Question 1

Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?

Accepted Answer

A)  14 3/4 lb 
B)  22 1/8 lb 
C)  29 1/2 lb 
D)  Unable to estimate weigh at 1 year 
A)  14 3/4 lb 
B)  22 1/8 lb 
C)  29 1/2 lb 
D)  Unable to estimate weigh at 1 year B

Question 2

A nurse has completed a teaching session for parents about "baby-proofing" the home.Which statements made by the parents indicate an understanding of the teaching? (Select all that apply.)

Accepted Answer

A)  "We will put plastic fillers in all electrical plugs." 
B)  "We will place poisonous substances in a high cupboard." 
C)  "We will place a gate at the top and bottom of stairways." 
D)  "We will keep our household hot water heater at 130 degrees." 
E)  "We will remove front knobs from the stove." 
A)  "We will put plastic fillers in all electrical plugs." 
B)  "We will place poisonous substances in a high cupboard." 
C)  "We will place a gate at the top and bottom of stairways." 
D)  "We will keep our household hot water heater at 130 degrees." 
E)  "We will remove front knobs from the stove." A,C,E

Question 3

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What response by the nurse is best?

Accepted Answer

A)  "That's OK. formula is just as good for a 5-month-old." 
B)  "Be sure to use an iron-fortified formula instead." 
C)  "The baby will need immunizations earlier now." 
D)  "Be sure to monitor how many diapers the baby wets." 
A)  "That's OK. formula is just as good for a 5-month-old." 
B)  "Be sure to use an iron-fortified formula instead." 
C)  "The baby will need immunizations earlier now." 
D)  "Be sure to monitor how many diapers the baby wets." B

Question 4

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

Accepted Answer

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

Question 5

A nurse observes that a 3-month-old infant will hold a rattle if it is put in the hands,but the baby will not voluntarily grasp it.What action by the nurse is most appropriate?

Accepted Answer

A)  Provide anticipatory guidance. 
B)  Document the findings in the chart. 
C)  Refer the family to a neurologist. 
D)  Perform a developmental screening. 
A)  Provide anticipatory guidance. 
B)  Document the findings in the chart. 
C)  Refer the family to a neurologist. 
D)  Perform a developmental screening.

Question 6

The mother of a 10-month-old infant asks the nurse about weaning her child.What assessment by the nurse indicates the child is not ready to be weaned?

Accepted Answer

A)  Frequently throwing the bottle down 
B)  Takes very little formula from bottle 
C)  Constantly chewing on the bottle nipple 
D)  Appears to be sucking consistently when given a bottle 
A)  Frequently throwing the bottle down 
B)  Takes very little formula from bottle 
C)  Constantly chewing on the bottle nipple 
D)  Appears to be sucking consistently when given a bottle

Question 7

Which is a priority in counseling parents of a 6-month-old infant?

Accepted Answer

A)  Increasing food intake for secondary growth spurt 
B)  Encouraging the infant to smile 
C)  Securing a developmentally safe environment for the infant 
D)  Teaching strategies to teach infants to sit up 
A)  Increasing food intake for secondary growth spurt 
B)  Encouraging the infant to smile 
C)  Securing a developmentally safe environment for the infant 
D)  Teaching strategies to teach infants to sit up

Question 8

A nurse assessing a 2-month-old infant notes that the child can briefly hold the head erect when held against the shoulder.What action by the nurse is best?

Accepted Answer

A)  Document the findings in the child's chart. 
B)  Notify the provider immediately. 
C)  Conduct a lead-exposure assessment. 
D)  Prepare the parents for genetic testing. 
A)  Document the findings in the child's chart. 
B)  Notify the provider immediately. 
C)  Conduct a lead-exposure assessment. 
D)  Prepare the parents for genetic testing.

Question 9

In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?

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 10

The nurse advises the mother of a 3-month-old exclusively breastfed infant to

Accepted Answer

A)  start giving the infant a vitamin D supplement. 
B)  start using an infant feeder and add rice cereal to the formula. 
C)  start feeding the infant rice cereal with a spoon at the evening feeding. 
D)  continue breastfeeding without any supplements. 
A)  start giving the infant a vitamin D supplement. 
B)  start using an infant feeder and add rice cereal to the formula. 
C)  start feeding the infant rice cereal with a spoon at the evening feeding. 
D)  continue breastfeeding without any supplements.

Question 11

At what age is an infant first expected to locate an object hidden from view?

Accepted Answer

A)  4 months of age 
B)  6 months of age 
C)  9 months of age 
D)  20 months of age 
A)  4 months of age 
B)  6 months of age 
C)  9 months of age 
D)  20 months of age

Question 12

The parents of a newborn infant state,"We will probably not have our baby immunized because we are concerned about the risks." What is the nurse's best response?

Accepted Answer

A)  "It is your decision to immunize your child or not." 
B)  "You should probably think about this decision." 
C)  "It is far riskier to not immunize your baby." 
D)  "This has to be reported to the health department." 
A)  "It is your decision to immunize your child or not." 
B)  "You should probably think about this decision." 
C)  "It is far riskier to not immunize your baby." 
D)  "This has to be reported to the health department."

Question 13

Which statement made by a mother is consistent with a developmental delay?

Accepted Answer

A)  "I notice my 9-month-old infant responds consistently to his name." 
B)  "My 12-month-old child does not get herself to a sitting position or pull to stand." 
C)  "I am so happy when my 1 1/2-month-old infant smiles at me." 
D)  "My 5-month-old infant is not rolling over in both directions yet." 
A)  "I notice my 9-month-old infant responds consistently to his name." 
B)  "My 12-month-old child does not get herself to a sitting position or pull to stand." 
C)  "I am so happy when my 1 1/2-month-old infant smiles at me." 
D)  "My 5-month-old infant is not rolling over in both directions yet."

Question 14

The nurse is teaching a community group about preventing sudden infant death syndrome (SIDS).What information does the nurse provide? (Select all that apply.)

Accepted Answer

A)  Placing the baby supine to sleep 
B)  Covering the baby warmly with blankets 
C)  Have the baby sleep upright in the infant carrier 
D)  Provide "tummy time" while awake 
E)  Do not allow smoking in the house 
A)  Placing the baby supine to sleep 
B)  Covering the baby warmly with blankets 
C)  Have the baby sleep upright in the infant carrier 
D)  Provide "tummy time" while awake 
E)  Do not allow smoking in the house

Question 15

In terms of fine motor development,what should the 7-month-old infant be able to do?

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.

Question 16

The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?

Accepted Answer

A)  "Milk is a nutritious choice at this time." 
B)  "Children should not get cow's milk until 1 year of age." 
C)  "Limit cow's milk to one bedtime bottle." 
D)  "Mix cereal with cow's milk and feed it in a bottle." 
A)  "Milk is a nutritious choice at this time." 
B)  "Children should not get cow's milk until 1 year of age." 
C)  "Limit cow's milk to one bedtime bottle." 
D)  "Mix cereal with cow's milk and feed it in a bottle."

Question 17

Parents tell the nurse their 5-month-old has started sitting up without support.What teaching does the nurse plan to provide the parents?

Accepted Answer

A)  Providing solid foods safely 
B)  Encouraging cruising and walking 
C)  Providing cow's milk 
D)  Proper sock and shoe selection 
A)  Providing solid foods safely 
B)  Encouraging cruising and walking 
C)  Providing cow's milk 
D)  Proper sock and shoe selection

Question 18

The mother of a 9-month-old infant is concerned because the infant cries when approached by an unknown shopper at the grocery store.What is the best response for the nurse to make to the mother?

Accepted Answer

A)  "You could consider leaving the infant with other people so he can adjust." 
B)  "You might consider taking her to the doctor because she may be ill." 
C)  "Have you noticed whether the baby is teething?" 
D)  "This is a sign of stranger anxiety and demonstrates healthy attachment." 
A)  "You could consider leaving the infant with other people so he can adjust." 
B)  "You might consider taking her to the doctor because she may be ill." 
C)  "Have you noticed whether the baby is teething?" 
D)  "This is a sign of stranger anxiety and demonstrates healthy attachment."

Question 19

The parent of a 2-week-old infant asks the nurse whether the baby needs fluoride supplements,since mom is exclusively breastfeeding the baby.What response by the nurse is best?

Accepted Answer

A)  "Yes, the baby needs to begin taking them now." 
B)  "Is your water fluoridated?" 
C)  "She may need to begin taking them at age 6 months." 
D)  "You can use infant cereal mixed with fluoridated water instead." 
A)  "Yes, the baby needs to begin taking them now." 
B)  "Is your water fluoridated?" 
C)  "She may need to begin taking them at age 6 months." 
D)  "You can use infant cereal mixed with fluoridated water instead."

Question 20

A nurse is teaching a parent group about dental hygiene for their babies.What information does the nurse provide?

Accepted Answer

A)  Babies don't need dental care until they are three. 
B)  Start brushing teeth when all of them have come in. 
C)  Children are ready for dental care when they can hold a toothbrush. 
D)  Start with the first tooth using a cotton swab and water to wipe the teeth. 
A)  Babies don't need dental care until they are three. 
B)  Start brushing teeth when all of them have come in. 
C)  Children are ready for dental care when they can hold a toothbrush. 
D)  Start with the first tooth using a cotton swab and water to wipe the teeth.

Exam 6: Health Promotion for the Infant

Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?

A nurse has completed a teaching session for parents about "baby-proofing" the home.Which statements made by the parents indicate an understanding of the teaching? (Select all that apply.)

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant.What response by the nurse is best?

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

A nurse observes that a 3-month-old infant will hold a rattle if it is put in the hands,but the baby will not voluntarily grasp it.What action by the nurse is most appropriate?

The mother of a 10-month-old infant asks the nurse about weaning her child.What assessment by the nurse indicates the child is not ready to be weaned?

Which is a priority in counseling parents of a 6-month-old infant?

A nurse assessing a 2-month-old infant notes that the child can briefly hold the head erect when held against the shoulder.What action by the nurse is best?

In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?

The nurse advises the mother of a 3-month-old exclusively breastfed infant to

At what age is an infant first expected to locate an object hidden from view?

The parents of a newborn infant state,"We will probably not have our baby immunized because we are concerned about the risks." What is the nurse's best response?

Which statement made by a mother is consistent with a developmental delay?

The nurse is teaching a community group about preventing sudden infant death syndrome (SIDS).What information does the nurse provide? (Select all that apply.)

In terms of fine motor development,what should the 7-month-old infant be able to do?

The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?

Parents tell the nurse their 5-month-old has started sitting up without support.What teaching does the nurse plan to provide the parents?

The mother of a 9-month-old infant is concerned because the infant cries when approached by an unknown shopper at the grocery store.What is the best response for the nurse to make to the mother?

The parent of a 2-week-old infant asks the nurse whether the baby needs fluoride supplements,since mom is exclusively breastfeeding the baby.What response by the nurse is best?

A nurse is teaching a parent group about dental hygiene for their babies.What information does the nurse provide?

Foundations of Maternity, Women’s Health, and Child Health Nursing

The Nurse’s Role in Maternity, Women’s Health, and Pediatric Nursing

The Childbearing and Child-Rearing Family

Communicating with Children and Families

Health Promotion for the Developing Child

Health Promotion During Early Childhood

Health Promotion for the School-Age Child

Health Promotion for the Adolescent

Hereditary and Environmental Influences on Development

Reproductive Anatomy and Physiology

Conception and Prenatal Development

Adaptations to Pregnancy

Nutrition for Childbearing

Prenatal Diagnostic Tests

Giving Birth

Intrapartum Fetal Surveillance

Pain Management for Childbirth

Nursing Care during Obstetric Procedures

Postpartum Adaptations

The Normal Newborn: Adaptation and Assessment

The Normal Newborn: Nursing Care

Newborn Feeding

The Childbearing Family with Special Needs

Pregnancy-Related Complications

Concurrent Disorders during Pregnancy

The Woman with an Intrapartum Complication

The Woman with a Postpartum Complication

The High-Risk Newborn: Problems Related to Gestational Age and Development

The High-Risk Newborn: Acquired and Congenital Conditions

Management of Fertility and Infertility

Women’s HealthCare

Physical Assessment of Children

Emergency Care of the Child

The Ill Child in the Hospital and Other Care Settings

The Child with a Chronic Condition or Terminal Illness

Principles and Procedures for Nursing Care of Children

Medication Administration and Safety for Infants and Children

Pain Management for Children

The Child with a Fluid and Electrolyte Alteration

The Child with an Infectious Disease

The Child with an Immunologic Alteration

The Child with a Gastrointestinal Alteration

The Child with a Genitourinary Alteration

The Child with a Respiratory Alteration

The Child with a Cardiovascular Alteration

The Child with a Hematologic Alteration

The Child with Cancer

The Child with an Alteration in Tissue Integrity

The Child with a Musculoskeletal Alteration

The Child with an Endocrine or Metabolic Alteration

The Child with a Neurologic Alteration

Psychosocial Problems in Children and Families

The Child With an Intellectual Disability or Developmental Disability

The Child with a Sensory Alteration

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