Deck 10: Health Promotion of the Infant and Family

Question 1

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.The nurse should interpret this as a(n):

A)normal finding.
B)finding requiring a referral.
C)abnormal finding.
D)normal finding, but requires rechecking in 1 month.

Answer 1

normal finding.

Question 2

The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth.The nurse should expect the infant to now weigh approximately how many pounds?

A)10
B)15
C)20
D)25

Answer 2

15

Question 3

At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?

A)1 month
B)2 months
C)3 months
D)4 months

Answer 3

2 months

Question 4

At what age can most infants sit steadily unsupported?

A)4 months
B)6 months
C)8 months
D)10 months

Question 5

A parent asks the nurse "at what age do most infants begin to fear strangers?" The nurse should give which response?

A)2 months
B)4 months
C)6 months
D)12 months

Question 6

The nurse is interviewing the father of a 10-month-old infant.She is playing on the floor when she notices an electric outlet and reaches up to touch it.Her father says "no" firmly and removes her from near the outlet.The nurse should use this opportunity to teach the father that the infant:

A)is old enough to understand the word "no."
B)is too young to understand the word "no."
C)should already know that electric outlets are dangerous.
D)will learn safety issues better if she is spanked.

Question 7

The parents of a 3-month-old infant report that their infant sleeps supine (face up)but is often prone (face down)while awake.The nurse's response should be based on knowledge that this is:

A)unacceptable because of the risk of sudden infant death syndrome (SIDS).
B)unacceptable because it does not encourage achievement of developmental milestones.
C)acceptable to encourage fine motor development.
D)acceptable to encourage head control and turning over.

Question 8

According to Piaget,the 6-month-old infant should be in which developmental stage?

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

Question 9

A 4-month-old was born at 35 weeks of gestation.She seems to be developing normally,but her parents are concerned because she is a "more difficult" baby than their other child,who was term.The nurse should explain that:

A)infants' temperaments are part of their unique characteristics.
B)infants become less difficult if they are not kept on scheduled feedings and structured routines.
C)the infant's behavior is suggestive of failure to bond completely with her parents.
D)the infant's difficult temperament is the result of painful experiences in the neonatal period.

Question 10

Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?

A)Playing peek-a-boo
B)Playing pat-a-cake
C)Imitating animal sounds
D)Showing how to clap hands

Question 11

A nurse is assessing a 6-month-old infant.The nurse recognizes the posterior fontanel usually closes at which age?

A)6 to 8 weeks
B)10 to 12 weeks
C)4 to 6 months
D)8 to 10 months

Question 12

Which information could be given to the parents of a 12-month-old child regarding appropriate play activities?

A)Give large push-pull toys for kinetic stimulation.
B)Place cradle gym across crib to facilitate fine motor skills.
C)Provide child with finger-paints to enhance fine motor skills.
D)Provide stick horse to develop gross motor coordination.

Question 13

By which age should the nurse expect an infant to be able to pull to a standing position?

A)6 months
B)8 months
C)11 to 12 months
D)14 to 15 months

Question 14

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

A)Transfer objects from one hand to the other and bang cubes on a table.
B)Use thumb and index finger in crude pincer grasp and release an object at will.
C)Hold a crayon between the fingers and make a mark on paper.
D)Release cubes into a cup and build a tower of two blocks.

Question 15

A nurse is conducting a teaching session for parents of infants.The nurse explains that which behavior indicates that an infant has developed object permanence?

A)Recognizes familiar face, such as mother
B)Recognizes familiar object, such as bottle
C)Actively searches for a hidden object
D)Secures objects by pulling on a string

Question 16

The nurse is discussing development and play activities with the parent of a 2-month-old.Recommendations should include giving a first rattle at about which age?

A)2 months
B)4 months
C)7 months
D)9 months

Question 17

Which would be the best play activity for a 6-month-old infant to provide tactile stimulation?

A)Allow to splash in bath.
B)Give various colored blocks.
C)Play music box, tapes, or CDs.
D)Use infant swing or stroller.

Question 18

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:

A)normal development.
B)significant developmental lag.
C)slightly delayed development due to prematurity.
D)suggestive of a neurologic disorder such as cerebral palsy.

Question 19

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stools.The nurse's explanation of this is based on which statement?

A)Child should not be given fibrous foods until digestive tract matures at age 4 years.
B)Child should not be given any solid foods until this digestive problem is resolved.
C)This is abnormal and requires further investigation.
D)This is normal because of the immaturity of digestive processes at this age.

Question 20

A nurse is assessing a 12-month-old infant.Which statement best describes the infant's physical development a nurse should expect to find?

A)Anterior fontanel closes by age 6 to 10 months.
B)Binocularity is well established by age 8 months.
C)Birth weight doubles by age 5 months and triples by age 1 year.
D)Maternal iron stores persist during the first 12 months of life.

Question 21

A nurse is teaching a parent about administration of iron supplements to a 7-month-old infant.Which should the nurse include in the teaching session? (Select all that apply.)

A)Administer the iron supplement with a dropper toward the side and to the back of the mouth
B)Administer the iron supplement with feedings.
C)Your infant's stools may look tarry green.
D)Your infant may have some diarrhea initially.
E)Follow the iron supplement with 4 ounces of juice.

Question 22

At what age does an infant start to recognize familiar faces and objects,such as a feeding bottle?

A)1 month
B)2 months
C)3 months
D)4 months

Question 23

The parent of a 2-week-old infant,exclusively breastfed,asks the nurse if fluoride supplements are needed.The nurse's best response should be:

A)"She needs to begin taking them now."
B)"They are not needed if you drink fluoridated water."
C)"She may need to begin taking them at age 4 months."
D)"She can have infant cereal mixed with fluoridated water instead of supplements."

Question 24

A parent asks the nurse "when will my infant start to teethe?" The nurse responds that the earliest age at which an infant begins teething with eruption of lower central incisors is _____ months.

A)4
B)6
C)8
D)12

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:

A)skim milk.
B)whole cow's milk.
C)commercial iron-fortified formula.
D)commercial formula without iron.

Question 26

In terms of gross motor development,which should the nurse expect a 5-month-old infant to do? (Select all that apply.)

A)Roll from abdomen to back.
B)Put feet in mouth when supine.
C)Roll from back to abdomen.
D)Sit erect without support.
E)Move from prone to sitting position.f. Adjust posture to reach an object.

Question 27

The clinic is lending a federally approved car seat to an infant's family.The nurse should explain that the safest place to put the car seat is:

A)front facing in back seat.
B)rear facing in back seat.
C)front facing in front seat with airbag on passenger side.
D)rear facing in front seat if an air bag is on the passenger side.

Question 28

The nurse should teach parents that which age is safe to give infants whole milk instead of commercial infant formula?

A)6 months
B)9 months
C)12 months
D)18 months

Question 29

What is the best age for solid food to be introduced into the infant's diet?

A)2 to 3 months
B)4 to 6 months
C)When birth weight has tripled
D)When tooth eruption has started

Question 30

Austin,age 6 months,has six teeth.The nurse should recognize that this is:

A)normal tooth eruption.
B)delayed tooth eruption.
C)unusual and dangerous.
D)earlier-than-normal tooth eruption.

Question 31

The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive,inflexible,high-top shoes.The nurse should explain that:

A)soft and flexible shoes are generally better.
B)high-top shoes are necessary for support.
C)inflexible shoes are necessary to prevent in-toeing and out-toeing.
D)this type of shoe will encourage the infant to walk sooner.

Question 32

The nurse is guiding parents in selecting a daycare facility for their infant.Which is especially important to consider when making the selection?

A)Health practices of facility
B)Structured learning environment
C)Socioeconomic status of children
D)Cultural similarities of children

Question 33

The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster.What should the nurse recommend?

A)Never heat a bottle in a microwave oven.
B)Heat only 10 ounces or more.
C)Always leave bottle top uncovered to allow heat to escape.
D)Shake bottle vigorously for at least 30 seconds after heating.

Question 34

Parents tell the nurse that their 1-year-old son often sleeps with them.They seem unconcerned about this.The nurse's response should be based on which statement?

A)Children should not sleep with their parents.
B)Separation from parents should be completed by this age.
C)Daytime attention should be increased.
D)This is a common and accepted practice, especially in some cultural groups.

Question 35

Which figure depicts an expected developmental milestone for a 7-month-old infant?

A)
B)
C)
D)

Question 36

The nurse is teaching parents about appropriate pacifier selection.Which characteristics should the pacifier have? (Select all that apply.)

A)Easily grasped handle
B)One-piece construction
C)Ribbon or string to secure to clothing
D)Soft, pliable material
E)Sturdy, flexible material

Question 37

The parents of a 12-month-old child ask the nurse whether the child can eat hot dogs.The nurse's reply should be based on which statement?

A)Child is too young to digest hot dogs.
B)Child is too young to eat hot dogs safely.
C)Hot dogs must be sliced into sections to prevent aspiration.
D)Hot dogs must be cut into small, irregular pieces to prevent aspiration.

Question 38

A mother tells the nurse that she does not want her infant immunized because of the discomfort associated with injections.The nurse should explain that:

A)this cannot be prevented.
B)infants do not feel pain as adults do.
C)this is not a good reason for refusing immunizations.
D)a topical anesthetic, EMLA, can be applied before injections are given.

Question 39

A parent asks the nurse whether her infant is susceptible to pertussis.The nurse's response should be based on which statement concerning susceptibility to pertussis?

A)Neonates will be immune the first few months.
B)If the mother has had the disease, the infant will receive passive immunity.
C)Children younger than 1 year seldom contract this disease.
D)Most children are highly susceptible from birth.

Question 40

Which information should the nurse give a mother regarding the introduction of solid foods during infancy?

A)Solid foods should not be introduced until 8 to 10 months, when the extrusion reflex begins to disappear.
B)Foods should be introduced one at a time, at intervals of 4 to 7 days.
C)Solid foods can be mixed in a bottle to make the transition easier for the infant.
D)Fruits and vegetables should be introduced into the diet first.

Question 41

A nurse is preparing to administer routine immunizations to a 4-month-old infant.The infant is currently up to date on all previously recommended immunizations.Which immunizations will the nurse prepare to administer? (Select all that apply.)

A)Measles, mumps, and rubella (MMR)
B)Rotavirus (RV)
C)Diphtheria, tetanus, pertussis (DTaP)
D)Varicella
E)Haemophilus influenzae type b (HIB)
F)Inactivated poliovirus (IPV)

Question 42

A nurse is preparing to administer immunizations to a 6-month-old infant.Which interventions should the nurse implement to minimize local reaction and reduce pain? (Select all that apply.)

A)Select a needle of adequate length (1 inch).
B)Inject into the deltoid muscle.
C)Apply a vapocoolant spray directly to the skin, 15 seconds before administration.
D)Apply a topical anesthetic LMX4 (4% lidocaine) 10 minutes before administration.

Question 43

Place in order the expected sequence of fine motor developmental milestones for an infant beginning with the first milestone achieved and ending with the last milestone achieved.Provide answer using lowercase letters separated by commas (e.g.,a,b,c,d,e).

A) Voluntary palmar grasp
B) Reflex palmar grasp
C) Puts objects into a container
D) Neat pincer grasp
E) Builds a tower of two blocks, but fails

Question 44

A nurse is teaching a parent about introduction of solid foods into an infant's diet.Which should the nurse include in the teaching session? (Select all that apply.)

A)Solid food introduction can be started at 2 months of age.
B)Rice cereal is introduced first.
C)Begin the introduction of solid foods by mixing with formula in the bottle.
D)Introduce egg white in small quantities (1 tsp) toward the end of the first year.
E)Introduce one food at a time, usually at interval of 4 to 7 days.