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    N158 paediatrics proctored exam
    Select All That Apply

    Which behaviors indicate that a toddler is meeting psychosocial milestones in Erikson's stage of Autonomy vs. Shame and Doubt? Select all that apply.

    Explanation & Rationale

    Choice A reason: Expressing emotions appropriately and beginning to self-soothe are key indicators of developing autonomy. Toddlers learn to regulate their emotions and gain confidence in managing their internal states, which supports independence. Choice B reason: Independent exploration with periodic returns to caregivers reflects secure attachment and growing autonomy. This behavior shows the child is confident enough to explore but still seeks reassurance, which is developmentally appropriate. Choice C reason: Frequent tantrums and poor emotional regulation are common in toddlers but do not necessarily indicate successful progression through the autonomy stage. These behaviors may reflect ongoing struggles with emotional control and are not markers of psychosocial achievement. Choice D reason: Avoiding interaction with peers may suggest social withdrawal or developmental concerns. Toddlers typically engage in parallel play and begin to show interest in others, so avoidance is not a milestone of autonomy. Choice E reason: Engaging in parallel play and beginning to share toys are classic signs of social development in toddlers. These behaviors demonstrate emerging autonomy and social competence, aligning with Erikson’s stage.

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