PN108 PrepU Chapter 23
The nurse pulls the 5-month-old to sitting position from supine and notes head lag. The nurse's response is to:
refer the infant for developmental and/or neurologic evaluation.
The best way for an infant's father to help his child complete the developmental task of the first year is to:
respond to her consistently.
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.
When a cup is introduced to infants, the introduction of fruit juice may follow. What type of juice would be appropriate for an infant?
Apple juice
The nurse is assessing a 6-week-old infant in the clinic. Which of the following represents normal language development for the infant? Select all that apply.
Babbling
The nurse is teaching the parents of an infant about bathing. Which of the following would the nurse identify as a safe water temperature to use?
118 degrees F
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?
21 lbs. 12 oz. (9.9 kg)
A nurse is teaching first-time parents about bathing their infant. The nurse instructs the parents to wait until which day to give the baby a tub bath?
7-10 days after birth
The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which topic would be most appropriate?
Advising how to create a toddler-safe home
An infant is being introduced to drinking fluids from a cup. The nurse instructs the mother that fruit juice can now be added. Which of the following would the nurse suggest the mother try first? Select all that apply.
Apple White grape juice
The nurse is preparing a list of abilities of 10-month-olds to use in teaching a parenting group. Which ability should appear at this age?
Cruises around furniture
A 6-month-old girl weighs 14.7 pounds (6.7 kg) during a scheduled check-up. Her birth weight was 8 pounds (3.6 kg). What is the priority nursing intervention?
Discussing the child's feeding patterns
The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?
Discussing the type of sippy cup to use
The nurse is providing discharge teaching regarding formula preparation for a new mother. Which guideline would the nurse include in the teaching plan?
Do not add cereal to the formula in the bottle or sweeten the formula with honey.
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 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.
A nurse is teaching the parents of an infant about oral care. Which of the following would the nurse include as being important for tooth protection and growth?
Fluoride
The nurse is assessing Julie, 3-month-old infant. Which of the following developmental milestones would the nurse expect?
Julie hold her head erect and steady
A nurse is instructing the mother of a newborn about bathing and skin care. When discussing bathing, the nurse includes which of the following besides hygiene as an important reason for bathing?
Promoting parental bonding
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
A teen mom asks the discharge nurse if it is okay to sleep in bed with her baby. She says her mom always did it with her siblings and it seemed okay. How should the nurse respond?
"Bed sharing has positive effects on babies, let me get you information."
The caregiver of 7-month-old twins tells the nurse that she has noticed that both of her children enjoy playing with a toy by moving the object back and forth between their hands over and over again. Which of the following statements made by the nurse most accurately explains this behavior?
"Depth perception develops at seven months so the child can recognize where the object is in relation to the hands."
A nurse is conducting a class for new mothers about infants and nutrition. One of the women asks, "What is the best nutrition for her 3-month-old infant? Which response by the nurse would be most appropriate?
"Human milk is the best nutrition for your child"
When the nurse discharges a new mom and infant, the nurses notices that the car seat is in the front seat of the car. What is the appropriate response for the nurse to make regarding the car seat?
"Let me go over car seat safety with you, so you can install your car seat properly."
The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?
"The cereal should be a fairly thin consistency at first."
A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?
"This is a primitive reflex known as the palmar grasp."
The nurse enters her client's room and finds the infant on a pillow with a bottle propped up while the mother is dressing. What statement should the nurse make?
"You should always hold your baby for feedings instead of propping the bottles."
Two-year-old Johnny does not like his new sister. When his mom leaves the room he tries to pull her out of her bouncy seat. She cries and Mom comes in running. Mom talks with the nurse at the pediatrician office about ways to discipline him. What is a positive strategy the nurse can offer the mother?
"You should try and reinforce to Johnny not to hurt the baby."
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)
A mother comes to the clinic and is concerned about the size of her 3-month-old infant's head. She states that the infant's head is larger than his chest. The nurse's response should be based on her knowledge that an infant's head and chest circumference will be approximately equal by what age?
6 months
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
A nurse instructs the parents of an infant that the best awake state for interaction would be when the infant is which of the following?
Eyes wide and bright
When teaching a new mother about "floor time," the nurse would instruct the mother to place the infant in which position? Select all that apply.
Supine Prone
The nurse is assessing a 4-month-old boy during a scheduled visit. Which findings might suggest a developmental problem?
The child does not vocally respond to voices.
A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office visit. What is the most advanced milestone of language development that the nurse should expect to see in this child?
The infant says "da-da" when looking at her father
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.
An infant who is 4 months old continues to be seen at doctor visits for illness prevention. What would be the next scheduled appointment that this infant should attend to be evaluated?
The next visit would be at 6 months.
The mother of an infant asks you when to begin brushing her son's teeth. Your best response would be:
as soon as the first tooth erupts.
Anticipatory guidance for an infant for the 4th month should include the fact that she probably will:
be able to turn over onto the back.
