pediatric
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."
In working with infants, the nurse would expect the posterior fontanel to be closed in an infant who is which age?
3 months
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
The nurse in a community clinic is caring for a 6-month-old infant and parent. Which intervention is the priority to promote adequate growth?
monitoring the infant's weight and height
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.
Which milestone would the nurse expect an infant to accomplish by 8 months of age?
Sitting without support
The nurse observes a new mother bathing her 9-month-old baby. Which observation indicates that the experience is positive for both mother and infant?
The baby is moving the arms and hand and smiling.
Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone?
be able to turn over onto the back
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.
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 mother of a 3-month-old baby is concerned because the child is not able to sit independently. How should the nurse respond to this mother's concern?
Most babies do not sit steadily until 8 months.
The nurse is teaching a parenting class to a group of first-time mothers. She recommends which of the following as positive caregiver-infant interactions? Select all that apply.
Mother offers adequate types and amounts of food for the infant. Mother holds the infant in an appropriate position while feeding. Mother burps the baby during and after feeding. Mother provides age-appropriate toys for the infant.
What feeding practice used by the parents of an 8-month-old should the nurse discourage?
Placing all liquids given the child in a "no spill" sippy cup.
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 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.
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
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?
"My husband gave the baby a special bear that I will place in the crib."
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 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 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."
A parent takes the 4-month-old infant to the health care provider. The parent asks what type of baby cereal to provide now that the infant is starting solid foods. How should the nurse respond?
"You should buy rice cereal."
The nurse measures the head circumference of a 6-month-old infant. Which measurement would the nurse interpret as most appropriate?
43.5 cm
The mother of a 4-month-old infant is working with the nurse to schedule well-child visits for her son. The mother would expect to schedule the next visit for her son at which age?
6 months
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.
A nurse is collecting a 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
A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend?
a rear-facing 5-point harness restraint
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
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 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."
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."
A home visit nurse is providing health promotion on safety 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 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)
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)
At which age would the nurse expect to find the beginning of object permanence?
6 months
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
Which measures should receive priority in the care plan for an infant client who has sensitive skin?
Change diapers frequently
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
A new mother is concerned about the risk of her 6-month-old aspirating and choking. Which of the following should the nurse recommend to her? Select all that apply.
Don't prop up the baby's bottle when feeding him Use only clothing without decorative buttons
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.
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 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.
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 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).
A parent asks the nurse what symptoms to expect with normal teething in the infant. How should the nurse respond?
The infant's gumline will be tender.
Estimating illness in an infant is difficult. To help an infant's parents do this, which of the following would you instruct them to use?
Use her interest in eating as a good gauge.
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
A parent calls the clinic nurse asking for recommendations on comfort measures for the infant who is teething. What recommendation(s) will the nurse make? Select all that apply.
teething rings topical oral anesthetic
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)
