Question 1

The nurse assessing a 6-month-old healthy infant who weighed 7 lbs at birth,shares with the parents that the infant should weigh approximately how many pounds?

Accepted Answer

A)  10 lbs. 
B)  15 lbs. 
C)  20 lbs. 
D)  25 lbs. 
A)  10 lbs. 
B)  15 lbs. 
C)  20 lbs. 
D)  25 lbs. B

Question 2

The mother of a breastfed infant being seen in the clinic for the sixth month checkup is concerned that the infant has begun thumb sucking.How should the nurse respond to the mother's concern?

Accepted Answer

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

Question 3

MATCHING
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 A

Question 4

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What should the nurse recommend to be used as substitute for the breastmilk?

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 5

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

Accepted Answer

A)  6 months 
B)  8 months 
C)  9 months 
D)  11 to 12 months 
A)  6 months 
B)  8 months 
C)  9 months 
D)  11 to 12 months

Question 6

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Accepted Answer

A)  Explain how SIDS could have been predicted and prevented. 
B)  Interview parents in depth concerning the circumstances surrounding the infant's death. 
C)  Discourage parents from making a last visit with the infant. 
D)  Make a follow-up home visit to parents as soon as possible after the infant's death. 
A)  Explain how SIDS could have been predicted and prevented. 
B)  Interview parents in depth concerning the circumstances surrounding the infant's death. 
C)  Discourage parents from making a last visit with the infant. 
D)  Make a follow-up home visit to parents as soon as possible after the infant's death.

Question 7

Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?

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.

Question 8

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

Accepted Answer

A)  2 to 3 months 
B)  4 to 6 months 
C)  When birth weight has tripled 
D)  When tooth eruption has started 
A)  2 to 3 months 
B)  4 to 6 months 
C)  When birth weight has tripled 
D)  When tooth eruption has started

Question 9

The nurse should teach parents that at what age it is safe to give infants whole milk instead of commercial infant formula?

Accepted Answer

A)  6 months 
B)  9 months 
C)  12 months 
D)  18 months 
A)  6 months 
B)  9 months 
C)  12 months 
D)  18 months

Question 10

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 what understanding?

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 11

A nurse is conducting education classes for parents of infants.The nurse plans to discuss sudden infant death syndrome (SIDS).Which risk factors should the nurse include as increasing an infant's risk of a SIDS incident? (Select all that apply.)

Accepted Answer

A)  Breastfeeding 
B)  Low Apgar scores 
C)  Male sex 
D)  Birth weight in the 50th or higher percentile 
E)  Recent viral illness 
A)  Breastfeeding 
B)  Low Apgar scores 
C)  Male sex 
D)  Birth weight in the 50th or higher percentile 
E)  Recent viral illness

Question 12

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

Accepted Answer

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

Question 13

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stool.The nurse bases her explanation on what fact?

Accepted Answer

A)  Children should not be given fibrous foods until the digestive tract matures at age 4 years. 
B)  The infant should not be given any solid foods until this digestive problem is resolved. 
C)  This is abnormal and requires further investigation. 
D)  This is normal because of the immaturity of digestive processes at this age. 
A)  Children should not be given fibrous foods until the digestive tract matures at age 4 years. 
B)  The infant should not be given any solid foods until this digestive problem is resolved. 
C)  This is abnormal and requires further investigation. 
D)  This is normal because of the immaturity of digestive processes at this age.

Question 14

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.

Question 15

Which clinical manifestations should cause the nurse to suspect that a child,diagnosed with a digestive disorder,may be demonstrating signs of failure to thrive?

Accepted Answer

A)  Avoidance of eye contact. 
B)  An associated malabsorption defect. 
C)  Weight that falls below the 15th percentile. 
D)  Normal achievement of developmental landmarks. 
A)  Avoidance of eye contact. 
B)  An associated malabsorption defect. 
C)  Weight that falls below the 15th percentile. 
D)  Normal achievement of developmental landmarks.

Question 16

MATCHING
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 17

In terms of gross motor development,what would the nurse educate the parents to 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 18

Which statement accurately describes an event associated with an infant's physical development?

Accepted Answer

A)  Anterior fontanel closes by age 6 to 10 months. 
B)  Binocularity is well established by age 8 months. 
C)  Birth weight doubles by age 5 months and triples by age 1 year. 
D)  Maternal iron stores persist during the first 12 months of life. 
A)  Anterior fontanel closes by age 6 to 10 months. 
B)  Binocularity is well established by age 8 months. 
C)  Birth weight doubles by age 5 months and triples by age 1 year. 
D)  Maternal iron stores persist during the first 12 months of life.

Question 19

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 what knowledge?

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 20

With the goal of preventing plagiocephaly,the nurse should teach new parents to consider which intervention?

Accepted Answer

A)  Place the infant prone for 30 to 60 minutes per day. 
B)  Buy a soft mattress. 
C)  Allow the infant to nap in the car safety seat. 
D)  Have the infant sleep with the parents. 
A)  Place the infant prone for 30 to 60 minutes per day. 
B)  Buy a soft mattress. 
C)  Allow the infant to nap in the car safety seat. 
D)  Have the infant sleep with the parents.

Exam 31: The Infant and Family

The nurse assessing a 6-month-old healthy infant who weighed 7 lbs at birth,shares with the parents that the infant should weigh approximately how many pounds?

The mother of a breastfed infant being seen in the clinic for the sixth month checkup is concerned that the infant has begun thumb sucking.How should the nurse respond to the mother's concern?

MATCHING 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

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What should the nurse recommend to be used as substitute for the breastmilk?

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

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?

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

The nurse should teach parents that at what age it is safe to give infants whole milk instead of commercial infant formula?

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 what understanding?

A nurse is conducting education classes for parents of infants.The nurse plans to discuss sudden infant death syndrome (SIDS).Which risk factors should the nurse include as increasing an infant's risk of a SIDS incident? (Select all that apply.)

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

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stool.The nurse bases her explanation on what fact?

Parent guidelines for relieving colic in an infant include:

Which clinical manifestations should cause the nurse to suspect that a child,diagnosed with a digestive disorder,may be demonstrating signs of failure to thrive?

MATCHING 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

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

Which statement accurately describes an event associated with an infant's physical development?

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 what knowledge?

With the goal of preventing plagiocephaly,the nurse should teach new parents to consider which intervention?

21st Century Maternity Nursing

The Family, culture, spirituality, and Home Care

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

High-Risk Perinatal Care: Preexisting Conditions

High-Risk Perinatal Care: Gestational Conditions

Labor and Birth Processes

Maximizing Comfort for the Laboring Woman

Fetal Assessment During Labor

Nursing Care of the Family During Labor and Birth

Labor and Birth Complications

Postpartum 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 and Physical Assessment of the Child and Family

Pain Assessment and Management in Children

The Toddler and Family

The Preschooler and Family

The School-Age Child and Family

The Adolescent and Family

Impact of Chronic Illness, disability, or End-Of-Life Care for the Child and Family

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

The Child With Respiratory Dysfunction

The Child With Gastrointestinal Dysfunction

The Child With Cardiovascular Dysfunction

The Child With Hematologic or Immunologic Dysfunction

The Child With Cancer

The Child With Genitourinary Dysfunction

The Child With Cerebral Dysfunction

The Child With Endocrine Dysfunction

The Child With Musculoskeletal or Articular Dysfunction

The Child With Neuromuscular or Muscular Dysfunction

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