Deck 6: Health Promotion for the Infant

Question 1

Parents tell the nurse their 5-month-old has started sitting up without support.What teaching does the nurse plan to provide the parents?

A) Providing solid foods safely
B) Encouraging cruising and walking
C) Providing cow's milk
D) Proper sock and shoe selection

Answer 1

Providing solid foods safely

Question 2

At what age is an infant first expected to locate an object hidden from view?

A) 4 months of age
B) 6 months of age
C) 9 months of age
D) 20 months of age

Answer 2

9 months of age

Question 3

A nurse is modeling play time with a 6-month-old infant.Which activity is appropriate?

A) Pat-a-cake, peek-a-boo
B) Ball rolling, hide-and-seek game
C) Bright rattles and tactile toys
D) Push-and-pull toys

Answer 3

Pat-a-cake, peek-a-boo

Question 4

The nurse is performing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.This should be interpreted as a(n)

A) normal finding-nurse should document finding in chart.
B) questionable finding-infant should be rechecked in 1 month.
C) abnormal finding-indicates need for immediate referral to practitioner.
D) abnormal finding-indicates need for developmental assessment.

Question 5

Which statement concerning physiologic factors is true?

A) The infant has a slower metabolic rate than an adult.
B) An infant has an inability to digest protein and lactase.
C) Infants have a slower circulatory response than adults do.
D) The infant's kidneys are less efficient in concentrating urine than an adult's kidneys.

Question 6

The mother of a 9-month-old infant is concerned because the infant cries when approached by an unknown shopper at the grocery store.What is the best response for the nurse to make to the mother?

A) "You could consider leaving the infant with other people so he can adjust."
B) "You might consider taking her to the doctor because she may be ill."
C) "Have you noticed whether the baby is teething?"
D) "This is a sign of stranger anxiety and demonstrates healthy attachment."

Question 7

The parents of a newborn infant state,"We will probably not have our baby immunized because we are concerned about the risks." What is the nurse's best response?

A) "It is your decision to immunize your child or not."
B) "You should probably think about this decision."
C) "It is far riskier to not immunize your baby."
D) "This has to be reported to the health department."

Question 8

A nurse observes that a 3-month-old infant will hold a rattle if it is put in the hands,but the baby will not voluntarily grasp it.What action by the nurse is most appropriate?

A) Provide anticipatory guidance.
B) Document the findings in the chart.
C) Refer the family to a neurologist.
D) Perform a developmental screening.

Question 9

In terms of fine motor development,what should the 7-month-old infant be able to do?

A) Transfer objects from one hand to the other.
B) Use thumb and index finger in crude pincer grasp.
C) Hold crayon and make a mark on paper.
D) Release cubes into a cup.

Question 10

The mother of a 10-month-old infant asks the nurse about weaning her child.What assessment by the nurse indicates the child is not ready to be weaned?

A) Frequently throwing the bottle down
B) Takes very little formula from bottle
C) Constantly chewing on the bottle nipple
D) Appears to be sucking consistently when given a bottle

Question 11

A nurse assessing a 2-month-old infant notes that the child can briefly hold the head erect when held against the shoulder.What action by the nurse is best?

A) Document the findings in the child's chart.
B) Notify the provider immediately.
C) Conduct a lead-exposure assessment.
D) Prepare the parents for genetic testing.

Question 12

The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?

A) "Milk is a nutritious choice at this time."
B) "Children should not get cow's milk until 1 year of age."
C) "Limit cow's milk to one bedtime bottle."
D) "Mix cereal with cow's milk and feed it in a bottle."

Question 13

According to Piaget,the 6-month-old infant is in what stage of the sensorimotor phase?

A) Use of reflexes
B) Primary circular reactions
C) Secondary circular reactions
D) Coordination of secondary schemata

Question 14

In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?

A) Roll from abdomen to back.
B) Roll from back to abdomen.
C) Sit erect without support.
D) Move from prone to sitting position.

Question 15

Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?

A) 14 3/4 lb
B) 22 1/8 lb
C) 29 1/2 lb
D) Unable to estimate weigh at 1 year

Question 16

A nurse is teaching a parent group about dental hygiene for their babies.What information does the nurse provide?

A) Babies don't need dental care until they are three.
B) Start brushing teeth when all of them have come in.
C) Children are ready for dental care when they can hold a toothbrush.
D) Start with the first tooth using a cotton swab and water to wipe the teeth.

Question 17

The nurse advises the mother of a 3-month-old exclusively breastfed infant to

A) start giving the infant a vitamin D supplement.
B) start using an infant feeder and add rice cereal to the formula.
C) start feeding the infant rice cereal with a spoon at the evening feeding.
D) continue breastfeeding without any supplements.

Question 18

Which is a priority in counseling parents of a 6-month-old infant?

A) Increasing food intake for secondary growth spurt
B) Encouraging the infant to smile
C) Securing a developmentally safe environment for the infant
D) Teaching strategies to teach infants to sit up

Question 19

Which statement made by a mother is consistent with a developmental delay?

A) "I notice my 9-month-old infant responds consistently to his name."
B) "My 12-month-old child does not get herself to a sitting position or pull to stand."
C) "I am so happy when my 1 1/2-month-old infant smiles at me."
D) "My 5-month-old infant is not rolling over in both directions yet."

Question 20

A mother of a 2-month-old infant tells the nurse,"My child doesn't sleep as much as his older brother did at the same age." What is the best response for the nurse?

A) "Have you tried to feed the baby more often or play more before bedtime?"
B) "Infant sleep patterns vary widely, some infants sleep only 2 to 3 hours at a time."
C) "Keep a record of your baby's eating, waking, sleeping, and elimination patterns and to come back to discuss them."
D) "This infant is difficult. It is important for you to identify what is bothering the baby."

Question 21

The nurse understands that risk factors for hearing loss include (Select all that apply.)

A) structural abnormalities of the ear.
B) family history of hearing loss.
C) alcohol or drug use by the mother during pregnancy.
D) gestational diabetes.
E) trauma.

Question 22

A nurse is making a home visit on a new mother with an infant.What action by the mother requires the nurse to intervene?

A) Cooks while holding and cuddling infant to provide comfort
B) Keeps hand on infant while reaching for supplies on changing table
C) Shows the nurse the water heater setting that is on 110° F (43.3° C)
D) Places baby to sleep in crib with no blankets, toys, or other objects

Question 23

The parent of a 2-week-old infant asks the nurse whether the baby needs fluoride supplements,since mom is exclusively breastfeeding the baby.What response by the nurse is best?

A) "Yes, the baby needs to begin taking them now."
B) "Is your water fluoridated?"
C) "She may need to begin taking them at age 6 months."
D) "You can use infant cereal mixed with fluoridated water instead."

Question 24

The nurse is teaching a community group about preventing sudden infant death syndrome (SIDS).What information does the nurse provide? (Select all that apply.)

A) Placing the baby supine to sleep
B) Covering the baby warmly with blankets
C) Have the baby sleep upright in the infant carrier
D) Provide "tummy time" while awake
E) Do not allow smoking in the house

Question 25

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What response by the nurse is best?

A) "That's OK. formula is just as good for a 5-month-old."
B) "Be sure to use an iron-fortified formula instead."
C) "The baby will need immunizations earlier now."
D) "Be sure to monitor how many diapers the baby wets."

Question 26

A nurse has completed a teaching session for parents about "baby-proofing" the home.Which statements made by the parents indicate an understanding of the teaching? (Select all that apply.)

A) "We will put plastic fillers in all electrical plugs."
B) "We will place poisonous substances in a high cupboard."
C) "We will place a gate at the top and bottom of stairways."
D) "We will keep our household hot water heater at 130 degrees."
E) "We will remove front knobs from the stove."