the night in the child’s room to lessen fears and separation anxiety. Cuddling is still important to a toddler, especially if hospitalized. If a parent cannot remain with a frightened child, you can hold and rock the child while he or she holds a favorite object. Health Promotion and Health Protection ROUTINE IMMUNIZATIONS Immunizations remain a vital part of health care. The toddler needs to continue the immunization process that was begun in infancy. If the parent refuses to have the child immunized for religious reasons, emphasize the need to prevent exposure to these diseases, if possible, and the importance of continued good hygiene and nu- trition. The Healthy People 2010 Initiative addresses goals for effective vaccination of young children to prevent infectious diseases (75). The concern starts at birth and is global (19). SAFETY PROMOTION AND INJURY CONTROL The causes of accidental injury are motor vehicle accidents, burns, suffocation, drowning, poisoning, and falls. Accidents are the leading cause of death, and deaths from poisonings continue to increase. Areas outside the home—the playground at the child care center, the yard and street at home, the grocery cart—all pose hazards. Motor vehicle accidents are a major cause of accidental death when car restraints are not used or are used improperly and when the child plays in areas of vehicle traffic. The toddler should be placed in a car seat or automobile restraint device appropriate for the size of the child, as shown in Figure 10-2 . Many injuries occur in or near the home (6, 43, 66, 67). Thus, it is necessary to childproof
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