PEDs Chapter25 ATI 3
The mother of a 3-month-old is concerned because her daughter does not yet sit by herself. Which statement best reflects average sitting ability?
Most babies do not sit steadily until 8 months; normal
the parents of a 4 day old report concern about his weight loss. what is the most approbate response
with approbate nutrition weight gain will commence with a return to the birth weight within two weeks
at birth the head and chest circumferences were measured, the nurses knows that the head is abiut
1 inch larger than the chest
how often of you burp during feeding
1-2oz
anterior fontalel
12-18 monthd
posterior fontanel
3 months
At what age do infants usually turn from front to back?
4 months
when should you introduce new foods
4-7 days
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?
6-12 teeth
What is the correct amount of wet diapers a mature infant should have each day?`
6-8 wet diapers a day
how much water is in an infant
75%, more sucpectible to dehydration, urinates more, insensible loss, renal structure are mature at 2 years
how many stools per fay
8-10
a nurse in a prenatal clinic is caring for a client who is in the first trimester of pregnancy. the client's health record includes data: G3 T1 P0 A1 L1. How should the nurse interpret this data.
Client has delivered one newborn at term. Client had two prior pregnancies. Client has one living child.
physiological anemia
HgbF ceases more quickly than HgbA is produced. 2-3months
A nurse caring for a client who is pregnant and states that her last menstrual cycle was April 1st. which of the following is the clients estimated delivery.
Jan 8
the mother of a 3 month old boy ask the nurse about starting solid foods. What is the best response by the nurse?
The tongue extrusion reflex disappears at 4-6 months making nit a good time to start solid foods.
12 months- average weight heigh HC
W- 23lbs L- 28-30in HC- 17.7-18.7
6 months- average height weight HC
W-15lbs L- 25-27in HC- 16.5-17.5in
average height, weight, HC, at birth
W-7.5lbs L-19-21in (48-53cm) HC- 13-14in (33-35)
the nurse is helping the mother of a five month old in understanding approbate play. which toy Is the best for the child
a yellow rubber duck for the bath
the nurse is teaching the mother of a 5 month old boy who is concerned about thumb sucking. what should be included in the teaching plan
advising the mother this is a form of self comfort. assuring the mother this behavior doesn't cause malocclusion. usually disappears around 6-9 months. occurs during periods of stress.
maturaton
an increase in functionality of various body systems or developmental skills.
the mother of an infant asks y0ou when to begin brushing her sons teeth. your best response would be
as soon as the first tooth erupts
when should fruit juice be introduced
at 6 months. limited to 2-4oz per day
infancy
birth- 12months
newboen
birth-28 days
The caregiver of an infant tells the nurse that her dentist told her not to let the child go to bed with a bottle of milk. The caregiver states she doesn't understand the reason for this since her baby seems to enjoy the bottle. The most appropriate response to this caregiver would be
bottles given at bedtime can cause erosion of the enamel on the teeth
An infant is breastfed. When assessing her stools, which findings would be typical?
breastfeed infants are less likely to be constipated than bottle fed infants
how do infants grow
cephalocaudal & proximodistal
the nurse is providing anticipatory guidance to the mother of a 6 month old. what is the best response for oral health.
clean gums, then new teeth with washcloth.
What information would you include when teaching the parents of an infant about colic?
colic symptoms will probably fade at 3 months of age.
the father of a 2 month old girl is expressing the concern that his daughter may be getting spoiled. The nurse best response is
consistently meeting the infants needs established trust
a 9 month old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. what rationale does the nurse include in her response
cow's ,ilk is poor in iron and does not provide the proper balance of nutrients.
the nurse preparing a list of abilities 10 month olds use in a parental teaching group. which ability should appear at this age
cruises around furniture
parents state they are worn out at their Childs 6 month check up because their boy awakens each night a cries. the nurse suggest which measures
during the night awakening, keep interactions minimal.
the nurse is providing anticipatory guidance reguarding the respitoray development of a 4 week old.
explaining the risk of infection because of lack of antibodies.
The nurse is providing anticipatory guidance regarding the respiratory development of a 4-week-old girl for her mother. Which action is accurate?
explaining to the mother the risk for infection is high due to the lack of antibodies
parachute
extension of arms when titled to the side. 6-7 moths
tonic neck reflex
extremities are extended on the side of the body where the head is faced. Birh 3-4 mont
What mineral is an important factor in tooth development?
fluoride
a nurse is reviewing the health record of a client who is pregnant. the provider indicated the client exhibits probably signs of pregnancy. which of the following findings should the nurse expect.
goodell's sign, ballottement, Chadwick's sign.
The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?
grows and develops skills more rapidly than at another time in their life.
a mother is discussing her 10 month old with the nurse, which comment indicated further teaching
he loves being in his walker he zips around the house.
a young breastfeeding mother calls the nurse because she in concerned about her 3 month old stools
her stools are foamy and terrible smell
stepping reflex
hold infant upright. infant takes steps. birth- 4weeks
what food should be avoided
honey, egg yolks, meats, excessive fruit juice.
The family caregiver of an 8 month old infant makes the statement, "I can't leave the room he is in because when I do he cries." Which of the following statements is most appropriate for the nurse to respond?
if he cannot see you he thinks you are gone and that is frightening
what is colic
inconsolable crying that last 3 hours or longer per day. resolves by 3 months of age
growth
increase in physical size
The nurse is educating the mother of a 6-month-old boy about the symptoms for teething. Which symptom would the nurse identify?
increased bitting and sucking
When is iron stores transferred over to the fetus
last trimester; premature infants are more likely to be anemic
a nurse is talking about Piaget theory; infants are at a sensiromotor stage of cognitive development during which object permanence is mastered.
looking for a toy in her crib at the last place she saw it
What is the consistency of stool of breastfed infants?
loose and seedy
the nurse is teaching the mother of a 2 month old about social and emotional development that will occur in the next 8 weeks.
mimicking mother's facial expressions
neck righting
neck keeps upright position when the body is titled. 4-6 months- persist
suck
nipple/finger placed in infants mouth. birth 2-5 months
The nurse is assessing the 10-month-old infant. The nurse notes the anterior fontanel has closed. What initial action by the nurse is indicated?
normal
acrocyanosis
normal at birth blueness of hands and feet
the nurse is caring for a 5 week old who is spitting up all the time, what should be a priority
observe the mother when feeds and burps.
Frued (0-1)
oral activities
What is the consistency of stools for formula fed infants?
peanut butter
what are food choking hazards
peanuts, hot dog, grape, popcorn
The caregivers of an infant state that their child cries when her mother leaves for even a short amount of time. What might the nurse suggest as a way to console the infant and develop a sense of security when the child's primary caregiver is out of sight?
peek a boo with the child when happy
mottling
pink/white marbled appearance normal in fist few months of life due to immature circulator system
what feeding practice should be discouraged for a 8 month old.
placing all liquids ina sippy cup.
how do you assess palmar grasp. when does it dissapear
police object in hand->infant grasp object. birth-6 months
the nurse is promoting a healthy diet to the mother of a 6 mont old girl. what action would have the most effect on the infants nuerological devolpment
promoting the continuation of breast feeding
the nurse pulls the 5 month old sitting position and notices a head lag
refer the infant for developmental/nureolgical testing
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?
respirations of a 1 month old are irregular and periodically pause
Erikson theory (0-1 year)
sense of trust
Piaget Theory (0-2)
sensiormotor
parents express that there 8 month old cries when left with the babysitter. how does the nurse explain this behavior
seperation anxiety
what type of play do infants do
solitary play.
a father mentioned his 8 month old son was clingy when his estranged grandmother came to visit
stranger anxiety
moro reflec
strike flat surface/ allow head and trunk to fall backward baby leg will extend and arms will for a C. Birth-4month
how do you determine root reflex? when does this response disappeae
stroke infants cheek->infant turns head to that side, searching with mouth. birth-4months
babinski reflex
stroke outer ole of foot, fanning and herpextension of toes. birth-1year
Two parents who have financial issues ask the nurse if a borrowed crib would be okay to use for their new twin boys. Which response should the nurse use in educating the parents?
you can use the crib but these are the guidelines to follow.
A father asks you what symptoms he can expect with normal teething in his infant. What would you tell him?
the Childs gumline will be tender
A frustrated mother comes to a 9-month well-baby check-up because her son is refusing all of the solid food she gives him. When talking with this mother, the nurse discovers that she has struggled all her life with a weight problem. She attributes this problem to being forced to eat all of the food she was served as a child, even when she was full. Because she doesn't want to cause the same problem in her child, she tells the nurse that each time her son pushes food away with his tongue she believes that he doesn't want it. Which statement would be most appropriate for the nurse to say to this mother?
the baby needs to learn how to move the food to the back of the mouth for swallowing, so catch the food and offer it again until baby learns.
In working with an infant, the nurse recognizes what as a characteristic of the infant?
the child grows and develop skills more rapidly than at any other time in their life
A 5-month-old infant being assessed was born at 32 weeks. The nurse doing the well-child check-up should compare the baby to what norms?
the development of a 3 month old
the mother of an infants questions the nurse about her baby teething. which information indicates the mother understands.
the first teeth that will appear are the lower incisiors.
During a mother baby class the nurse is discussing information related to teeth and teething. Which of the following statements is accurate regarding infants' teeth?
the first tooth usually erupts between 6-8months
active alert state
the infant cries or screams and body moves
the nurse in conducting a physic exam on a 5 month olf. which observation may be a concern
the infant displays an asymmetric tonic neck reflex
light sleep
the infant may move a little while sleep
the nurse is assessing development of a 4 month old boy during well check, which observation needs further investigation
the infant responds to his mother when he sees her but not at other times when she is near
an 8 month old born 32 weeks gestation, at what adjusted age should the nurse expect
the infant will be at the devolpmental age of a 6 month old.
quiet alert state
the infants eyes are open and the body is calm. set time to breast feed
drowsiness
the infants lies quietly without movement
deep sleep
the infants lies quietly without movemnent
development
the sequential process by which infants and children gain various skills and functions
a 12 month old is seen at a clinic and weighs 8.4lbs. the nurse determines
the weight is less than expected.
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?
they put her to bed when she falls asleep
a nurse in a prenatal clinic is caring for a client who is pregnant and experiencing episodes of maternal hypotension. the client asks the nurse what causes these episodes. which of the following responses should the nurse make.
this is due to the weight of the uterus on the vena cava.
plantar grasp
touch sole of foot. toes curl downward. birth-8 month
The nurse is caring for the family with a 2-month-old boy with colic. The mother reports feeling very stressed by the baby's constant crying. Which intervention would provide the most help in the short term?
urging the mother to take time away from the child
the nurse is examining an 8 month old for approbate development, which is a developmental risk
uses only one hand to grasp things
a nurse in a clinic receives a phone call from a client who believes she is pregnant and would like to be tested in the clinic to confirm her pregnancy. which of the following info should the nurse provide the client.
you should collect urine from the first morning void.