Question 1

What is an appropriate play activity for a 7-month-old infant to encourage socialization and cognition?

Accepted Answer

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

Question 2

In terms of fine motor development,which action should a 7-month-old infant be able to perform?

Accepted Answer

A)  Transfer objects from one hand to the other. 
B)  Use thumb and index finger in crude pincer grasp. 
C)  Hold crayon and make a mark on paper. 
D)  Release cubes into a cup. 
A)  Transfer objects from one hand to the other. 
B)  Use thumb and index finger in crude pincer grasp. 
C)  Hold crayon and make a mark on paper. 
D)  Release cubes into a cup. A

Question 3

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

Accepted Answer

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

Question 4

By what age should the nurse expect that an infant will be able to pull herself into a standing position?

Accepted Answer

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

Question 5

Austin,age 6 months,has six teeth.What should the nurse recognize about this assessment finding?

Accepted Answer

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

Question 6

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs.Which should inform the nurse's reply?

Accepted Answer

A)  The child is too young to digest hot dogs. 
B)  The 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. 
A)  The child is too young to digest hot dogs. 
B)  The 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 7

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.How should the nurse interpret this finding?

Accepted Answer

A)  It is a normal finding. 
B)  It is a questionable finding-the infant should be rechecked in 1 month. 
C)  It is an abnormal finding-it indicates the need for immediate referral to practitioner. 
D)  It is an abnormal finding-it indicates the need for developmental assessment. 
A)  It is a normal finding. 
B)  It is a questionable finding-the infant should be rechecked in 1 month. 
C)  It is an abnormal finding-it indicates the need for immediate referral to practitioner. 
D)  It is an abnormal finding-it indicates the need for developmental assessment.

Question 8

Latasha is a breastfed infant being seen in the clinic for her 6-month checkup.Her mother tells the nurse that she recently began to suck her thumb.Which is the best action for the nurse to take?

Accepted Answer

A)  Recommend that the mother substitute a pacifier for her thumb. 
B)  Assess Latasha for other signs of sensory deprivation. 
C)  Reassure the mother that this is very normal at this age. 
D)  Suggest that the mother breastfeed Latasha more often to satisfy sucking needs. 
A)  Recommend that the mother substitute a pacifier for her thumb. 
B)  Assess Latasha for other signs of sensory deprivation. 
C)  Reassure the mother that this is very normal at this age. 
D)  Suggest that the mother breastfeed Latasha more often to satisfy sucking needs.

Question 9

At which age can most infants sit steadily unsupported?

Accepted Answer

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

Question 10

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 knowing that which is accurate?

Accepted Answer

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. 
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 11

The clinic is lending a federally approved car seat to an infant's family.Where is the safest place to put the car seat?

Accepted Answer

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

Question 12

Which behaviour indicates that an infant has developed object permanence?

Accepted Answer

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

Question 13

What information can be given to the parents of a 12-month-old child regarding appropriate play activities for this age?

Accepted Answer

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

Question 14

Pacifiers can be extremely dangerous because of the frequency of use and the intensity of the infant's suck.A nurse is teaching parents about appropriate pacifier selection-which characteristic should a pacifier have?

Accepted Answer

A)  No handle 
B)  One-piece construction 
C)  Ribbon or string to secure to clothing 
D)  Soft,pliable material 
A)  No handle 
B)  One-piece construction 
C)  Ribbon or string to secure to clothing 
D)  Soft,pliable material

Question 15

A mother tells the nurse that she doesn't want her infant immunized because of the discomfort associated with injections.What should the nurse explain to the mother in response to her statement?

Accepted Answer

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 anaesthetic can be applied before injections are given. 
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 anaesthetic can be applied before injections are given.

Question 16

The parent of 2-week-old Sarah asks the nurse if Sarah needs fluoride supplements because she is exclusively breastfed.What is the basis for the nurse's response?

Accepted Answer

A)  Fluoride should be started in the neonatal period. 
B)  It is not needed if the newborn has an intake of fluoridated water. 
C)  Fluoride supplements may need to begin at age 6 months. 
D)  Infants can have infant cereal mixed with fluoridated water instead of supplements. 
A)  Fluoride should be started in the neonatal period. 
B)  It is not needed if the newborn has an intake of fluoridated water. 
C)  Fluoride supplements may need to begin at age 6 months. 
D)  Infants can have infant cereal mixed with fluoridated water instead of supplements.

Question 17

At which age do most infants begin to fear strangers?

Accepted Answer

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

Question 18

A nurse is assessing a 6-month-old healthy infant who weighed 3 kg at birth.How many kilograms should the nurse expect the infant to weigh now?

Accepted Answer

A)  4 kg 
B)  6 kg 
C)  9 kg 
D)  12 kg 
A)  4 kg 
B)  6 kg 
C)  9 kg 
D)  12 kg

Question 19

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 information should the nurse provide to the parents about heating infant formula in a microwave?

Accepted Answer

A)  Never heat a bottle in a microwave oven. 
B)  Heat only 300 mL or more. 
C)  Stop halfway through warming and invert the bottle a few times. 
D)  Shake the bottle vigorously for at least 30 seconds after heating. 
A)  Never heat a bottle in a microwave oven. 
B)  Heat only 300 mL or more. 
C)  Stop halfway through warming and invert the bottle a few times. 
D)  Shake the bottle vigorously for at least 30 seconds after heating.

Question 20

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

Accepted Answer

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

Exam 35: The Infant and Family

What is an appropriate play activity for a 7-month-old infant to encourage socialization and cognition?

In terms of fine motor development,which action should a 7-month-old infant be able to perform?

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

By what age should the nurse expect that an infant will be able to pull herself into a standing position?

Austin,age 6 months,has six teeth.What should the nurse recognize about this assessment finding?

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs.Which should inform the nurse's reply?

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.How should the nurse interpret this finding?

Latasha is a breastfed infant being seen in the clinic for her 6-month checkup.Her mother tells the nurse that she recently began to suck her thumb.Which is the best action for the nurse to take?

At which age can most infants sit steadily unsupported?

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 knowing that which is accurate?

The clinic is lending a federally approved car seat to an infant's family.Where is the safest place to put the car seat?

Which behaviour indicates that an infant has developed object permanence?

What information can be given to the parents of a 12-month-old child regarding appropriate play activities for this age?

Pacifiers can be extremely dangerous because of the frequency of use and the intensity of the infant's suck.A nurse is teaching parents about appropriate pacifier selection-which characteristic should a pacifier have?

A mother tells the nurse that she doesn't want her infant immunized because of the discomfort associated with injections.What should the nurse explain to the mother in response to her statement?

The parent of 2-week-old Sarah asks the nurse if Sarah needs fluoride supplements because she is exclusively breastfed.What is the basis for the nurse's response?

At which age do most infants begin to fear strangers?

A nurse is assessing a 6-month-old healthy infant who weighed 3 kg at birth.How many kilograms should the nurse expect the infant to weigh now?

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 information should the nurse provide to the parents about heating infant formula in a microwave?

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

Contemporary Perinatal and Pediatric Nursing in Canada

The Family and Culture

Community Care

Perinatal Nursing in Canada

Health Promotion

Health Assessment

Reproductive Health

Infertility, Contraception, and Abortion

Preconception, Genetics, Conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care During Pregnancy

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Pregnancy Risk Factors and Assessment

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Nursing Care of the Family During Labour and Birth

Pain Management During Labour

Fetal Health Surveillance During Labour

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

Infants with Gestational Age Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Pediatric Nursing in Canada

Family, Social, Cultural, and Religious Influences on Children’s Health

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The Toddler and Family

The Preschooler and Family

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Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

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