Question 1

Which statement best describes the infant's physical development?

Accepted Answer

A)  The anterior fontanel closes by age 6 to 10 months. 
B)  Binocularity is well established by age 8 months. 
C)  Birth weight doubles by age 6 months and triples by 1 year. 
D)  Maternal iron stores persist during the first 12 months of life. 
A)  The anterior fontanel closes by age 6 to 10 months. 
B)  Binocularity is well established by age 8 months. 
C)  Birth weight doubles by age 6 months and triples by 1 year. 
D)  Maternal iron stores persist during the first 12 months of life. C

Question 2

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 3

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 B

Question 4

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 5

By what age does the posterior fontanel usually close?

Accepted Answer

A)  6 to 8 weeks 
B)  10 to 12 weeks 
C)  4 to 6 months 
D)  8 to 10 months 
A)  6 to 8 weeks 
B)  10 to 12 weeks 
C)  4 to 6 months 
D)  8 to 10 months

Question 6

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 of the following 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 7

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 8

A 3-month-old infant,born at 38 weeks of gestation,will hold a rattle if it is put in her hands,but she will not voluntarily grasp it.How should the nurse interpret this behaviour?

Accepted Answer

A)  This is normal development. 
B)  This is a significant developmental lag. 
C)  This is slightly delayed development caused by prematurity. 
D)  This is suggestive of a neurological disorder such as cerebral palsy. 
A)  This is normal development. 
B)  This is a significant developmental lag. 
C)  This is slightly delayed development caused by prematurity. 
D)  This is suggestive of a neurological disorder such as cerebral palsy.

Question 9

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 10

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 11

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

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 is the best play activity for a 6-month-old infant to provide tactile stimulation?

Accepted Answer

A)  Allow the infant to splash in the bath. 
B)  Give the infant various coloured blocks. 
C)  Play a music box, CDs, or MP3 player. 
D)  Use an infant swing or stroller. 
A)  Allow the infant to splash in the bath. 
B)  Give the infant various coloured blocks. 
C)  Play a music box, CDs, or MP3 player. 
D)  Use an infant swing or stroller.

Question 14

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 15

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 16

Austin,age 6 months,has 6 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 17

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 295 mL (10 oz) 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 295 mL (10 oz) 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 18

The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive,inflexible,high-top shoes.The nurse should take this opportunity to explain which of the following to the parents?

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.

Question 19

The nurse is interviewing the father of 12-month-old Megan.She is playing on the floor when she notices an electrical outlet and reaches up to touch it.Her father says "No" firmly,and moves her away from the outlet.To teach the father,the nurse should say which of the following applies to Megan at this developmental level?

Accepted Answer

A)  She is old enough to understand the word "No." 
B)  She is too young to understand the word "No." 
C)  She should already know that electrical outlets are dangerous. 
D)  She will learn safety issues better if she is spanked. 
A)  She is old enough to understand the word "No." 
B)  She is too young to understand the word "No." 
C)  She should already know that electrical outlets are dangerous. 
D)  She will learn safety issues better if she is spanked.

Question 20

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

Accepted Answer

A)  "She needs to begin taking them now." 
B)  "They are not needed if you drink fluoridated water." 
C)  "She may need to begin taking them at age 6 months." 
D)  "She can have infant cereal mixed with fluoridated water instead of supplements." 
A)  "She needs to begin taking them now." 
B)  "They are not needed if you drink fluoridated water." 
C)  "She may need to begin taking them at age 6 months." 
D)  "She can have infant cereal mixed with fluoridated water instead of supplements."

Exam 36: The Infant and Family

Which statement best describes the infant's physical development?

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

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

At which age can most infants sit steadily unsupported?

By what age does the posterior fontanel usually close?

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 of the following is accurate?

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 3-month-old infant,born at 38 weeks of gestation,will hold a rattle if it is put in her hands,but she will not voluntarily grasp it.How should the nurse interpret this behaviour?

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?

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?

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

Which behaviour indicates that an infant has developed object permanence?

What is the best play activity for a 6-month-old infant to provide tactile stimulation?

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?

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

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

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?

The nurse notices that a 10-month-old infant being seen in the clinic is wearing expensive,inflexible,high-top shoes.The nurse should take this opportunity to explain which of the following to the parents?

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

Contemporary Perinatal Nursing in Canada

The Family and Culture

Community Care

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

Maternal and Fetal Nutrition

Pregnancy Risk Factors and Assessment: Maternal and Fetal

Pregnancy at Risk: Gestational Conditions

Pregnancy at Risk: Pre-Existing Conditions

Labour and Birth Processes

Comfort Measures for Labour

Fetal Health Surveillance During Labour

Nursing Care During Labour and Birth

Labour and Birth at Risk

Maternal Physiological Changes

Nursing Care During the Fourth Trimester

Transition to Parenthood

Postpartum Complications

Physiological Adaptations of the Newborn

Nursing Care of the Newborn

Newborn Nutrition and Feeding

Infants With Gestational Age-Related Problems

The Newborn at Risk: Acquired and Congenital Problems

Contemporary Pediatric Nursing in Canada

Community-Based Nursing Care of the Child and Family

Family Influences on Child Health Promotion

Social, cultural, and Religious Influences on Child Health Promotion

Developmental Influences on Child Health Promotion

Communication, history, physical, and Developmental Assessment

Pain Assessment and Management

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

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Family-Centred Home Care

Reaction to Illness and Hospitalization

Pediatric Variations of Nursing Interventions

Respiratory Dysfunction

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Hematological and Immunological Dysfunction

Genitourinary Dysfunction

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