Question 1

How should the nurse describe the fact that a 6 month old has 6 teeth?

Accepted Answer

A)  Normal tooth eruption. 
B)  Delayed tooth eruption. 
C)  Unusual and dangerous. 
D)  Earlier-than-normal tooth eruption. 
A)  Normal tooth eruption. 
B)  Delayed tooth eruption. 
C)  Unusual and dangerous. 
D)  Earlier-than-normal tooth eruption.

Question 2

In teaching parents about appropriate pacifier selection,the nurse should explain that a pacifier should have which characteristics? (Select all that apply.)

Accepted Answer

A)  Easily grasped handle 
B)  One-piece construction 
C)  Ribbon or string to secure to clothing 
D)  Soft, pliable material 
E)  Sturdy, flexible material 
A)  Easily grasped handle 
B)  One-piece construction 
C)  Ribbon or string to secure to clothing 
D)  Soft, pliable material 
E)  Sturdy, flexible material

Question 3

The nurse is interviewing the father of 10-month-old.When the child,playing on the floor and notices an electrical outlet and reaches up to touch it,the father says "No" firmly and removes the child away from the outlet.The nurse should use this opportunity to teach the father that the child is capable of understanding what association?

Accepted Answer

A)  Understand the word "No." 
B)  Father always means "No." 
C)  Electrical outlets are dangerous. 
D)  Spanking as a deterrent. 
A)  Understand the word "No." 
B)  Father always means "No." 
C)  Electrical outlets are dangerous. 
D)  Spanking as a deterrent.

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

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.

-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 6

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 7

A mother tells the nurse that she does not 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) , will minimize the discomfort. 
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) , will minimize the discomfort.

Question 8

Which consideration should be considered when planning care for an infant diagnosed with failure to thrive?

Accepted Answer

A)  Establishing a structured routine and follow it consistently. 
B)  Maintaining a nondistracting environment by not speaking to the infant during feeding. 
C)  Placing the infant in an infant seat during feedings to prevent overstimulation. 
D)  Limiting sensory stimulation and play activities to alleviate fatigue. 
A)  Establishing a structured routine and follow it consistently. 
B)  Maintaining a nondistracting environment by not speaking to the infant during feeding. 
C)  Placing the infant in an infant seat during feedings to prevent overstimulation. 
D)  Limiting sensory stimulation and play activities to alleviate fatigue.

Question 9

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 recommendations should the nurse provide the parents?

Accepted Answer

A)  Never heat a bottle in a microwave oven. 
B)  Heat only 10 ounces or more. 
C)  Always leave the bottle top uncovered to allow heat to escape. 
D)  Shake the bottle vigorously for at least 30 seconds after heating. 
A)  Never heat a bottle in a microwave oven. 
B)  Heat only 10 ounces or more. 
C)  Always leave the bottle top uncovered to allow heat to escape. 
D)  Shake the bottle vigorously for at least 30 seconds after heating.

Question 10

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

Accepted Answer

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

Question 11

The parent of a 2 week old asks the nurse if the infant needs fluoride supplements because they plan to exclusively breastfed.What is the nurse's best response?

Accepted Answer

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

Question 12

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 13

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 14

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.

-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 15

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 16

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 17

A nurse is teaching parents about prevention and treatment of colic.Which should the nurse include in the teaching plan?

Accepted Answer

A)  Avoid use of pacifiers. 
B)  Eliminate all secondhand smoke contact. 
C)  Lay infant flat after feeding. 
D)  Avoid swaddling the infant. 
A)  Avoid use of pacifiers. 
B)  Eliminate all secondhand smoke contact. 
C)  Lay infant flat after feeding. 
D)  Avoid swaddling the infant.

Question 18

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.

-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

Question 19

In terms of gross motor development,what hallmark action should the nurse identify for the parents of a 5-month-old infant to anticipate?

Accepted Answer

A)  Roll from abdomen to back. 
B)  Roll from back to abdomen. 
C)  Sit erect without support. 
D)  Move from prone to sitting position. 
A)  Roll from abdomen to back. 
B)  Roll from back to abdomen. 
C)  Sit erect without support. 
D)  Move from prone to sitting position.

Question 20

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

Exam 31: The Infant and Family

How should the nurse describe the fact that a 6 month old has 6 teeth?

In teaching parents about appropriate pacifier selection,the nurse should explain that a pacifier should have which characteristics? (Select all that apply.)

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?

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. -First

By what age does the posterior fontanel usually close?

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

Which consideration should be considered when planning care for an infant diagnosed with failure to thrive?

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 recommendations should the nurse provide the parents?

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

The parent of a 2 week old asks the nurse if the infant needs fluoride supplements because they plan to exclusively breastfed.What is the nurse's best response?

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

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

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. -Third

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

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:

A nurse is teaching parents about prevention and treatment of colic.Which should the nurse include in the teaching plan?

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. -Fifth

In terms of gross motor development,what hallmark action should the nurse identify for the parents of a 5-month-old infant to anticipate?

Which behavior indicates that an infant has developed object permanence?

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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