Infant Review Questions

T/F: A FLACC score of an 8 indicates mild pain

False

Which of the following motor development milestones would you expect an infant to attain first? a. Opens and closes hands b. Uses a raking grasp c. Picks up objects with pincer grasp d. Feeds self with a spoon

a. Opens and closes hands

Mark is a 2-month-old infant who is receiving formula. He has inconsolable crying, a gassy, and constantly draws his legs up. It has been determined that Mark has colic. Which of the following would be appropriate? a. Encourage the use of a different formula to assess for sensitivity b. Have his mother feed him more frequently because he is angry c. Instruct his mother about the need to consume a regular diet d. Encourage his parents should sing and play music to comfort him

a. Encourage the use of a different formula to assess for sensitivity

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? a. Fluoride b. Iron c. Magnesium d. Potassium

a. Fluoride

What is the best nutritional supplement for an infant who is 4 months old? a. Human milk is the best supplement for this child b. Soy milk is the best supplement for this child c. Iron-fortified formula is the best supplement for this child d. Rice cereal is the best supplement for this child

a. Human milk is the best supplement for this child

The nurse is examining an 8-month-old girl for appropriate development during a regular check-up. Which observation points to a developmental risk? a. uses only the left hand to grasp b. picks up small objects using entire hand c. crawls with stomach down d. cannot pull self to standing

a. uses only the left hand to grasp

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: a. "Your baby is too heavy, and you should change her formula to a lower-calorie formula." b. "Normally infants double their birth weight by 6 months of age. It looks like your infant is growing well at this point." c. "Babies are supposed to be fat. Don't worry." d. "Dilute the formula half and half with water to reduce the calories your infant is receiving."

b. "Normally infants double their birth weight by 6 months of age. It looks like your infant is growing well at this point."

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? a. "This is a primitive reflex known as the plantar grasp." b. "This is a primitive reflex known as the palmar grasp." c. "This is a protective reflex known as rooting." d. "This is protective reflex known as the Mono reflex."

b. "This is a primitive reflex known as the palmar grasp."

The nurse is planning interventions for an infant. The infant has been hospitalized for several weeks due to a chronic illness. Which intervention will assist the infant developing a sense of trust? a. Encourage the parents to stay home and allow the staff to care for the infant as much as needed b. Suggest the parent attend a parenting support group in their homes community for special needs children c. Schedule a variety of staff members to care for the child during hospitalization d. Assess family to determine if nurturing is consistent, and if parental attachment has occurred

d. Assess family to determine if nurturing is consistent, and if parental attachment has occurred

A nurse is working with occupational therapy to plan what developmentally appropriate toys should be given to her 10-month-old patient. Which of the following toys would be most appropriate? a. Unbreakable mirror b. Mobile with highly contrasted pattern c. A toy bar for the infant to bat at d. Board books

d. Board books

The nurse goes in to check on a new mother to see how breast-feeding is going with her son. The nurse observes the infant 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? a. "You will never got him to eat all unwrapped like that." b. "You are doing a wonderful job attempting to wake the baby." c. "That is not how you get him to eat." d. "Maybe you should watch the breastfeeding video again."

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

A new mom is going to visit her son in the intensive care unit. She has been pumping breast milk and spring in the fridge. Stacy is making her son's bottle for his feeding and goes to warm the breast milk. What option should the nurse give the mom to prepare the bottle? a. "Just use the microwave in our kitchen." b. "You can use the hot water tap to get warm water to warm the bottle." c. "Just take the bottle from the fridge and use it." d. "It is okay if the frozen milk is in the bottle."

b. "You can use the hot water tap to get warm water to warm the bottle."

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? a. Most infants sit steadily at 3 months; this infant is slightly delayed b. Most infants do not sit steadily until 8 months; this infant is normal c. Sitting ability and the age of first tooth eruption are correlated d. Most infants sit steadily at 4 months; this infant is normal

b. Most infants do not sit steadily until 8 months; this infant is normal

A mother has brought her 8-month-old girl to the clinic because she has caught a cold. Which of the following findings and observations suggests the child may have more than just a cold? a. Nasal congestion, clear runny nose, and fever b. Rapid breathing and a tight, wheezy cough c. Low grade fever and cough that leads to crying d. S3 heart sound heard with the stethoscope

b. Rapid breathing and a tight, wheezy cough

The nurse is assessing an infant who is being breast-fed. Which observation regarding the infant's stools is expected? a. Fewer stools b. Stool will be soft c. Stool will be hard d. Stool will have a strong oder

b. Stool will be soft

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? a. The newborn's eyes wander and occasionally are crossed b. The newborn does not respond to a loud noise c. The newborn's eyes focus on new objects d. The newborn becomes more alert with stroking when drowsy

b. The newborn does not respond to a loud noise

The nursing student identifies which technique as the correct one to use when giving oral medications to an infant? a. Use a dropper and squirt the liquid quickly into the back of the infant's mouth b. Use a dropper and slowly inject the liquid into the side of the infant's mouth c. Use a dropper and let it rest on the infant's tongue when squirting the medicine d. Allow the child to lay flat while giving the liquid medication to relax the child

b. Use a dropper and slowly inject the liquid into the side of the infant's mouth

A 3-month-old infant has a Mono reflex. Which statement is most true of this reflex? a. A Mono reflex normally lasts until 9 months b. It is not important how long the reflex persists, only that is present at birth c. A Mono reflex present at 3 months of age requires referral for a neurologic exam d. Most 3-month-old infants still have a Mono reflex

d. Most 3-month-old infants still have a Mono reflex