Chapter 31-32 Care Management 3

The parents of a 4-month-old infant tell the nurse that they are getting a microwave oven and will be able to heat the baby's formula faster. What recommendations should the nurse provide the parents? A. Never heat a bottle in a microwave oven. B. Heat only 10 ounces or more. C. Always leave the bottle top uncovered to allow heat to escape. Shake the bottle vigorously for at least 30 seconds after heating

A. Never heat a bottle in a microwave oven.

Which is an appropriate play activity for a 7-month-old infant to encourage visual stimulation? A. Playing peek-a-boo B. Playing pat-a-cake C. Imitating animal sounds D. Showing how to clap hands

A. Playing peek-a-boo

Which statement describes a toddler's cognitive development at age 20 months? A. Searches for an object only if he or she sees it being hidden. A. Realizes that "out of sight" is not out of reach. B. Puts objects into a container but cannot take them out. C. Understands the passage of time such as "just a minute" and "in an hour."

A. Realizes that "out of sight" is not out of reach.

In terms of gross motor development, what hallmark action should the nurse identify for the parents of a 5-month-old infant to anticipate? A. Roll from abdomen to back. B. Roll from back to abdomen. C. Sit erect without support. D. Move from prone to sitting position.

A. Roll from abdomen to back.

The nurse determines an infant of 7 months is demonstrating appropriate fine motor development when performing which action? A. Transferring a rattler from one hand to the other B. Using thumb and index finger to grasp a piece of food C. Holding a crayon and make a mark on paper D. Releasing cubes into a cup

A. Transferring a rattler from one hand to the other

A parent asks the nurse "At what age do most babies begin to fear strangers?" The nurse responds that most infants begin to fear strangers at what age? A. 2 months B. 4 months C. 6 months D. 12 months

C. 6 months

At which age can most infants sit steadily unsupported? A. 4 months B. 6 months C. 8 months D. 10 months

C. 8 months

Which behavior indicates that an infant has developed object permanence? A. Recognizes familiar face such as the mother. B. Recognizes familiar object such as a bottle. C. Actively searches for a hidden object. D. Secures objects by pulling on a string.

C. Actively searches for a hidden object.

Two toddlers are playing in a sandbox when one child suddenly grabs a toy from the other child. What is the best interpretation of this behavior? • This is typical behavior because toddlers are aggressive. • This is typical behavior because toddlers are egocentric. • Toddlers should know that sharing toys is expected of them. • Toddlers should have the cognitive ability to know right from wrong.

• This is typical behavior because toddlers are egocentric.

Which statement about toilet training is correct? • Bladder training is usually accomplished before bowel training. • Wanting to please the parent helps motivate the child to use the toilet. • Watching older siblings use the toilet confuses the child. • Children must be forced to sit on the toilet when first learning.

• Wanting to please the parent helps motivate the child to use the toilet.

The nurse should teach parents that at what age it is safe to give infants whole milk instead of commercial infant formula? A. 6 months B. 9 months C. 12 months D. 18 months

C. 12 months

The nurse is planning care for a 17-month-old child. According to Piaget, in what stage would the nurse expect the child to be? • Trust • Preoperations • Secondary circular reaction • Tertiary circular reaction

• Secondary circular reaction

Which interventions should the nurse implement when caring for a family of a sudden infant death syndrome (SIDS) infant? (Select all that apply.) A. Allow parents to say goodbye to their infant. B. Once parents leave the hospital, no further follow-up is required. C. Arrange for someone to take the parents home from the hospital. D. Avoid requesting an autopsy of the deceased infant.

A,C

Which clinical manifestations should cause the nurse to suspect that a child, diagnosed with a digestive disorder, may be demonstrating signs of failure to thrive? A. Avoidance of eye contact B. An associated malabsorption defect C. Weight that falls below the 15th percentile D. Normal achievement of developmental landmarks

A. Avoidance of eye contact

Which information could be given to the parents of a 12-month-old child regarding appropriate play activities for this age? A. Give large push-pull toys for kinesthetic stimulation. B. Place cradle gym across crib to facilitate fine motor skills. C.Provide child with finger paints to enhance fine motor skills. D. Provide stick horse to develop gross motor coordination.

A. Give large push-pull toys for kinesthetic stimulation.

A nurse is conducting education classes for parents of infants. The nurse plans to discuss sudden infant death syndrome (SIDS). Which risk factors should the nurse include as increasing an infant's risk of a SIDS incident? (Select all that apply.) A. Breastfeeding B. Low Apgar scores C. Male sex D. Birth weight in the 50th or higher percentile E. Recent viral illness

B,C,E

At what age should the nurse expect an infant to begin smiling in response to pleasurable stimuli? A. 1 month B. 2 months C. 3 months D. 4 months

B. 2 months

When is the best age for solid food to be introduced into the infant's diet? A. 2 to 3 months B. 4 to 6 months C. When birth weight has tripled D. When tooth eruption has started

B. 4 to 6 months

A nurse is teaching parents about prevention and treatment of colic. Which should the nurse include in the teaching plan? A. Avoid use of pacifiers. B. Eliminate all secondhand smoke contact. C. Lay infant flat after feeding. D. Avoid swaddling the infant.

B. Eliminate all secondhand smoke contact.

The clinic is lending a federally approved car seat to an infant's family. Where in the car should the nurse explain is the safest place to put the car seat? A. Front facing in back seat B. Rear facing in back seat C. Front facing in front seat if an air bag is on the passenger side D. Rear facing in front seat if an air bag is on the passenger side

B. Rear facing in back seat

Which factor is most important in predisposing toddlers to frequent infections such as otitis media, tonsillitis, and upper respiratory tract infections? A. Respirations are abdominal. B. Pulse and respiratory rates are slower than those in infancy. C. Defense mechanisms are less efficient than those during infancy. The presence of short, straight internal ear/throat

C. Defense mechanisms are less efficient than those during infancy. The presence of short, straight internal ear/throat

The mother of a breastfed infant being seen in the clinic for the sixth month checkup is concerned that the infant has begun thumb sucking. How should the nurse respond to the mother's concern? A. Recommend that the mother substitute a pacifier for the infant's thumb. B. Assess the infant for other signs of sensory deprivation. C. Reassure the mother that this behavior is very normal at this age. D. Suggest that the mother breastfeed more often to satisfy sucking needs.

C. Reassure the mother that this behavior is very normal at this age.

According to Piaget, the 6-month-old infant would be in what stage of the sensorimotor phase? A. Use of reflexes B. Primary circular reactions C. Secondary circular reactions D. Coordination of secondary schemata

C. Secondary circular reactions

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs. The nurse's reply should be based on what understanding? A. The child is too young to digest hot dogs. B. The child is too young to eat hot dogs safely. C. Hot dogs must be sliced into sections to prevent aspiration. D. Hot dogs must be cut into small, irregular pieces to prevent aspiration.

D. Hot dogs must be cut into small, irregular pieces to prevent aspiration.

What are the psychosocial developmental tasks of toddlerhood? • Development of a conscience • Recognition of sex differences • Ability to get along with age mates • Ability to withstand delayed gratification

• Recognition of sex differences