Ch23; growth and development of infants; 28days-1yr
At which age would the nurse expect to find the beginning of object permanence?
6 months
A new mother tells the nurse that she a bought car seat for her infant at a garage sale when she was pregnant but that a friend recently told her that she should buy a new one. Which instruction would the nurse give initially?
Check the expiration date on the car seat.
The nurse is conducting a physical examination of a 8-month-old infant. Which observation may be cause for concern about the infant's neurologic development?
The infant displays an asymmetric tonic neck reflex (fencing reflex).
The mother of a 3-month-old infant expresses concern that her infant's head is misshapen. Which would be the most appropriate question by the nurse?
"Do you use "tummy time" with the infant?"
A nurse is conducting a class for new mothers about infants and nutrition. One of the women asks, "What is the best nutrition for my 3-month-old infant?" Which response by the nurse would be most appropriate?
"Human milk is the best nutrition for your child"
The nurse is providing anticipatory guidance to the parent of a 2-month-old infant in relation to growth and development. Which statement from the parent demonstrates proper und
"I can expect my infant to be able to raise the head up when on the stomach within the next month."
The nurse is providing anticipatory guidance to the parent of a 2-month-old infant in relation to growth and development. Which statement from the parent demonstrates proper understanding?
"I can expect my infant to be able to raise the head up when on the stomach within the next month."
A client who is breastfeeding asks the nurse if she can give the newborn a pacifier. Which nursing response is most appropriate?
"It is recommended to wait until breastfeeding is well-established before introducing a pacifier."
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 assessing growth and development in a 24-week-old infant. The mother is concerned that her baby is too fat. The infant currently weighs 14.5 lb (6.59 kg) and weighed 7 lb (3.18 kg) at birth. An appropriate response to the mother would be:
"Normally infants double their birth weight by 6 months of age. It looks like your infant is growing well at this point."
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
"The first teeth that will likely appear are the lower incisors."
A mother of a 10-month-old states to the nurse, "I brush my child's teeth every day with flavored kids' toothpaste." Which is the most appropriate response by the nurse?
"Toothpaste is not necessary; it is the scrubbing that is required."
The nurse is teaching the parents of an infant about bathing. The nurse will inform the parents to set the home hot water heater to which temperature?
100°F (37.8℃)
The infant weighs 6 lb 8 oz (2,950 g) 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 12 months?
19 lb 8 oz (8825 g)
what would be the expected weight for this child at the age of 12 months?
21 lb 12 oz (9.9 kg)
The nurse is assessing a 6-month-old infant in the clinic. Which characteristic represents normal language development for this age?
Babbling
The nurse is providing client education to the parent about bathing the infant. What would be important to instruct the parent?
Bath time provides an opportunity for play
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.
A nurse is providing health promotion education to a family of an infant at the family birth center. The nurse knows the parents need more education when they state which response?
I will switch to whole milk when my infant is around 6 months of age."
A 3-month-old infant has a Moro reflex. Which statement is most true of this reflex?
Infant may retain the Moro reflex at 3 month old; it fades between 2 and 4 months
The nurse is concerned that a 9-month-old baby is gaining too much weight. What should the nurse instruct the parents to help control the baby's weight gain?
Provide whole-grain cereal for one feeding.
A new mother, when asked by a nurse, explains that her 4-month-old infant has been nursing regularly every 3 to 4 hours and seems satisfied. However, the mother recently introduced solid food in the form of unbuttered popcorn to the baby as a supplement, to "get her used to eating solid food." She felt that the popcorn would be safe because it is soft on the baby's gums. What should be the primary nursing diagnosis in this situation?
Risk for aspiration related to feeding the infant an inappropriate food
Which milestone would the nurse expect an infant to accomplish by 8 months of age?
Sitting without support
The nurse is assessing a 4-month-old infant during a scheduled visit. Which findings might suggest a developmental problem?
The child does not make sounds in response to voices.
The nurse is visiting a mother who has a 3-month-old infant. Which anticipatory guidance information should the nurse provide to the mother at this time?
The child should be able to turn over onto the back at age 4 months.
In observing an infant who is 6 months of age, which fine motor skill would the infant have most recently attained?
The infant can hold a bottle.
The nurse is evaluating the growth and development of a 9-month-old infant. Which action(s) would the nurse expect to observe? Select all that apply.
The infant rolls from supine to prone to back again. The infants head leads the body when pulled to sit. The the infant crawls with the abdomen off the floor.
A nurse is collecting weight on a 6-month-old infant. The weight was 14 lbs 3 oz. The mother states that the infant's birth weight was 8 lbs 8 oz. What is the nurse's assessment of this data?
The weight is too little for age.
The nurse is examining an 8-month-old girl for appropriate development during a regular check-up. Which observation points to a developmental risk?
Uses only the left hand to grasp
A nurse on a home visit is providing safety tips to a family of a 1-week-old infant. Which of the following statements by the parents indicates the need for further teaching?
We will position our infant on his side for sleeping."
The parent of an infant asks the nurse when to begin brushing the infant's teeth. What would be the nurse's best response?
as soon as the first tooth erupts
A 6-month-old girl weighs 14.7 pounds (6.7 kg) during a scheduled check-up. Her birth weight was 8 pounds (3600 g). What is the priority nursing intervention?
discussing the child's feeding patterns
The nurse in a community clinic is caring for a 6-month-old infant and parent. Which nursing intervention is priority?
monitoring the infant's weight and height
In providing anticipatory guidance related to choking hazards for infants, what should the nurse include in the teaching? Select all that apply.
plastic bags propping a bottle raw carrots
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
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 parent to help the child complete the developmental task of the first year is to:
respond to the infant consistently.
The nurse is visiting a mother who has a 3-month-old infant who has been hospitalized for cardiac problems. Which nursing diagnosis should the nurse use to guide care for this family at this time?
risk for impaired parenting related to hospitalization of infant
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.
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
Marcy asks the nurse if her 9-month-old son is drinking the recommended amount of breast milk or formula every day. What would the appropriate response be?
He needs 7 ounces every 6 hours."
During an assessment, the nurse determines that a 3-month-old infant has a Moro reflex. What does this finding indicate to the nurse?
Most 3-month-old infants still have a Moro reflex.
What action shows an example of Erik Erikson's developmental task for the infant?
The infant cries and the caregiver picks the child up.
The English-speaking nurse is assessing a 12-month-old child with an English-speaking father and a Spanish-speaking mother. The child does not use words like "drink" "dog" or "ball." What is the nurse's priority intervention?
asking the mother if the child uses Spanish words for those items
The nurse is reinforcing teaching with a group of caregivers related to the nutritional needs of the infant. One caregiver asks why the 6-month-old infant needs to have solid foods when breast milk is such a good source of nutrition. What would be the best response by the nurse?
Milk will not fully provide the child's needs for iron, which is found in solid foods.
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
The nurse is caring for a 4-week-old girl and her mother. Which is the most appropriate subject for anticipatory guidance?
telling how and when to introduce rice cereal
A nurse is preparing to administer vaccines to a 4-month-old infant. Which vaccines will the nurse administer? Select all that apply.
Haemophilus B, inactivated poliomyelitis, diphtheria, tetanus, and pertussis, pneumococcal
In working with infants, the nurse would expect the posterior fontanel to be closed in an infant who is which age?
3 months
The nurse establishes the following plan of care based on the nursing diagnosis: Caregiver role strain related to infant crying throughout night as manifested by parents stating, "We are exhausted." Which nursing interventions are included in the plan of care? Select all that apply.
Establish a quieting ritual for infant before bed. During night awakening, keep interactions minimal. Having one parent awake at a time with infant
The infant weighs 7 lb 4 oz (3,300 g) 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 lb 12 oz (9.9 kg)
The infant measures 21.5 in (54.6 cm) at birth. If the infant is following a normal pattern of growth, what would be an expected height for the infant at the age of 6 months?
27.5 in (70 cm)
The infant measured 20 in (50 cm) at birth. If the infant is following a normal pattern of growth, which range would be an expected height for this child at the age of 12 months?
30 to 32 in (76 to 81 cm)
The nurse is assessing Julie, a 3-month-old infant. Which developmental milestone would the nurse expect?
Julie can hold her head erect and steady.
The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability?
Most infants do not sit steadily until 8 months; this infant is normal.
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
A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3750 g) at birth. Weight now is 20 pounds 8 ounces (9300 g). The nurse determines:
the child weighs less than expected for age.
