Deck 29: Nursing Care of a Family With an Infant

Question 1

The mother of a 3-month-old baby is concerned because the child is not able to sit independently. What should the nurse respond to this mother's concern?

A) Most babies sit steadily at 3 months.
B) Most babies sit steadily at 4 months.
C) Most babies do not sit steadily until 8 months.
D) Sitting ability and the age of first tooth eruption are correlated.

Answer 1

Most babies do not sit steadily until 8 months.

Question 2

During an assessment, the nurse determines that a 3-month-old baby has a Moro reflex. What does this finding indicate to the nurse?

A) It usually lasts until 9 months.
B) It will persist until the age of 1 year.
C) Most 3-month-olds still have a Moro reflex.
D) If present at 3 months of age, a neurologic exam is needed.

Answer 2

Most 3-month-olds still have a Moro reflex.

Question 3

The nurse is planning an educational seminar for community members that focus on the 2020 National Health Goals to promote health during the infant year. What should the nurse include in this seminar? (Select all that apply.)

A) Using infant car seats
B) Placing infants on back to sleep
C) Continuing breastfeeding for 6 months
D) Introducing solid food by age 6 months
E) Receiving immunizations after the age of 1

Answer 3

Using infant car seats
Placing infants on back to sleep
Continuing breastfeeding for 6 months

Question 4

What should the nurse instruct a parent to help a child complete Erikson's developmental task during the infant period?

A) Respond to the child's needs consistently.
B) Keep the child stimulated with many toys.
C) Talk to the child at a special time each day.
D) Expose the child to many caregivers to help learn variability.

Question 5

The nurse is visiting a mother who has a 3-month-old infant. Which anticipatory guidance information should the nurse provide to the mother at this time?

A) The child will have a fear of strangers.
B) The child will experience many moody periods.
C) The child will expect things to be done a certain way.
D) The child should be able to turn over onto the back at age 4 months.

Question 6

The nurse is assessing an infant who is being breastfed. Which observation regarding the infant's stools is expected?

A) Fewer stools
B) Stool will be soft.
C) Stool will be hard.
D) Stool will have a strong odor.

Question 7

The nurse is identifying outcomes for care provided to a new mother whose infant continues to spit up after feedings. Which outcome would be the most appropriate?

A) The baby will have forceful episodes of vomitus only once a day.
B) The baby will have less episodes of spitting up after sitting upright after a feeding.
C) The baby will spit up a large amount of vomitus only after the last feeding of the day.
D) The baby will have fewer episodes of spitting up when the type of formula is changed.

Question 8

The nurse is assessing a 2-month-old formula-fed infant who is experiencing colic. Which type of bowel movements should the nurse expect to occur with this health problem?

A) Hard and lumpy
B) Yellow and semisoft
C) Foul smelling and bulky
D) Loose and mucus-streaked

Question 9

The nurse is visiting a mother who has a 3-month-old infant that has been hospitalized for cardiac problems. Which nursing diagnosis should the nurse use to guide care for this family at this time?

A) Health-seeking behaviors related to adjusting to parenthood
B) Risk for impaired parenting related to hospitalization of infant
C) Disturbed maternal sleep pattern related to infant's feeding schedule
D) Deficient knowledge related to normal infant growth and development

Question 10

A new mother asks the nurse when toothbrushing should begin for the baby. Which response is the most appropriate for the nurse to make at this time?

A) Now
B) At the age of 12 months
C) When solid food is eaten
D) When the first tooth appears

Question 11

The mother of a 4-month-old infant is concerned that the baby does not always want to take a bottle. What should the nurse instruct the mother about feeding the baby?

A) Ensure the environment is quiet during mealtime.
B) Happy and healthy babies do not always eat well.
C) Force the infant to take a bottle when it is time to do so.
D) Refusing a bottle means the child is ill and needs to be seen by the health care provider.

Question 12

A new mother asks the nurse what she should look for when the baby starts to teethe. What should the nurse explain to the mother?

A) The child's gum line will be tender.
B) The child will have a high temperature.
C) The child will not play or eat for 2 days.
D) The child will be constipated for 2 days.

Question 13

During a home visit, the nurse observes a 9-month-old child bang his head against the headboard of the crib at naptime. What should the nurse explain to the mother about this observation?

A) The child is eating too much protein.
B) The child is not getting enough to eat.
C) This action is normal up until preschool age.
D) The child needs to be seen immediately by a health care provider.

Question 14

The nurse observes a new mother provide a bath to her 9-month-old baby. Which observation indicates that the experience is positive for both mother and infant?

A) The baby is crying and screaming.
B) The baby is reaching for the mother.
C) The baby is moving the arms and hand and smiling.
D) The baby is trying to keep the legs from touching the water.

Question 15

The nurse is concerned that a 9-month-old baby is gaining too much weight. What should the nurse instruct the parents to help control the baby's weight gain?

A) Use skim milk for feedings.
B) Provide whole-grain cereal for one feeding.
C) Provide one bottle a day of diluted gelatin mix.
D) Feed the baby a serving of pudding once a day.