Question 1

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?&#10;A) &#34;You could consider leaving the infant more often with other people so he can adjust.&#34;&#10;B) &#34;You might consider taking him to the doctor because he may be ill.&#34;&#10;C) &#34;Have you noticed whether the baby is teething?&#34;&#10;D) &#34;This is a sign of stranger anxiety and demonstrates healthy attachment.&#34;

Accepted Answer

This is a common and normal developmental stage called stranger anxiety, where infants become wary of unfamiliar people. It is a sign that the infant has formed a healthy attachment to their primary caregiver and is developing appropriately. The nurse can reassure the mother that this behavior is expected and will likely improve as the infant gets older. Option A is not recommended as leaving the infant more often with other people may increase their anxiety. Option B is not relevant unless there are other symptoms present. Option C is not necessarily related to the behavior observed.

Question 2

A mother asks the nurse,&#34;When should I begin to clean my baby's teeth?&#34; What is the best response for the nurse to make?&#10;A) &#34;You can begin when all her baby teeth are in.&#34;&#10;B) &#34;You can easily begin now. Just put some toothpaste on a gauze pad to clean the teeth.&#34;&#10;C) &#34;I don't think you have to worry about that until she can handle a toothbrush.&#34;&#10;D) &#34;You can begin as soon as your child has a tooth. The easiest way is to take cotton swabs or a face cloth and just wipe the teeth. Toothpaste is not necessary.&#34;

Accepted Answer

It is recommended to begin cleaning a baby's teeth as soon as their first tooth appears. Toothpaste is not necessary at this stage, and wiping the teeth with cotton swabs or a face cloth is sufficient. Waiting until all the baby teeth are in or until the child can handle a toothbrush may lead to tooth decay and other dental issues.

Question 3

Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?&#10;A) 14 3/4 lb&#10;B) 22 1/8 lb&#10;C) 29 1/2 lb&#10;D) Unable to estimate weigh at 1 year

Accepted Answer

According to the average weight gain chart, a 7-pound 6-ounce newborn would weigh around 22 pounds at 1 year of age. The closest option is B, which is 22 1/8 lb.

Question 4

Which milestone is developmentally appropriate for a 2-month-old infant?&#10;A) Pulled to a sitting position, head lag is absent.&#10;B) Pulled to a sitting position, the infant is able to support the head when the trunk is lifted.&#10;C) The infant can lift his or her head from the prone position and briefly hold the head erect.&#10;D) In the prone position, the infant is fully able to support and hold the head in a straight line.

Accepted Answer

At 2 months old, an infant should be able to lift their head from the prone position and briefly hold it erect. This is a key milestone that demonstrates developing neck and upper body strength. Choices A and B are not developmentally appropriate for a 2-month-old as they involve sitting, which most infants do not achieve until closer to 6 months old. Choice D is also not developmentally appropriate for a 2-month-old as most infants still have some head lag in the prone position at this age.

Question 5

In terms of fine motor development,what should the 7-month-old infant be able to do?&#10;A) Transfer objects from one hand to the other.&#10;B) Use thumb and index finger in crude pincer grasp.&#10;C) Hold crayon and make a mark on paper.&#10;D) Release cubes into a cup.

Accepted Answer

By age 7 months,infants can trAnswerfer objects from one hand to the other,crossing the midline.The crude pincer grasp is apparent at approximately age 9 months.The child can scribble spontaneously at age 15 months.At age 12 months,the child can release cubes into a cup.

Question 6

At what age is an infant first expected to locate an object hidden from view?&#10;A) 4 months of age&#10;B) 6 months of age&#10;C) 9 months of age&#10;D) 20 months of age

Accepted Answer

Infants are typically expected to locate an object hidden from view at around 9 months of age. This is known as object permanence and is a key developmental milestone in cognitive development.

Question 7

The mother of a 10-month-old infant asks the nurse about beginning to wean her child from his bottle.Which statement by the mother suggests that the child is not ready to be weaned?&#10;A) &#34;My son is frequently throwing his bottle down.&#34;&#10;B) &#34;The baby takes a few ounces of formula from the bottle.&#34;&#10;C) &#34;He is constantly chewing on the nipple. It concerns me.&#34;&#10;D) &#34;He consistently is sucking.&#34;

Accepted Answer

Consistent sucking indicates that the child still has a strong need for sucking, suggesting he may not be ready to be weaned from the bottle.

Question 8

Which statement made by a mother is consistent with a developmental delay?&#10;A) &#34;I have noticed that my 9-month-old infant responds consistently to the sound of his name.&#34;&#10;B) &#34;I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand.&#34;&#10;C) &#34;I am so happy when my 1 1/2-month-old infant smiles at me.&#34;&#10;D) &#34;My 5-month-old infant is not rolling over in both directions yet.&#34;

Accepted Answer

The statement "I have noticed that my 12-month-old child does not get herself to a sitting position or pull to stand" is consistent with a developmental delay as most infants achieve these milestones by 9 months of age. The other statements indicate age-appropriate development, such as responding to their name, smiling, and not yet achieving a milestone that most infants achieve around six months of age (rolling over in both directions).

Question 9

According to Piaget,the 6-month-old infant is in what stage of the sensorimotor phase?&#10;A) Use of reflexes&#10;B) Primary circular reactions&#10;C) Secondary circular reactions&#10;D) Coordination of secondary schemata

Accepted Answer

Infants are usually in the secondary circular reaction stage from age 4 months to 8 months.This stage is characterized by a continuation of the primary circular reaction because of the response that results.Shaking is performed to hear the noise of the rattle,not just for shaking.The use of reflexes is primarily during the first month of life.Primary circular reaction stage marks the replacement of reflexes with voluntary acts.The infant is in this stage from age 1 month to 4 months.The fourth sensorimotor stage is coordination of secondary schemata.This is a trAnsweritional stage in which increasing motor skills enable greater exploration of the environment.

Question 10

The mother of a 10-month-old infant tells the nurse that her infant &#34;really likes cow's milk.&#34; What is the nurse's best response to this mother?&#10;A) &#34;Milk is good for him.&#34;&#10;B) &#34;It is best to wait until he is a year old before giving him cow's milk.&#34;&#10;C) &#34;Limit cow's milk to his bedtime bottle.&#34;&#10;D) &#34;Mix his cereal with cow's milk and give him formula in a bottle.&#34;

Accepted Answer

It is recommended that infants be exclusively breastfed or formula-fed for the first 6 months, and then receive complementary foods along with breast milk or formula until they are at least a year old. Cow's milk should not be introduced until a child is at least 1 year old, as it does not provide all of the necessary nutrients for a growing infant and can increase the risk of certain health problems. Therefore, the nurse's best response is to recommend waiting until the infant is a year old before giving cow's milk.

Question 11

A 3-month-old infant born at 38 weeks of gestation will hold a rattle if it is put in her hands,but she will not voluntarily grasp it.The nurse should interpret this as&#10;A) Normal development&#10;B) Significant developmental lag&#10;C) Slightly delayed development as a result of prematurity&#10;D) Suggestive of a neurologic disorder such as cerebral palsy

Accepted Answer

The answer of A 3-month-old infant born at 38 weeks...

Question 12

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)&#10;A) Normal finding&#10;B) Questionable finding-infant should be rechecked in 1 month&#10;C) Abnormal finding-indicates need for immediate referral to practitioner&#10;D) Abnormal finding-indicates need for developmental assessment

Accepted Answer

The answer of The nurse is performing a routine assessment...

Question 13

Which statement concerning physiologic factors is true?&#10;A) The infant has a slower metabolic rate than an adult.&#10;B) An infant has an inability to digest protein and lactase.&#10;C) Infants have a slower circulatory response than adults do.&#10;D) The kidneys of an infant are less efficient in concentrating urine than an adult's kidneys.

Accepted Answer

The answer of Which statement concerning physiologic factors is true?&#10;A)...

Question 14

In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?&#10;A) Roll from abdomen to back.&#10;B) Roll from back to abdomen.&#10;C) Sit erect without support.&#10;D) Move from prone to sitting position.

Accepted Answer

The answer of In terms of gross motor development,what would...

Question 15

A mother of a 2-month-old infant tells the nurse,&#34;My child doesn't sleep as much as his older brother did at the same age.&#34; What is the best response for the nurse?&#10;A) &#34;Have you tried to feed the baby more often?&#34;&#10;B) &#34;Infant sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at a time.&#34;&#10;C) &#34;It is helpful to keep a record of your baby's eating, waking, sleeping, and elimination patterns and to come back in a week to discuss them.&#34;&#10;D) &#34;This infant is difficult. It is important for you to identify what is bothering the baby.&#34;

Accepted Answer

The answer of A mother of a 2-month-old infant tells...

Question 16

Which statement by a mother indicates that her 5-month-old infant is ready for solid food?&#10;A) &#34;When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow.&#34;&#10;B) &#34;She has just started to sit up without any support.&#34;&#10;C) &#34;I am surprised that she weighs only 11 pounds. I expected her to have gained some weight.&#34;&#10;D) &#34;I find that she really has to be encouraged to eat.&#34;

Accepted Answer

The answer of Which statement by a mother indicates that...

Question 17

Which is appropriate play for a 6-month-old infant?&#10;A) Pat-a-cake, peek-a-boo&#10;B) Ball rolling, hide-and-seek game&#10;C) Bright rattles and tactile toys&#10;D) Push and pull toys

Accepted Answer

The answer of Which is appropriate play for a 6-month-old...

Question 18

The nurse advises the mother of a 3-month-old exclusively breastfed infant to&#10;A) Start giving the infant a vitamin D supplement.&#10;B) Start using an infant feeder and add rice cereal to the formula.&#10;C) Start feeding the infant rice cereal with a spoon at the evening feeding.&#10;D) Continue breastfeeding without any supplements.

Accepted Answer

The answer of The nurse advises the mother of a...

Question 19

The parents of a newborn infant state,&#34;We will probably not have our baby immunized because we are concerned about the risk of our child being injured.&#34; What is the nurse's best response?&#10;A) &#34;It is your decision.&#34;&#10;B) &#34;Have you talked with your parents about this? They can probably help you think about this decision.&#34;&#10;C) &#34;The risks of not immunizing your baby are greater than the risks from the immunizations.&#34;&#10;D) &#34;You are making a mistake.&#34;

Accepted Answer

The answer of The parents of a newborn infant state,&#34;We...

Question 20

Which is a priority in counseling parents of a 6-month-old infant?&#10;A) Increased appetite from secondary growth spurt&#10;B) Encouraging the infant to smile&#10;C) Securing a developmentally safe environment for the infant&#10;D) Strategies to teach infants to sit up

Accepted Answer

The answer of Which is a priority in counseling parents...

Question 21

Hearing seems to be relatively acute,even at birth,as shown by reflexive generalized reaction to noise.All newborns should undergo hearing screening at birth,before hospital discharge.In addition,assessment for hearing deficits should take place at every well-baby visit.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

Accepted Answer

The answer of Hearing seems to be relatively acute,even at...

Question 22

A nurse has completed a teaching session for parents about &#34;baby-proofing&#34; the home.Which statements made by the parents indicate an understanding of the teaching? Select all that apply.&#10;A) &#34;We will put plastic fillers in all electrical plugs.&#34;&#10;B) &#34;We will place poisonous substances in a high cupboard.&#34;&#10;C) &#34;We will place a gate at the top and bottom of stairways.&#34;&#10;D) &#34;We will keep our household hot water heater at 130 degrees.&#34;&#10;E) &#34;We will remove front knobs from the stove.&#34;

Accepted Answer

The answer of A nurse has completed a teaching session...

Question 23

The parent of 2-week-old Sarah asks the nurse whether Sarah needs fluoride supplements,because she is exclusively breastfed.The nurse's best response is&#10;A) &#34;She needs to begin taking them now.&#34;&#10;B) &#34;They are not needed if you drink fluoridated water.&#34;&#10;C) &#34;She may need to begin taking them at age 6 months.&#34;&#10;D) &#34;She can have infant cereal mixed with fluoridated water instead of supplements.&#34;

Accepted Answer

The answer of The parent of 2-week-old Sarah asks the...

Question 24

The nurse has just assisted in the delivery of a female infant to first-time parents.
The infant is suctioned,dried,and placed skin-to-skin on her mother's chest.This allows for significant interaction between mother and baby and is known as _____________.

Accepted Answer

The answer of The nurse has just assisted in the...

Question 25

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.The nurse should recommend that the infant be given&#10;A) Skim milk&#10;B) Whole cow's milk&#10;C) Commercial iron-fortified formula&#10;D) Commercial formula without iron

Accepted Answer

The answer of A mother tells the nurse that she...

Question 26

The rate of Sudden Infant Death Syndrome (SIDS),now the third leading cause of death in infants,has increased despite international efforts and the Back to Sleep campaign.Is this statement true or false?

Accepted Answer

The answer of The rate of Sudden Infant Death Syndrome...

Deck 6: Health Promotion for the Infant