PrepU Chapter 29

A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate? "Limit burping to once during a feeding." "Feed the same amount but space out the feedings." "Keep the baby sitting up for about 30 minutes afterward." "Put the infant in an infant seat after eating."

"Keep the baby sitting up for about 30 minutes afterward."

A mother calls the hospital nursing hotline and asks, "My 8-week-old daughter cries 8 hours a day, and she is hard to console. Is that normal?" What should the nurse's response be to this mother? "Yes, infants cry all the time at that age." "Yes, maybe she is just tired." "No, call your doctor." "Let me ask you some more questions to see if there are symptoms of colic."

"Let me ask you some more questions to see if there are symptoms of colic."

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? "I have a crib in my room so that I can breastfeed my baby." "My husband gave the baby a special bear that I will place in the crib." "By keeping the room at a neutral temperature, I do not have to use blankets." "I will place my infant on the back to sleep every night."

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

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." "I can puree the meat that we are eating to give to my baby." "I'll start with baby oatmeal cereal mixed with low-fat milk." "Once he gets used to the cereal, then we'll try giving him a cup."

"The cereal should be a fairly thin consistency at first."

The nurse enters her client's room and finds the infant on a pillow with a bottle propped up while the mother is dressing. What statement should the nurse make? "Are you almost ready to be discharged?" "Is she almost done feeding?" "You should always hold your baby for feedings instead of propping the bottles." "Look how cute she is."

"You should always hold your baby for feedings instead of propping the bottles."

The nurse is educating a new parent regarding nutritional needs for the newborn. Which statement is accurate and should be taught regarding the nutritional needs of a newborn? Formula is designed to provide similar amounts of calories as breast milk would provide. Newborns require additional water to supplement their diet if they are only formula feeding. Growth during newborn stage is slow, so fewer calories are needed then when the infant is older. Cow's milk is similar to breast milk in terms of calories and nutrients and is appropriate for the newborn.

Formula is designed to provide similar amounts of calories as breast milk would provide.

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 any other time in their life. Takes in new information at a rapid rate and asks "why" and "how". Has an increased attention span and can be interested in an activity for a long length of time. Insists they can "do it" and the next moment they revert to being dependent.

Grows and develops skills more rapidly than at any other time in their life.

The nurse is providing anticipatory guidance to a parent to help promote healthy sleep for the 3-week-old newborn. Which recommended guideline will the nurse include in the teaching plan? A stuffed animal may be placed in the crib for comfort once the newborn is 1 month old. Once sleeping through the night, continue to wake the infant up for night feedings. Place the newborn on the back when sleeping during the day or night. Wrap the newborn in a blanket before placing in the crib for the night.

Place the newborn on the back when sleeping during the day or night.

While evaluating the development of a 10-month-old boy, a nurse hides the boy's stuffed animal behind her back. The boy crawls around the examination table to look behind the nurse's back for the stuffed animal. Which developmental phenomena has this infant demonstrated? Object permanence Binocular vision Hand regard Depth perception

Object permanence

A nurse notices that a 4-month-old infant has an asymmetric head, with the back of the skull flattened. Which of the following should she recommend to the parents to correct this condition? Place the infant on her stomach during play time each day Place the infant on her stomach to sleep each night Increase the infant's sleep time each day Consult a pediatric surgeon about surgically reshaping the skull

Place the infant on her stomach during play time each day

What should the nurse instruct a parent to help a child complete Erikson's developmental task during the infant period? Talk to the child at a special time each day. Keep the child stimulated with many toys. Respond to the child's needs consistently. Expose the child to many caregivers to help learn variability.

Respond to the child's needs consistently.

The nurse is identifying outcomes for care provided to a new mother whose infant continues to spit up after feedings. Which outcome would be the most appropriate? The baby will spit up a large amount of vomitus only after the last feeding of the day. The baby will have forceful episodes of vomitus only once a day. The baby will have fewer episodes of spitting up when the type of formula is changed. The baby will have less episodes of spitting up after sitting upright after a feeding.

The baby will have less episodes of spitting up after sitting upright after a feeding.

What position is the infant placed in for "tummy time"? The infant is placed on the floor on their tummy. The infant is placed on mommy's lap on their tummy. The infant is placed in the bath on their tummy. The infant is placed on the bed on their tummy.

The infant is placed on the floor on their tummy.

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 forward-facing convertible booster a rear-facing 5-point harness restraint a rear-facing booster seat a forward-facing 5-point harness restraint

a rear-facing 5-point harness restraint

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? Love Fear Trust Feel anger

Trust

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 by 12 months of age when weaning is complete as soon as the infant begins to eat fruit

as soon as the first tooth erupts

A nurse is reviewing the health records of several 4-month-old infants who were seen in the pediatric office today. Which infant behavior will require referral for further evaluation of growth and development? unable to support head rolls from prone to supine position reaches for nearby objects cannot sit without assistance

unable to support head

Which measures should receive priority in the care plan for an infant client who has sensitive skin? Use baby power with each change Use only cloth diapers Change diapers frequently Use scented wipes with stool

Change diapers frequently

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? "You could occasionally give your baby a bottle of water at bedtime." "Bottles given at bedtime can cause erosion of the enamel on the teeth." "Giving a bottle of milk when the infant goes to bed can lead to obesity." "Giving your baby a pacifier at bedtime will satisfy the need to suck."

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

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

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