Question 1

The nurse is teaching new parents how to avoid and treat newborn diaper rash. Which should the nurse include in the teaching session? (Select all that apply.)

Accepted Answer

A)   Keep the diaper area clean and dry.
B)   Do not use talc-based powders in the diaper area.
C)   Cleanse the diaper area with a scrubbing motion.
D)   Apply a thick layer of zinc oxide to prevent further outbreaks.
E)   Remove the diaper and expose the perineum to warm air if a rash develops. A, B, E

Question 2

Which is the priority rationale for doing a car seat trial for a preterm neonate being discharged soon?

Accepted Answer

A)   To assess the car seat's size
B)   To assess the parents' knowledge about car seat use
C)   To determine if the neonate cries while in the car seat
D)   To assess for any neonate apnea or bradycardia while in the car seat D

Question 3

Which infant should be seen immediately by a health care provider?

Accepted Answer

A)   A 1-week-old infant with a diaper rash
B)   A 1-month-old infant with an axillary temperature of 99.8° F (37.7° 
C)  
C)   A 3-week-old breast-fed infant who has had two loose stools
D)   A 2-week-old infant with nasal congestion and respirations of 64 breaths/min D

Question 4

Which statement made by a new mother should be a cause of concern to the nurse?

Accepted Answer

A)   "I will start my baby on solid foods at 5 months."
B)   "I usually keep the temperature in my house at 72° F."
C)   "I plan to position my infant on his back when sleeping."
D)   "I don't intend to spoil my baby by picking him up every time he cries."

Question 5

As the nurse assists a newly discharged client and her infant to the waiting car, the nurse notes that the infant seat is in the front seat of the car facing the front and secured by the seat belt. The nurse should explain to the parents that the car seat should be placed:

Accepted Answer

A)   in an upright position.
B)   at a 30-degree angle.
C)   not secured by the seat belt.
D)   in the back seat facing the rear of the car.

Question 6

Infant immunizations should begin at which age?

Accepted Answer

A)   Birth
B)   2 months
C)   3 months
D)   4 months

Question 7

A client is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for her newborn. Which information should be cause for concern?

Accepted Answer

A)  The crib slats are 3 1/2 inches apart.
B)   The crib has been stripped and repainted with a lead-free paint.
C)   The mattress fits snugly in the crib with ½-inch space around the sides.
D)   The side rail hardware has been replaced so that the latches remain fastened.

Question 8

An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do?

Accepted Answer

A)   Use a nipple with a smaller hole.
B)   Place the infant on the left side after feeding.
C)   Provide the infant with water between feedings.
D)   Begin the feeding before the infant becomes too hungry.

Question 9

Parents ask the nurse, "How many wet diapers a day should we expect and how will we know the baby's stools are normal?" Which response should the nurse make if the infant is being formula fed? (Select all that apply.)

Accepted Answer

A)   The stools should be watery.
B)   The stools should be dry and hard.
C)   The infant should have at least one stool a day.
D)   The infant should have at least six wet diapers a day.

Question 10

Which statement is true about growth and development during the first 6 months?

Accepted Answer

A)   The infant will grow 1 cm in length per month.
B)   The infant will gain about 2 pounds per month.
C)   The infant will regain weight lost after birth within 1 week.
D)   The infant will have a 1-inch increase in head circumference per month.

Question 11

Which statement by a parent indicates a need for the nurse to intervene with teaching?

Accepted Answer

A)   "I put my newborn baby on her back when she goes to sleep. I understand this is the best position."
B)   "Jennifer's eyes sometimes cross, but I know that this is normal in 1-month-old babies."
C)   "My 5-month-old infant has been drooling, biting, and running a fever for the past few days. I think he's teething."
D)   "My neighbor has been giving her baby solids since he was 8 weeks old. I think I'll wait until my baby is about 5 months old."

Question 12

A new mother asks, "Why should I bring my baby in for a checkup? He isn't sick." Which is the nurse's best response?

Accepted Answer

A)   "Please ask your pediatrician to explain this to you."
B)   "He may have a problem that you haven't identified."
C)   "These visits are required by law to identify communicable diseases."
D)   "Well-baby visits allow the doctor to determine whether your baby is growing and developing normally."

Question 13

Which statement by the parents indicates the need for further education with regard to pacifier use?

Accepted Answer

A)   "We will discard the pacifier if it becomes torn."
B)   "We will replace the pacifier every 1 to 2 months."
C)   "We will be sure to cleanse the pacifier frequently."
D)   "We will keep track of the pacifier by tying it to a string around the baby's neck."

Question 14

A new client asks what she can do to help her infant sleep through the night. Which should the nurse instruct?

Accepted Answer

A)   Bring the infant into a well-lit room for the feeding.
B)   Avoid talking to the infant and keep the room quiet during night feedings.
C)   Play with the infant after the feeding before putting the infant back into the crib.
D)   Change the infant's diaper after the feeding to prevent waking the infant later in the night.

Question 15

During the first 6 months of life, the infant should have well-baby checkups at which interval?

Accepted Answer

A)   1 to 2 weeks
B)   2 to 4 weeks
C)   1 to 2 months
D)   3 to 4 months

Question 16

The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after discharge. What is the nurse's priority question to help determine the best time for the visit?

Accepted Answer

A)   "When will the baby's father be home?"
B)   "Do you plan on having any visitors in the day or two?"
C)   "At approximately what time do you think you will be nursing your baby?"
D)   "When will your home be presentable enough for me to come and visit?"

Question 17

Which statement made by a parent indicates a need for the nurse to teach safety and accident prevention?

Accepted Answer

A)   "I always take the phone off the hook when I give my baby a bath so I won't be disturbed."
B)   "I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy."
C)   "I've been reading about what new things my baby will be learning to do in the next month or two, so I'll know what to expect."
D)   "I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don't move around as much as older infants."

Question 18

Which is a sign of illness in the newborn?

Accepted Answer

A)   A yellow scaly lesion on the scalp
B)   More than two soft stools per day
C)   Regurgitating a small amount of feeding
D)   An axillary temperature greater than 100.4° F (38° 
C)

Question 19

Which intervention will be most helpful to parents in identifying problems with an infant car seat?

Accepted Answer

A)   Questioning the parents about the instructions
B)   Providing the parents with current laws on infant and child safety
C)   Asking the parents to demonstrate how to secure the infant in the car seat
D)   Allowing the parents to ask questions and express feelings about infant restraint

Question 20

Which is the treatment for miliaria?

Accepted Answer

A)   Application of oil
B)   Removal of wet clothing
C)   Removal of excess clothing
D)   Application of soothing lotion

Exam 23: Home Care of the Infant