Peds PrepU Ch 25

The caregiver of an infant tells the nurse that her dentist told her not to let the child go to bed with a bottle of milk. The caregiver states she doesn't understand the reason for this since her baby seems to enjoy the bottle. The most appropriate response to this caregiver would be:

"Bottles given at bedtime can cause erosion of the enamel on the teeth."

The family caregiver of an 8 month old infant makes the statement, "I can't leave the room he is in because when I do he cries." Which of the following statements is most appropriate for the nurse to respond?

"If he cannot see you he thinks you are gone and that is frightening."

Patty calls the hospital nursing hotline and asks, "My 8-week-old daughter cries 8 hours a day, and she is hard to console, is that normal?" What should the nurse's response be to this mother?

"Let me ask you some more questions to see if there are symptoms of colic."

The nurse comes into an infant's room on the pediatric floor. The nurse wants to try to feed the infant for the first time since her surgery. How does the nurse know what infant state the child is in by what the mother says and that it is okay to try and feed the infant?

"She has been a chatterbox and smiles just like her brother."

The mother of an infant questions the nurse about her baby's teething. The nurse provides client education. Which statement by the mother indicates understanding of the information provided?

"The first teeth that will likely appear are the lower incisors."

The infant weighs 6 lbs., 8 oz. (2.95 kg) at birth. If the infant is following a normal pattern of growth, what would be an expected weight for this child at the age of four months?

13 lbs. (5.9 kg)

The infant weighs 7 lbs. 4 oz. (3.3 kg) at birth. If the infant is following a normal pattern of growth, what would be the expected weight for this child at the age of 12 months? You selected: 25 lbs. (11.3 kg)

21 lbs. 12 oz. (9.9 kg)

The infant measures 21 ½ inches (54.6 cm) at birth. If the infant is following a normal pattern of growth, what would be an expected height for this child at the age of six months?

27 ½ inches (69.9 cm)

When weighing and measuring a child at her 1-year well-baby checkup, the nurse would expect to see that over the previous 6 months a baby who weighed 8 pounds and was 20 inches long at birth would have gained about

8 pounds and grown 4-6 inches

A new mother asks for advice from the nurse about bathing her infant. Which of the following should the nurse tell her?

Be sure to wash the infant's face, hands, and diaper area daily

An infant is breastfed. When assessing her stools, which findings would be typical?

Breastfed infants are less likely to be constipated than bottle-fed infants.

What mineral is an important factor in tooth development?

Fluoride

Which measure would you suggest an infant's parents use to relieve teething discomfort?

Give her a cold teething ring to chew.

A parent who is feeding his child formula prepared at home using evaporated milk is concerned about whether the child is receiving all necessary nutrients. What would it be important for this parent to add to his child's diet to supplement the formula?

Iron

What does Erikson describe as the psychosocial development task upon which other psychosocial development is built?

Learning to trust

A 3-month-old still has a Moro reflex. Which statement is most true of this reflex?

Most 3-month-olds still have a Moro reflex.

The mother of a 3-month-old is concerned because her daughter does not yet sit by herself. Which statement best reflects average sitting ability?

Most babies do not sit steadily until 8 months; she is normal.

While evaluating the development of 10-month-old boy, a nurse hides the boy's stuffed animal behind her back. The boy crawls around the examination table to look behind the nurse's back for the stuffed animal. Which developmental phenomena has this infant demonstrated?

Object permanence

The nurse is teaching the parents of a 6-month-old boy about proper child dental care. Which action will the nurse indicate as the most likely to cause dental caries?

Putting the baby to bed with a bottle of milk or juice

Which milestone would you expect an infant to accomplish by 8 months of age?

Sitting without support

If the infant is following a normal pattern of dentition, the child would most likely have how many teeth by the age of 14 months?

Six to 12 teeth

Put the following developmental milestones related to an infant's hearing in correct chronological order:

Stop activity in response to spoken word Turn head to locate sound Locate sounds downward and to side Locate sounds made above Recognize name when spoken Locate & turn toward sound in any direction

A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3.75 kg) at birth. Weight now is 20 pounds 8 ounces (9.3 kg). The nurse determines:

The child weighs less than expected for age.

A 5-month-old infant being assessed was born at 32 weeks. The nurse doing the well-child check-up should compare the baby to what norms?

The development of a 3-month-old

The nurse is conducting a physical examination of a 5-month-old boy. Which observation may be cause for concern about the infant's neurologic development?

The infant displays an asymmetric tonic neck reflex (fencing reflex).

The nurse is performing an assessment on a 8-month-old infant. The infant's medical history notes that he was born at 32 weeks' gestation. The infant is progressing normally. At what adjusted age should the nurse expect the infant's developmental accomplishments?

The infant will most likely present with developmental skills consistent with a 6-month-old infant. Correct

The mother of a 1-month-old infant voices concern about her baby's respirations. She states they are rapid and irregular. Which information should the nurse provide?

The respirations of a 1-month-old infant are normally irregular and periodically pause.

The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking?

They put her to bed when she falls asleep.

Sonograms demonstrate thumb sucking as early as in utero.

True

The nurse is caring for the family with a 2-month-old boy with colic. The mother reports feeling very stressed by the baby's constant crying. Which intervention would provide the most help in the short term?

Urging the baby's mother to take time for herself away from the child

When teaching an infant's mother about bathing her, it would be important to instruct her that:

bath time provides an opportunity for play.

A staff nurse is talking about Piaget's theory with a nursing student. Infants are in the sensorimotor stage of cognitive development during which object permanence is mastered. An example of an infant displaying this ability is:

looking for a toy in her crib at the last place she saw it.

The nurse conducting a 6-month well-baby check-up assesses for the presence/absence of the asymmetric tonic neck reflex. At this age the reflex:

should have disappeared.

The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that:

the newborn's stomach can hold between one-half and 1 ounce. Correct

The infant in the exam room has these signs and symptoms. Which will the nurse attribute to teething? Select all that apply.

• Drooling and biting • Increased sucking on hands • Irritability and awakening from sleep • Refusing to eat

The nurse goes in to check on a new mother to see how breast-feeding is going with her new son. The nurse observes the infant is on the mother's lap with the blanket unwrapped, and the mother is washing his face, and gently stroking the baby. The mother has had trouble breastfeeding the last few times. What is the appropriate response from the nurse?

"You are doing a wonderful job attempting to waken the baby."

The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with a child of this age?

No teeth