Deck 16: The Infant

Question 1

The nurse is aware that the age at which an infant is able to sit steadily alone is:

A) 4 months
B) 5 months
C) 8 months
D) 15 months

Answer 1

8 months

Question 2

When talking with a parent about tooth eruption, the nurse explains that the first deciduous teeth to erupt are the:

A) Lower central incisors
B) Upper central incisors
C) Lower lateral incisors
D) Upper lateral incisors

Answer 2

Lower central incisors

Question 3

A mother calls the pediatrician's office because her infant is "colicky." The helpful measure the nurse would suggest to the parent is:

A) Sing songs to the infant in a soft voice.
B) Place the infant in a well-lit room.
C) Walk around and massage the infant's back.
D) Rock the fussy infant slowly and gently.

Answer 3

Rock the fussy infant slowly and gently.

Question 4

The mother of an infant born prematurely tells the nurse, "The baby is irritable. He cries during diaper changes and feedings. Can you make some suggestions about what I should do to soothe him?" The most appropriate recommendation to help this parent would be:

A) Play the radio or TV while you feed the baby.
B) Put the baby in a room with sunlight.
C) Cover the baby snugly when you hold him.
D) Change the baby's position quickly.

Question 5

When assessing development in a 9-month-old infant, the nurse would expect to observe the infant:

A) Sitting if supported
B) Grasping objects with the palm
C) Imitating sounds such as "da-da"
D) Beginning to use a spoon rather sloppily

Question 6

The nurse observes a 10-month-old infant using her index finger and thumb to pick up Cheerios. This behavior is evidence that the infant has developed the:

A) Pincer grasp
B) Grasp reflex
C) Prehension ability
D) Parachute reflex

Question 7

The nurse would advise a mother who is concerned because her 10-month-old is lethargic, to:

A) Keep the baby's room well-lit.
B) Rub the baby's soles vigorously.
C) Offer the baby a pacifier.
D) Handle the infant slowly and gently.

Question 8

The parent of a 3-month-old infant asks the nurse, "At what age do infants usually begin drinking from a cup?" The nurse would reply:

A) 5 months
B) 9 months
C) 1 year
D) 2 years

Question 9

The nurse would expect a 4-month-old to be able to:

A) Hold a cup
B) Stand with assistance
C) Lift head and shoulders
D) Sit with back straight

Question 10

The nurse knows that an infant's birthweight should be tripled by:

A) 9 months
B) 1 year
C) 18 months
D) 2 years

Question 11

The nurse discusses safety-proofing the home with the mother of a 9-month-old. The statement made by the mother that indicates an unsafe behavior is:

A) "I put covers on all of the electrical outlets."
B) "In the car, she rides in a front-facing car seat."
C) "There are locks on all of the cabinets in the house."
D) "I have a gate at the top and bottom of the stairs."

Question 12

The nurse would advise a parent when introducing solid foods to:

A) Begin with one tablespoon of the food.
B) Mix foods together.
C) Eliminate a refused food from the diet.
D) Introduce each new food 4 to 7 days apart.

Question 13

The nurse is aware that the age at which the posterior fontanelle closes is:

A) 2 to 3 months
B) 3 to 6 months
C) 6 to 9 months
D) 9 to 12 months

Question 14

The infant should be able to walk independently by the age of:

A) 8-10 months
B) 12-15 months
C) 15-18 months
D) 18-21 months

Question 15

The statement that indicates the mother of an 8-month-old understands infant sleep patterns is:

A) "I put the baby in my bed until she falls asleep, then I put her in her crib."
B) "I let the baby skip an afternoon nap so she will fall asleep earlier."
C) "I put the pacifier in the crib so she can find it when she wakes up."
D) "I rock the baby back to sleep if she wakes up at night."

Question 16

The statement made by a parent that indicates correct understanding of infant feeding is:

A) "I've been mixing rice cereal and formula in the baby's bottle."
B) "I switched the baby to low-fat milk at 9 months."
C) "The baby really likes little pieces of chocolate."
D) "I give the baby any new foods before he takes his bottle."

Question 17

A parent is concerned because her infant has a diaper rash. The nurse would advise the parent to:

A) Use commercial diaper wipes to clean the area.
B) Apply a protective ointment on the area.
C) Change the baby's diaper less frequently.
D) Keep the diaper area covered all of the time.

Question 18

A parent brings a 6-month-old infant to the pediatric clinic for her well-child examination. Her birthweight was 8 pounds, 2 ounces. The nurse weighing the infant today would expect her weight to be at least:

A) 12 pounds
B) 16 pounds
C) 20 pounds
D) 24 pounds

Question 19

The most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old would be:

A) Ride a tricycle.
B) Spend time in an infant swing.
C) Play with push-pull toys.
D) Read large picture books.

Question 20

The abnormal finding in an evaluation of growth and development for a 6-month-old infant would be:

A) Weight gain of 4-7 ounces per week
B) Length increase of 1 inch in 2 months
C) Head lag present
D) Can sit alone for a few seconds

Question 21

The nurse explains that a baby's prehensile development is progressive and logical. Arrange the development in the order from the simplest to the most complex.

A) Hands held open most of the time
B) Grasps with thumb on one side and three fingers on the other
C) Picks up toy with squeeze action
D) Thumb and forefinger hold object
E) Hands held closed most of the time

Question 22

The nurse cautions parents to place their baby in the ____________________ or ____________________ positions, rather than on its stomach, to reduce the risk of sudden infant death syndrome (SIDS).

Question 23

The nurse reminds the parents that the first DPT, oral polio, and flu immunizations should be given when the child is ____________________ months old.

Question 24

The nurse is aware that the 7-month-old can signal feeding readiness by: Select all that apply.

A) Pulling spoon toward mouth
B) Biting at spoon with upper and lower incisors
C) Pointing to food bowl
D) Bouncing up and down with excitement at sight of food
E) Manipulating finger foods

Question 25

The nurse explains the second process of self-mobility a baby learns is seen at the age of 9 months, when the baby begins to ____________________.