Growth and Development of an Infant

Which age is appropriate for infants who lift their head and chest, recognize their feeding bottle, can look at their own hand while sitting back or lying down, and are able to accommodate to nearby objects?

4 months

Which age is appropriate for children to smile at their own mirror image, differentiate strangers from family, and exhibit mood swings?

5 months

Which age is fetal hemoglobin (HgbF) still present in the body?

5 months

Which age does the infant elicit a parachute reflex, move an object from one hand to another, and sit leaning forward on the hands for support?

7 months

Which condition is an appropriate concern for an infant who does not pull to a standing position by 11-12 months of age?

Developmental dysplasia of the hip

Which factors are important when selecting a daycare facility for a child? Select all that apply.

Discipline Policy Safety Measures Caregiver to student ratio Infection-control procedures

Which nursing action is appropriate for the infant who has developed constipation while using iron supplements?

Do not switch to low-iron-containing formula or whole milk.

Which nursing documentation is appropriate for a 5-month-old being pulled to a sitting position without head lag?

Document a normal finding.

Which recommendation is appropriate when the mother of an 8-month-old wants to discontinue breastfeeding?

Feed commercial iron-fortified formula.

Which recommendation is appropriate for relief of teething pain?

Give the child a cold teething ring to relieve inflammation

Which statement is appropriate to describe growth during the first year of life?

Growth is especially rapid during the first 6 months of the first year of life.

Which factor is appropriate to assess the degree of fit between an infant's temperament and the interactions between the child and parents?

Harmony between the parent's expectations and the child's actual temperament

Which developmental finding warrants further investigation by the nurse while assessing a 5-month-old infant?

Inability to hold the head erect and steady when sitting

Which condition in a 6-month old infant is consistent with drooling, sucking more often on the fingers, and biting on objects?

Teething

Which nursing instruction about injury prevention would be appropriate during a 4-month-old well baby checkup?

"When the baby learns to roll over, you'll need to continue to supervise especially if the baby is at risk of falling from a surface."

Which finding would the nurse recognize in a 6-month-old infant who smiles, coos, and exhibits a strong head lag?

A developmental and neurologic evaluation is needed.

Which condition is the infant at risk for if given honey before the recommended age of 12 months?

Botulism

Which information is appropriate when teaching a mother about nutritional support measures in the initial 6 months of life? Select all that apply.

Breastfed infants do not require supplemental water in the initial 4 months. Daily supplementation of vitamin D (400 IU) should be given during the initial few days. Daily supplementation of vitamin D and vitamin B12 is recommended if maternal intake is inadequate.

Which behavior is appropriate for a mother that works 8 hours and expresses milk once during this time whose 2-month-old baby is not gaining weight?

Expressing milk at least every 3 to 4 hours

Which recommendation is appropriate as a substitution for breast milk in a 4-month-old infant?

Iron-fortified formula

Which advice is appropriate for parents that warmed expressed breast milk in a microwave for 3 minutes causing oral burns in the infant?

Never use a microwave for warming the expressed breast milk.

Which recommendation would the nurse provide to a mother of a 7-month-old infant asking for fruit juice?

Orange Juice It contains Vit C

Which characteristic behavior would the nurse expect the 6-month-old infant to exhibit at a well-child check?

Plays peek-a-boo with the nurse or paren

Which action made by the mother of a 5-month-old indicates effective learning from the nurse about play?

Providing bright-colored toys for play

Which phase of cognitive development are infants in, according to Piaget?

Sensorimotor

Which nursing advice would be given to the parents of an 8-month-old infant on supplemental iron who is being fed broiled chicken liver, mashed hard-boiled egg yolk, and iron-fortified cereal? Select all that apply.

Stop the iron supplement. Continue broiled chicken liver.

Which statement is appropriate when interviewing the parent of a 10-month-old infant that cries and screams whenever left with the grandparents?

Stranger anxiety is common for an infant of this age

Which behavior is appropriate for an 8-month-old infant who clings to the parent, cries, and turns away from a new babysitter?

Stranger fear

Which nursing guidance is appropriate when educating a mother about the proper utilization of expressed breast milk? Select all that apply.

The milk should be stored in an airtight glass or plastic container. Expressed breast milk can be stored up to 6 months by freezing it. Milk can safely be stored up to 5 days in the refrigerator at 4° C (39° F).

Which nursing response is appropriate when educating parents of a 9-month-old infant about the baby's thumb sucking?

Thumb sucking should be discouraged when permanent teeth begin to erupt.

Which task, according to Erikson, belongs to infancy?

Trust

Which method is appropriate when warming frozen milk before feeding the baby?

Use of a lukewarm water bath to warm it.

Which response is appropriate for the nurse to give to the parent of a 12-month-old infant who pushes the teaspoon out of the parent's hand and makes a mess during feedings?

"Let's think of ways to make the mess more tolerable for you."

Which age is appropriate for the anterior fontanel to close?

14 weeks

Which response from the nurse is appropriate when determining a 3-month-old baby is being fed with low-fat milk? Select all that apply.

"It is high in sodium." "It contains inadequate essential fatty acids."

Which response made by the parent requires further teaching about the safety measures to be taken at home?

"I provide attractive small toys for my child to play with."

Which statement made by one of the parents indicates effective learning after receiving education about offering fruit juices to their infant?

"I would cover and refrigerate the juice in a juice container." 4

Which age is appropriate for a child with 10 deciduous teeth?

16 months