Deck 10: Developmental Management of Infants

Question 1

During an assessment of a 4-week-old infant, the primary care pediatric nurse practitioner learns that a breastfed infant nurses every 2 hours during the day but is able to sleep for a 4-hour period during the night. The infant has gained 20 grams per day in the interval since last seen in the clinic. What will the nurse practitioner recommend?

A) Continuing to nurse the infant using the current pattern
B) Nursing the infant for longer periods every 4 hours
C) Supplementing with formula at the last nighttime feeding
D) Waking the infant every 2 hours to nurse during the night

Answer 1

A

Question 2

The parent of a 5-month-old is worried because the infant becomes fussy but doesn't always seem interested in nursing. What will the nurse practitioner tell this parent?

A) The infant may be expressing a desire to play or to rest.
B) The parent should give ibuprofen for teething pain before nursing.
C) This is an indication that the infant is ready for solid foods.
D) This may indicate gastrointestinal discomfort such as constipation.

Answer 2

A

Question 3

The mother of a 6-week-old breastfeeding infant tells the primary care pediatric nurse practitioner that her baby, who previously had bowel movements with each feeding, now has a bowel movement once every second day. What will the nurse practitioner tell her?

A) Her baby is probably constipated.
B) It may be related to her dietary intake.
C) She should consume more water.
D) This may be normal for breastfed babies.

Answer 3

D

Question 4

The primary care pediatric nurse practitioner is performing a well child examination on a 8-month-old infant whose hearing is normal but who responds to verbal cues with only single syllable vocalizations. What will the nurse practitioner recommend to the parents to improve speech and language skills in this infant?

A) Provide educational videos that focus on language.
B) Read simple board books to the infant at bedtime.
C) Sing to the child and play lullabies in the baby's room.
D) Turn the television to Sesame Street during the day.

Question 5

The primary care pediatric nurse practitioner performs a well baby examination on a 7-day-old infant who is nursing well, according to the mother. The nurse practitioner notes that the infant weighed 3250 grams at birth and 2990 grams when discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is correct?

A) Follow up at the 2-month checkup.
B) Refer to a lactation consultant.
C) Schedule a weight check in 1 week.
D) Suggest supplementing with formula.

Question 6

The mother of a 6-month-old infant is distressed because the infant can say "dada" but not "mama" and asks the primary care pediatric nurse practitioner why this is when she is the one who spends more time with the infant. How will the nurse practitioner respond?

A) "At this age, your baby does not understand the meaning of sounds."
B) "Babies at this age cannot make the 'ma' sound."
C) "Most sounds made by babies at this age are accidental."
D) "This may mean that your baby doesn't hear well."

Question 7

The primary care pediatric nurse practitioner is performing a well baby examination on a 2-month-old infant who has gained 25 grams per day in the last interval. The mother is nursing and tells the nurse practitioner that her infant seems fussy and wants to nurse more often. What will the nurse practitioner tell her?

A) She may not be making as much breastmilk as before.
B) She should keep a log of the frequency and duration of each feeding.
C) The infant may be going through an expected growth spurt.
D) The infant should stay on the previously established nursing schedule.

Question 8

The parent of a newborn infant asks the primary care pediatric nurse practitioner when to intervene to help the infant's future intellectual growth. What will the nurse practitioner tell the parent?

A) Cognitive learning begins during the toddler years.
B) Intellectual growth begin when speech develops.
C) Language and literacy skills begin at birth.
D) Preschool is an optimal time to begin general learning.