Infant

A nurse is reinforcing education with parents about the nutritional needs of their full-term infant, age 2 months, who is breastfeeding. Which response shows that the parents understand their infant's dietary needs?

"We won't start any solid foods now."

The parents of an 11-month-old are concerned because the frequency of their infant's bowel movements has decreased from three to four each day to one to two each day. Which response by the nurse is best?

"By age 11 months, most infants have one to two bowel movements per day."

The nurse is teaching the mother of a 5-month-old infant diagnosed with bronchiolitis. Which statement by the mother indicates that teaching has been effective?

"I know that this disease is serious and can lead to asthma."

The mother of a 3-day-old, breast-fed infant expresses concern that her infant has had two recent diapers that contained a lot of loose, yellowish stool. Which explanation by the nurse is best?

"It's normal for breast-fed infants to pass three or more loose, yellow stools per day."

A client who has tested positive for the human immunodeficiency virus (HIV) gives birth to her baby. When she asks whether her baby has acquired immunodeficiency syndrome (AIDS), how should the nurse respond?

"Your baby may have acquired HIV in utero, but we won't know for sure until the baby is older."

A mother brings her 8-month-old son to the pediatrician's office. When the nurse approaches to measure the child's vital signs, he clings to his mother tightly and starts to cry. The mother says, "He used to smile at everyone. I don't know why he's acting this way." Which response by the nurse would help the mother understand her child's behavior?

"Your baby's behavior indicates stranger anxiety, which is common at his age."

A 6-week-old infant who is not breathing is brought to the emergency department by the parents. A preliminary diagnosis of sudden infant death syndrome (SIDS) is made. Which nursing intervention is a priority?

Allow the parents to see their infant.

The nurse is gathering data for an infant experiencing a sickle cell crisis. Which finding by the nurse is most significant to determine the state of hydration?

The infant has normal skin turgor.

How should a nurse position an infant when administering an oral medication?

Held in the bottle- or breast-feeding position

A 3-month-old admitted to the pediatric unit with meningococcal meningitis has just been assessed by the registered nurse. Which nursing intervention has the highest priority at this time?

Instituting droplet precautions

Which nursing intervention is essential in the care of an infant with cleft lip and palate?

Involve the parents in the infant's care.

The nurse is caring for an infant with congenital clubfoot. After the final cast has been removed, which member of the health care team will most likely help the infant with leg and ankle exercises and provide his parents with a home exercise regimen?

Physical therapist

The nurse is caring for an infant who has undergone a surgical repair of a cleft lip. The health care provider prescribes elbow restraints. What nursing action should be included in the infant's plan of care?

Remove the restraints every 2 hours.

The nurse is obtaining data from a 1-month-old infant during a routine examination at a family health center. Which method does the nurse use to test for Babinski sign?

Stroke the bottom of the foot to determine if there's fanning and dorsiflexion of the big toe.

When administering an oral medication to an infant, the nurse should take which action to minimize the risk of aspiration?

Using an oral syringe to place the medication beside the tongue

Which problem would the nurse expect to find on the care plan of a 10-month-old infant to promote coping during hospitalization?

anxiety

Which complications should the nurse be most concerned about in the first 12 hours of life for a neonate born with a myelomeningocele?

infection

An infant, age 10 months, is brought to the well-baby clinic for a follow-up visit. The mother tells the nurse that she has been having trouble feeding her infant solid foods. To help correct this problem, the nurse should:

instruct the mother to place the food at the back and toward the side of the infant's mouth.

When collecting data on a neonate for signs of diabetes insipidus, a nurse should recognize which symptom as a sign of this disorder?

polyuria and polydipsia

The nurse is caring for an infant with bronchopulmonary dysplasia. When would the nurse anticipate that tracheostomy tube placement would be indicated for this infant?

prolonged dependence on the ventilator