Module 1

The clinic nurse is assessing a 6 mo old infant during a well-child visit. The nurse should use which approaches to alleviate the infants stranger anxiety? (SATA) a. Meet the infant at eye level b. Maintain a safe distance initially c. Avoid sudden and intrusive gestures d. Talk in a loud voice e. Pick up the infant and hold him/her close

a, b, c

The nurse is providing anticipitory guidance to parents of a 4 mo old infant on preventing an aspiration injury. What should the nurse include in the teaching? (SATA) a. Inspect toys for removable parts b. Keep baby powder out of reach c. Teething biscuits can be used for teething discomfort d. The infant should not be fed hard candy, nuts, or foods with pits e. Allow the infant to take the bottle to bed

a, b, d

The nurse is teaching a group of parents at a community education program about introducing solid foods to their infants. Which recommendations should the nurse include? (SATA) a. It is best to introduce a wide variety of foods during the first year b. As solid food consumption increases, the quantity of milk should decrease c. Intro of low-calorie milk and food should be done at the end of the first year d. Intro of citrus fruits, meats, and eggs should be delayed until after 6 mo of age e. Spoon feeding should be introduced after an entire milk feeding f. Each new food item should be introduced at 5-7 day intervals

a, b, d, f

The parent of a 8.2 kg 9 mo old infant is borrowing a federally approved car seat from the clinic. The nurse should explain that the safest way to put the car seat in is what? a. Rear facing in the back seat b. Front facing in the back seat c. Rear facing in the front seat if an air back is on the passenger side d. Front facing in the front seat with air bag on passenger side

a. Rear facing in the back seat

The nurse is interviewing the father of a 10 mo old girl. The child is playing on the floor when she notices an electrical outlet and reaches up to touch it. Her father says "no" firmly and moves her away from the outlet. The nurse should use this opportunity to teach the father what? a. That the child is old enough to understand the word no b. That the child will learn safety issues better if she is spanked c. That the child should be given a time-out d. That the child should already know that electrical outlets are dangerous

a. That the child is old enough to understand the word "no"

The mother of a 3 mo old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her? a. Clear juices are better than water to promote adequate fluid intake b. Fluids in addition to breast milk are not needed c. Water should be given if the infant seems to nurse longer than usual d. Water once or twice a day will make up for losses resulting from environmental temperature.

b. Fluids in addition to breast milk are not needed

The nurse is providing anticipiatory guidance to parents of an 8 mo old infant on preventing a drowning injury. What should the nurse include in the teaching? (SATA) a. Keep bathroom doors open b. Eliminate unnecessary pools of water c. Keep one hand on the child while in the tub d. Supervise the child when near any source of water e. Fence in swimming pools

b, c, d, e

An infant weighed 8 pounds at birth and was 18 inches at length. What weight and height and length should the infant be at 5 mo of age? a. 18 pounds, 24.5 inches b. 16 pounds, 23 inches c. 12 pounds, 20 inches d. 14 pounds, 21.5 inches

b. 16 pounds, 23 inches

At which age does an infant start to recognize faces and objects, such as his or her own hand? a. 1 mo b. 3 mo c. 2 mo d. 4 mo

b. 3 mo

The second major accomplishment during the sensorimotor phase is achieving the concept of object permanence. A typical example of the development is when infants are able to pursue objects they observe being hidding under a pillow or behind a chair. This skill develops at what age? a. 4-8 mo b. 9-12 mo c. birth - 1 mo 1-4 mo

b. 9-12 mo

The parents of a 2 mo old boy are concerned about spoiling their son by picking him up when he cries. What is the nurse's best response? a. Allow him to cry for no longer than 15 minutes and then pick him up b. Babies need comforting and cuddling. Meeting these needs will not spoil him c. Allow him to cry for no longer than 15 minutes and then pick him up. d. If he isn't soiled or wet, leave him and he will cry himself to sleep

b. Babies need comforting and cuddling. Meeting these needs will not spoil him.

The mother of a 6 mo old infant has returned to work and is expressing breast milk to be frozen. She asks for direction on how to safely thaw the breast milk in the microwave. What should the nurse recommend? a. Heat only 10oz or more b. Do not thaw or heat breast milk in the microwave c. Shake the bottle vigorously for at least 30 seconds after heating d. Always leave the bottle top uncovered to allow heat to escape

b. Do not thaw or heat breast milk in the microwave

The clinic nurse is teaching parents about physiologic anemia that occurs in infants. Which statement should the nurse include about the cause of pysiologic anemia? a. Maternally derived iron stores are depleted in the first 2 mo b. Fetal hemoglobin results in a shortened survival of red blood cells c. The production of adult hemoglobin decreases in the first year d. Low levels of fetal hemoglobin depress the production of erythropoietin

b. Fetal hemoglobin results in a shortened survival of red blood cells

At a well-child visit the parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection? a. Nutritious snacks served to the children b. Hand washing by providers after diaper changes c. Developmentally appropriate toys d. Certified caregivers for each of the age-groups at the facility

b. Hand washing by the providers after diaper changes

An infant, age 5 mo, is brought to the clinic by his parents for a well-baby checkup. What is the best advice the nurse should include at this time about injury prevention? a. When he learns to roll over, you must supervise him whenever he is on a surface from which he might fall b. Keep buttons, beads, and other small objects out of his reach c. Lock the crib sides securely because he may stand and lean against them and fall out of bed d. Do not permit him to chew pain from the window ledges because he might absorb too much lead

b. Keep buttons, beads, and other small objects out of his reach

The parent of a 2 wk old infant asks the nurse if fluoride supplements are necessary because the infant is exclusively breastfed. What is the best response? a. The infant can have infant cereal mixed with fluoridated water instead of supplements b. The infant may need to begin taking them at age 6 mo c. Supplements are not needed if you drink fluoridated water d. The infant needs to begin taking them now

b. The infant may need to begin taking them at 6 mo

During the 2 mo old well child checkup, the nurse expects the infant to respond to sound in which manner? a. Respond to name b. Turn head to side when sound is at ear level c. React to loud noise with Moro reflex d. Locate sound by turning head in a curving arc

b. Turn head to side when sound is at ear level

The nurse is providing anticipatory guidance to the parents of a 1 mo old infant on preventing a suffocation injury. Which should the nurse include in the teaching? (SATA) a. Plastic over the mattress is acceptable if it is covered with a sheet b. Crib slats should be 4 inches or less apart c. A pacifier should not be tied to a string around the infants neck d. Keep all plactic bags stored out of the child's reach e. Do not place pillows in the infant's crib

c, d, e

What is the best age to introduce solid food into an infant's diet? a. 2-3 mo b. When the birth weight has tripled c. 4-6 mo d. When birth weight has tripled

c. 4-6 months

Which characteristic best describes the fine motor skills of an infant at age 5 months? a. Builds a tower of 2 cubes b. Neat pincer grasp c. Able to grasp object voluntarily d. Strong grasp reflex

c. Able to grasp object voluntarily

In teaching parents about appropriate pacifier selection, the nurse should recommend which characteristic? a. Detachable shield for cleaning b. Soft, pliable material c. Easily grasped looped handle d. Ribbon or string to secure to clothing

c. Easily grasped looped handle.

The nurse is discussing development and play activities with the parent of a 2 mo old boy. Which statement by the parent would indicate a correct understanding of the teaching? a. I can give my baby a ball of yarn to pull apart or different textured fabrics to feel b. I should introduce a cup and spoon or push-pull toy for my baby c. I can use a music box and soft mobiles as appropriate play for my baby d. I do not have to worry about appropriate play activities at this age

c. I can use a music box and soft mobiles as appropriate play for my baby

In terms of gross motor development, what should the nurse expect an infant age 5 mo to do? a. Roll from back to abdomen b. Move from a prone to a sitting position c. Turn from abdomen to the back d. Sit erect without support

c. Turn from abdomen from the back

In the sensoriemotor phase, Piaget, of cognitive development at was stage is the infant a totally narcissistic being? a. 9-12 mo b. Birth-1 mo c. 4-8 mo d. 1 year to 18 mo

d. 1 year to 18 mo

The nurse is checking reflexes on a 7 mo old infant. When the infant is suspended in a horizontal prone position, the head is raised and the legs and spine are extended. Which reflex is this? a. Body righting b. Parachute c. Labyrinth righting d. Landau

d. Landau

The nurse is teaching parents about expected language development for their 6 mo old infant. The nurse recognizes the parents understand the teaching if they make it which statement? a. Our baby knows the meaning of "mama" b. Our baby should be able to say 3 to 5 words c. Our baby should comprehend the word "no" d. Our baby should begin to combine syllables, such as "dada"

d. Our baby should be able to combine syllables, such as "dada"

A breastfed infant is being seen in the clinic for a 6 mo checkup. The mother tells the nurse that the infant recently began to such her thumb. Which is the best nursing intervention? a. Assess the infant for other signs of sensory deprivation b. Recommend the mother substitute a pacifier for her thumb c. Suggest the mother breastfeed the infant more often to satisfy the sucking needs d. Reassure the mother that this is normal at this age

d. Reassure the mother that this is normal at this age