Deck 16: The Infant

Question 1

When assessing development in a 9-month-old infant,the nurse would expect to observe the infant:

A) speaking in 2-word sentences.
B) grasping objects with palmar grasp.
C) creeping along the floor.
D) beginning to use a spoon rather sloppily.

Answer 1

creeping along the floor.

Question 2

A parent is concerned because her infant has a diaper rash.The nurse would advise the parent to:

A) use commercial diaper wipes to clean the area.
B) apply a protective ointment on the area.
C) change the infant's diaper less frequently.
D) keep the diaper area covered all of the time.

Answer 2

apply a protective ointment on the area.

Question 3

The statement that indicates the mother of an 8-month-old understands infant sleep patterns is:

A) "I put the baby in my bed until she falls asleep, then I put her in her crib. "
B) "I let the baby skip an afternoon nap so she will fall asleep earlier. "
C) "I put the pacifier in the crib so she can find it when she wakes up. "
D) "I rock the baby back to sleep if she wakes up at night. "

Answer 3

"I put the pacifier in the crib so she can find it when she wakes up. "

Question 4

The mother of an infant born prematurely tells the nurse,"The baby is irritable.He cries during diaper changes and feedings.Can you make some suggestions about what I should do to soothe him?" The most appropriate recommendation to help this parent would be to:

A) play the radio or TV while you feed the infant.
B) put the infant in a room with sunlight.
C) wrap the infant snugly when you hold him.
D) change the infant's position quickly.

Question 5

The most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old would be to:

A) ride a tricycle.
B) spend time in an infant swing.
C) play with push-pull toys.
D) read large picture books.

Question 6

The nurse would advise a parent when introducing solid foods to:

A) begin with one tablespoon of food.
B) mix foods together.
C) eliminate a refused food from the diet.
D) introduce each new food 4 to 7 days apart.

Question 7

When talking with a parent about tooth eruption,the nurse explains that the first deciduous teeth to erupt are the _____ incisors.

A) lower central
B) upper central
C) lower lateral
D) upper lateral

Question 8

The parent of a 3-month-old infant asks the nurse,"At what age do infants usually begin drinking from a cup?" The nurse would reply:

A) 5 months.
B) 9 months.
C) 1 year.
D) 2 years.

Question 9

A mother calls the pediatrician's office because her infant is "colicky." The helpful measure the nurse would suggest to the parent is to:

A) sing songs to the infant in a soft voice.
B) place the infant in a well-lit room.
C) walk around and massage the infant's back.
D) rock the fussy infant slowly and gently.

Question 10

The nurse is aware that the earliest age at which the infant should be able to walk independently is _____ months.

A) 8 to 10
B) 12 to 15
C) 15 to 18
D) 18 to 21

Question 11

The nurse knows that an infant's birth weight should be tripled by:

A) 9 months.
B) 1 year.
C) 18 months.
D) 2 years.

Question 12

The nurse is aware that the age at which the posterior fontanelle closes is _____ months.

A) 2 to 3
B) 3 to 6
C) 6 to 9
D) 9 to 12

Question 13

The nurse would expect a 4-month-old to be able to:

A) hold a cup.
B) stand with assistance.
C) lift head and shoulders.
D) sit with back straight.

Question 14

The nurse is aware that the earliest age at which an infant is able to sit steadily alone is _____ months.

A) 4
B) 5
C) 8
D) 15

Question 15

The nurse discusses child-proofing the home for safety with the mother of a 9-month-old.The statement made by the mother that indicates an unsafe behavior is:

A) "I put covers on all of the electrical outlets. "
B) "In the car, she rides in a front-facing car seat. "
C) "There are locks on all of the cabinets in the house. "
D) "I have a gate at the top and bottom of the stairs. "

Question 16

The abnormal finding in an evaluation of growth and development for a 6-month-old infant would be:

A) weight gain of 4 to 7 ounces per week.
B) length increase of 1 inch in 2 months.
C) head lag present.
D) can sit alone for a few seconds.

Question 17

The nurse would advise a mother who is concerned because her 10-month-old is lethargic to:

A) keep the infant's room well lit.
B) rub the infant's soles vigorously.
C) offer the infant a pacifier.
D) handle the infant slowly and gently.

Question 18

The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal.This behavior is evidence that the infant has developed:

A) the pincer grasp.
B) a grasp reflex.
C) prehension ability.
D) the parachute reflex.

Question 19

A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination.Her birth weight was 8 pounds,2 ounces.The nurse weighing the infant today would expect her weight to be at least _____ pounds.

A) 12
B) 16
C) 20
D) 24

Question 20

The statement made by a parent that indicates correct understanding of infant feeding is:

A) "I've been mixing rice cereal and formula in the baby's bottle. "
B) "I switched the baby to low-fat milk at 9 months. "
C) "The baby really likes little pieces of chocolate. "
D) "I give the baby any new foods before he takes his bottle. "

Question 21

The nurse reminds the parents that their 2-month-old should receive three immunizations for which illnesses.

A) Pertussis (whooping cough)
B) Influenza
C) Diptheria
D) Tetanus
E) Polio
F) None of the above

Question 22

The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months,when the infant begins to ___________.

Question 23

The nurse demonstrates the parachute reflex by:

A) lifting the infant high in the air above her head.
B) holding infant in a football hold, cradling the head.
C) seating the infant in a stroller in an upright position.
D) thrusting the infant downward into the crib.

Question 24

The nurse outlines what principles of discipline for an infant? Select all that apply.

A) Firmly say "No. "
B) Distract child to another activity.
C) Bribe the child with a sweet treat.
D) Remain consistent.
E) Ignore child until behavior improves.

Question 25

The nurse is aware that the 7-month-old can signal feeding readiness by which action(s)? Select all that apply.

A) Pulling spoon toward mouth
B) Biting at spoon with upper and lower incisors
C) Pointing to food bowl
D) Bouncing up and down with excitement at sight of food
E) Manipulating finger foods

Question 26

The nurse explains that an infant's prehensile development is progressive and logical.Arrange the development in the order from the simplest to the most complex.

A) Hands held open most of the time
B) Grasps with thumb on one side and three fingers on the other
C) Picks up toy with squeeze action
D) Thumb and forefinger hold object
E) Hands held closed most of the time

Question 27

The nurse explains that by the age of 6 months an iron-rich formula should be offered because the infant has:

A) limited ability to produce red blood cells.
B) ineffective digestive enzymes.
C) exhausted maternal iron stores.
D) need of the iron to support dentition.

Question 28

The nurse cautions that children who have unmet hunger needs will likely display which characteristic(s)? Select all that apply.

A) Irritability
B) Ineffective feeding patterns
C) No predictable sleep-wake cycle
D) Distrust
E) Effective parent bonding

Question 29

What should the teaching plan include about infant fall precautions? Select all that apply.

A) Remove all unsteady furniture.
B) Keep crib rails up and in locked position.
C) Steady infant with hand when on changing table.
D) Use tray attachment on high chair as restraint.
E) Keep infant seat on the floor.

Question 30

The nurse cautions parents to place their infant in the ______________ position,rather than on his or her stomach,to reduce the risk of sudden infant death syndrome (SIDS).