Chapter 16: The Infant
The nurse is assessing a 1-year-old infant in the pediatric office. What finding should the nurse report to the physician immediately?
Respiratory rate of 60 breaths per minute
A mother calls the pediatricians office because her infant is colicky. What is the most helpful measure the nurse can suggest to the mother?
Rock the fussy infant slowly and gently.
How might the nurse demonstrate the parachute reflex with an infant?
Thrusting the infant downward into the crib
A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. What will the nurse weighing the infant today would expect her weight to be?
At least 16 pounds
At what age does an infants birth weight triple?
1 year
What will the nurse advise a parent to do when introducing solid foods?
Introduce each new food 4 to 7 days apart.
Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child. What is the correct response?
The infant has exhausted maternal iron stores.
The mother of an infant born prematurely tells the nurse, The baby is irritable. She cries during diaper changes and feedings. Can you make some suggestions about what I should do to soothe her? What is the most appropriate recommendation to help this parent?
Wrap the infant snugly when you hold them.
What is the earliest age at which the infant should be able to walk independently?
12 to 15 months
A parent is concerned because her infant has a diaper rash. What is the best action the nurse would advise the parent to implement?
Apply a protective ointment on the area.
What is an abnormal finding in an evaluation of growth and development for a 6-month-old infant?
Head lag present
When does the posterior fontanelle close?
2 to 3 months
The parent of a 3-month-old infant asks the nurse, At what age do infants usually begin drinking from a cup? What is the nurses most accurate response?
5 months
What is the earliest age at which an infant is able to sit steadily alone?
8 months
The nurse discusses child-proofing the home for safety with the mother of a 9-month-old. Which statement made by the mother would indicate an unsafe behavior?
In the car, she rides in a front-facing car seat.
The nurse is assessing development in a 9-month-old infant. What would the nurse expect to observe?
Creeping along the floor
A new mother is voicing concern she is breastfeeding her newborn too frequently. How often does the nurse instruct this mother she should expect her newborn to feed?
Every 2 to 3 hours
A mother is concerned because her 10-month-old is lethargic. What is the best action the nurse can advise this mother to implement?
Handle the infant slowly and gently.
What statement made by a parent indicates correct understanding of infant feeding?
I give the baby any new foods before he takes his bottle.
Which statement indicates the mother of an 8-month-old understands infant sleep patterns?
I put the pacifier in the crib so that she can find it when she wakes up.
What would the nurse expect a 4-month-old to be able to accomplish?
Lift head and shoulders.
The nurse is talking with a parent about tooth eruption. What teeth will the nurse explain are the first deciduous teeth to erupt?
Lower central incisors
What is the most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old?
Play with push-pull toys.
The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. What does this behavior indicate the infant has developed?
The pincer grasp