Question 1

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:

Accepted Answer

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. 
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. A

Question 2

A 3-month-old infant,born at 38 weeks of gestation,will hold a rattle if it is put in her hands; however,she will not voluntarily grasp it.The nurse should interpret this as:

Accepted Answer

A) Normal development. 
B) Significant developmental lag. 
C) Slightly delayed development caused by prematurity. 
D) Suggestive of a neurologic disorder such as cerebral palsy. 
A) Normal development. 
B) Significant developmental lag. 
C) Slightly delayed development caused by prematurity. 
D) Suggestive of a neurologic disorder such as cerebral palsy. A

Question 3

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.

-Fifth

Accepted Answer

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 
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 E

Question 4

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?

Accepted Answer

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. 
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 5

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.This should be interpreted as:

Accepted Answer

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

Question 6

According to Piaget,the 6-month-old infant would be in what stage of the sensorimotor phase?

Accepted Answer

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

Question 7

In terms of gross motor development,what would the nurse expect a 5-month-old infant to do (select all that apply)?

Accepted Answer

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. 
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.

Question 8

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

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 anesthetic, eutectic mixture of local anesthetic (EML
A) , 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 anesthetic, eutectic mixture of local anesthetic (EML
A) , can be applied before injections are given.

Question 9

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.

-First

Accepted Answer

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 
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

Question 10

Which behavior indicates that an infant has developed object permanence?

Accepted Answer

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

Question 11

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.

-Third

Accepted Answer

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 
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

Question 12

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:

Accepted Answer

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

Question 13

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.The nurse should recommend that the infant be given:

Accepted Answer

A) Skim milk. 
B) Whole cow's milk. 
C) Commercial iron-fortified formula. 
D) Commercial formula without iron. 
A) Skim milk. 
B) Whole cow's milk. 
C) Commercial iron-fortified formula. 
D) Commercial formula without iron.

Question 14

A parent asks the nurse "At what age do most babies begin to fear strangers?" The nurse responds that most infants begin to fear strangers at age:

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 15

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.

-Fourth

Accepted Answer

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 
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

Question 16

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.

-Second

Accepted Answer

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 
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

Question 17

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs.The nurse's reply should be based on knowing that:

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 18

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 the knowledge that:

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 19

Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant (select all that apply)?

Accepted Answer

A) Allow parents to say goodbye to their infant. 
B) Once parents leave the hospital, no further follow-up is required. 
C) Arrange for someone to take the parents home from the hospital. 
D) Avoid requesting an autopsy of the deceased infant. 
E) Conduct a debriefing session with the parents before they leave the hospital. 
A) Allow parents to say goodbye to their infant. 
B) Once parents leave the hospital, no further follow-up is required. 
C) Arrange for someone to take the parents home from the hospital. 
D) Avoid requesting an autopsy of the deceased infant. 
E) Conduct a debriefing session with the parents before they leave the hospital.

Question 20

Parent guidelines for relieving colic in an infant include:

Accepted Answer

A) Avoiding touching the abdomen. 
B) Avoiding using a pacifier. 
C) Changing the infant's position frequently. 
D) Placing the infant where the family cannot hear the crying. 
A) Avoiding touching the abdomen. 
B) Avoiding using a pacifier. 
C) Changing the infant's position frequently. 
D) Placing the infant where the family cannot hear the crying.

Exam 31: The Infant and Family

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 3-month-old infant,born at 38 weeks of gestation,will hold a rattle if it is put in her hands; however,she will not voluntarily grasp it.The nurse should interpret this as:

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. -Fifth

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?

The nurse is doing a routine assessment on a 14-month-old infant and notes that the anterior fontanel is closed.This should be interpreted as:

According to Piaget,the 6-month-old infant would be in what stage of the sensorimotor phase?

In terms of gross motor development,what would the nurse expect a 5-month-old infant to do (select all that apply)?

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

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. -First

Which behavior indicates that an infant has developed object permanence?

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. -Third

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 mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.The nurse should recommend that the infant be given:

A parent asks the nurse "At what age do most babies begin to fear strangers?" The nurse responds that most infants begin to fear strangers at age:

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. -Fourth

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. -Second

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs.The nurse's reply should be based on knowing that:

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 the knowledge that:

Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS)infant (select all that apply)?

Parent guidelines for relieving colic in an infant include:

21st Century Maternity Nursing

Community Care: the Family and Culture

Assessment and Health Promotion

Reproductive System Concerns

Infertility,contraception,and Abortion

Genetics, conception, and Fetal Development

Anatomy and Physiology of Pregnancy

Nursing Care of the Family During Pregnancy

Maternal and Fetal Nutrition

Assessment of High Risk Pregnancy

Pregnancy at Risk: Preexisting Conditions

Pregnancy at Risk: Gestational Conditions

Labor and Birth Processes

Pain Management

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Maternal Physiologic Changes

Nursing Care of the Family During the Postpartum Period

Transition to Parenthood

Postpartum Complications

Physiologic and Behavioral Adaptations of the Newborn

Nursing Care of the Newborn and Family

Newborn Nutrition and Feeding

The High Risk Newborn

21st Century Pediatric Nursing

Family, social, cultural, and Religious Influences on Child Health Promotion

Developmental and Genetic Influences on Child Health Promotion

Communication, history, and Physical Assessment

Pain Assessment and Management in Children

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Chronic Illness, disability, and End-Of-Life Care

Impact of Cognitive or Sensory Impairment on the Child and Family

Family-Centered Care of the Child During Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

Gastrointestinal Dysfunction

Cardiovascular Dysfunction

Hematologic and Immunologic Dysfunction

Genitourinary Dysfunction

Cerebral Dysfunction

Endocrine Dysfunction

Integumentary Dysfunction

Musculoskeletal or Articular Dysfunction

Neuromuscular or Muscular Dysfunction

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