Deck 10: Health Promotion and Maintenance of the Infant

Question 1

The new mother tells the nurse that sometimes her infant seems to become frantic when crying and asks what she can do when this happens. Which actions would the nurse recommend? Standard Text: Select all that apply.

A)Offer breast or bottle if it has been two hours or longer since the last feeding.
B)If the infant is not hungry or wet, allow the infant to cry it out.
C)Swaddle the infant in a blanket and rock the infant.
D)Try patting the infant on the back to help the baby expel gas.
E)Take the infant to a different room or outside to distract the infant.

Answer 1

Offer breast or bottle if it has been two hours or longer since the last feeding.
Swaddle the infant in a blanket and rock the infant.
Try patting the infant on the back to help the baby expel gas.

Question 2

An infant is born at 24 weeks' gestational age. Which of these interventions should the nurse plan when the infant is discharged home?

A)Instructing the parents that infants need warmed milk and to heat the milk in a microwave for no more than 15 seconds
B)Giving the parents information on HIV screening that is necessary for infants born at this gestational age
C)Referring the infant for developmental screening
D)No particular instructions are necessary because discharge teaching is completed immediately after the birth of the infant.

Answer 2

Referring the infant for developmental screening

Question 3

The nurse has been following the infant in the well-baby clinic and has checked the child's vision on every visit. At four months of age, the nurse will add the cover-uncover test to check the child for:

A)Conjunctivitis.
B)Strabismus.
C)Amblyopia.
D)Cataracts.

Answer 3

Strabismus.

Question 4

Which parental behavior presents a risk for the infant in the home?

A)The father admits smoking cigarettes in the home but says he never smokes around the baby.
B)The parents have parties once a month in the home and serve alcoholic beverages.
C)The parents allow their other children, ages six and 10, to supervise the infant while the parents are working in another room.
D)The mother is a diabetic and has insulin and syringes in the household.

Question 5

The nurse has been discussing behaviors to promote infant sleep with the mother of a two-month-old. Which statement by the mother indicates the need for additional discussion?

A)"I will read to my baby every night when getting him ready for bed."
B)"I will not bring him into my bed when he is having trouble falling asleep."
C)"I will have active play at bedtime to tire him out so he will sleep better."
D)"It is okay for my baby to have a "blankie" as a security object when he is put in his bed."

Question 6

A nurse asks the mother to undress her four-month-old infant. The nurse observes the mother taking off several layers of clothing, knowing that the outdoor temperature is 70°F. Which of these statements should the nurse make to the mother?

A)"When you leave the office, only put one layer of clothing on your baby."
B)"My, you are dressing your infant warmly today."
C)"Did you think it was it cold when you left your home this morning?"
D)"I see that you have many layers of clothing on your baby.This could cause your baby's temperature to rise."

Question 7

The nurse is working with first-time parents. Which of these activities will the nurse suggest to encourage the development of good muscle tone?

A)Placing the infant in an infant seat rather than lying down in a crib
B)Surrounding the infant with toys and other stimulating items to encourage motor movement
C)Swaddling the infant
D)Putting the infant to bed each night at 8 p.m., even if the infant protests with crying

Question 8

The home health nurse is concerned that the teenage mother tends to watch television while feeding the baby rather than talking and playing with her baby. Which statement by the nurse will most likely encourage the mother to talk and play with the baby more?

A)"Babies who are talked to more have higher IQs later on."
B)"You should talk to your baby more."
C)"Watch how I talk to the baby and see if you can follow my lead."
D)"Have you noticed how your baby looks at you when you speak? You can see how he knows your voice."

Question 9

The home health nurse visits a home with an eight-month-old baby. Which observation is a safety issue that should be discussed with the mother?

A)The infant crib mattress has been lowered to its lowest level.
B)The mother cuts hot dogs into pieces for the baby to "gum."
C)The cords to the window blinds have been shortened and do not hang below the window.
D)The mother has placed infant barriers around the gas heat stove.

Question 10

The parents of an eight-month-old infant are very distressed that the infant cries for at least one hour when they go out on Friday nights. Which of these statements should the nurse make to the parents?

A)"Your infant is attached to you.This is an expected infant response."
B)"Your baby seems to be afraid of the sitter.Why don't you try another sitter?"
C)"Your infant is too young to be experiencing stranger anxiety; however, you might need to stop going out on Friday nights for a while."
D)"Oh, don't worry.All infants and toddlers display these behaviors until at least 2½ years old."

Question 11

The nurse is teaching a group of parents about car safety. Which statement by a parent requires additional teaching?

A)"The safest place in the car for the baby is the middle of the back seat."
B)"I will use a rear facing car seat for my baby."
C)"I will take the car seat to the local police station for them to check placement and safety."
D)"For the trip home from the birth hospital, I will bucket myself in the back seat and hold the baby carefully.I am borrowing a car seat and should have it by my next trip out."

Question 12

The nurse working with a family has observed that the older children have a large number of dental caries, so the nurse plans to provide the mother with information to prevent the development of dental caries in her new infant. What instructions will the nurse include in the teaching provided to the mother? Standard Text: Select all that apply.

A)Wiping the infant's gums with soft, moist gauze once or twice daily
B)Giving foods high in sugar only at breakfast time
C)Not allowing the infant to sleep with a bottle in the bed
D)Reminding the mother that dental care is not needed until the permanent teeth erupt
E)Using a topical anesthetic daily, beginning as soon as the first tooth begins to erupt

Question 13

A foster mother is caring for an infant who experienced an intrauterine drug exposure to cocaine. The infant often is irritated and cries for several hours each day. Which of these interventions will assist the infant in developing self-regulatory behaviors?

A)Encouraging the infant to suck as a comfort measure by placing the infant's fingers in the mouth while crying
B)Placing the infant about 15 inches from the TV and turning on an infant show such as Sesame Street
C)Swaddling the infant
D)Allowing the infant to cry but observing the infant to prevent injury

Question 14

A six-month-old infant has been hospitalized several times with diarrhea. The nurse evaluates home care to determine the cause of the repeated illnesses. Which is the most likely cause of the repeated gastroenteritis?

A)The infant is allowed to drink from her parents' drinks at meal time.
B)If the infant doesn't finish her bottle, the mother returns it to the refrigerator to be used later in the day.
C)There are three school-age children in the family.
D)The infant often wears only a diaper around the house.

Question 15

Nurses need to know normal development so they can recognize infants who fail to meet developmental milestones. Place the following developmental milestones in order from the earliest to appear to the latest to appear. Standard Text: Click and drag the options below to move them up or down.

A)Responds to name
B)Waves bye-bye when directed
C)Lifts head when prone
D)Rolls from front to back
E)Makes cooing sounds