Pediatric ATI Practice Exam

Poor personal hygiene in an 18-month-old toddler may indicate physical neglect. At this age, children are expected to show some level of self-care, such as basic cleanliness. A lack of proper hygiene can suggest that the child is not being adequately cared for, which is a hallmark of physical neglect. Parents or caregivers should consistently provide attention to the child's hygiene needs, including bathing, grooming, and appropriate clothing.

In contrast, resisting an axillary temperature being taken may simply reflect the child’s discomfort or fear of the process, rather than neglect. Withdrawal behaviors when a parent leaves can indicate anxiety or attachment issues, but they are not directly indicative of neglect. Multiple bruises on the knees are common in toddlers who are active and playful, and while they can raise concerns about safety, they do not specifically signal neglect without context regarding the child's overall care or environment.