Chapter 25 PrepU Questions

Use the crib for sleeping only, not for play activities.

A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping patterns in her infant?

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

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:

respond to the infant consistently.

The best way for an infant's parent to help the child complete the developmental task of the first year is to:

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

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?

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

The mother of an infant is confused after being told by her dentist not to let her baby go to bed with a bottle of milk. She does not agree with that suggestion. Which response should the nurse prioritize when addressing this situation with the mother?

"Maturation refers to the child's increases in body size."

The student nurse is reviewing the records of a pediatric client. Which statement about the client's progress indicates the need for further instruction?

Colic symptoms will probably fade at 3 months of age.

What information would the nurse include when teaching the parents of an infant about colic?

"Let me go over car seat safety with you, so you can install your car seat properly."

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?

Sitting without support

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

"My husband gave the baby a special bear that I will place in the crib."

After the nurse provides education to new parents about appropriate sleeping habits for infants, which statement by a parent would indicate to the nurse that teaching needs to reoccur?

24 pounds (10.8 kg) and 30 inches (75 cm)

The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements reflecting height/weight would the nurse expect to document for this visit?

"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?

should have disappeared.

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:

be able to turn over onto the back

Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone?

Trust

The nurse is assessing an 6-month-old infant at a well-baby visit and is answering questions from the new mother. Which response should the nurse prioritize when addressing the mother's question concerning what the infant should be learning at this point in life?

Document the findings as normal.

The nurse is assessing the 18-month-old infant. The nurse notes the anterior fontanel (fontanelle) has closed. What initial action by the nurse is indicated?

The infant demonstrates reflexive sucking when nipple or finger is placed in infant's mouth. With sudden extension of the infant's head, the arms abduct and move upward and the hands form a "C". The infant turns to the right side, searching with mouth, when the right side of the cheek is stroked. The infant reflexively grasps when the nurse touches the palm.

The nurse is assessing the neurological status of a 10-month-old infant. Which finding(s) does the nurse determine to be abnormal when performing this assessment? Select all that apply.

The infant has frequent episodes of crossed eyes. The infant does not pay attention to noises behind him. The infant seems disinterested in the surrounding environment.

The nurse is completing a developmental assessment on a 6-month-old infant. Which findings indicate the need for additional follow-up? Select all that apply.

the newborn's stomach can hold between 0.5 oz and 1 oz.

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

lower central gumline

The nurse is assessing the oral cavity of a 6-month-old child. When palpating the location in which the first primary teeth erupt, which location is being assessed?

They put her to bed when she falls asleep.

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?

the child weighs less than expected for age.

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:

"You may be right, since infants can sense their mother's smell as early as 7 days old."

During the first visit to the pediatrician's practice the nurse is performing an admission interview and assessment of a 4-week-old infant. The mother states, "I am sure my baby girl knows my smell because she is much more settled in my arms rather than my mother's arms when she is upset." What is an appropriate response by the nurse?

19 lb 8 oz (8825 g)

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?