EXAM 3 -- Maternal/Neonate -- FINAL

an infant lifting head before being able to sit up is an example of what direction of growth? a. proximodistal b. cephalocaudal c. maturation d. preoperational

b. cephalocaudal

A nurse performs a well child checkup on a 2 year old at a clinic. which skill should the nurse expect the child be able to perform? a. riding a tricycle b. tying shoelaces c. kicking a ball forward d. using blunt scissors

c. kicking a ball forward

at what age is it recommended for a child to have their first dentist visit? a. 1 year b. 2 years c. 6 months d. 4 years

a. one year

what would be an appropriate snack for a 20 month old? a. peanut butter and bananas b. bing cherries c. celery and peanut butter d. hershey chocolate and gram crackers

a. peanut butter and bananas

the nurse assesses infant development at a well child clinic. which infant most needs a developmental referral for a gross motor delay? a. 2 month old who does not roll over b. 4 months old who does not sit without support c. 6 month old who does not crawl d. 9 month old who does not stand holding onto objects

d. 9 month old who does not stand holding onto objects

when developing a nursing care plan for an infant receiving phototherapy, the nurse should include what information in the plan of care? select ALL that apply a. adequate skin exposure to phototherapy b. allowing the birth parent to hold the infant as much as they want c. eye protection d. supplemental water between feedings e. thermoregulation

a. adequate skin exposure to phototherapy c. eye protection e. thermoregulation

While performing an assessment, the nurse notes the infant's jaundice has moved from the nipple line to the umbilicus in the past 24 hours. how does the nurse interpret this finding? a. a decrease in bilirubin is probable b. an increase in bilirubin is probable c. no further assessment is necessary d. where jaundice is located on the baby is not indicative of bilirubin level

b. an increase in bilirubin is probable

The parent of a preschooler reports that the child is very resistant every night at bedtime. what is the best course of action? a. allow the child to stay up later one to two nights a week b. establish a set bedtime and follow a routine c. encourage active play before bedtime d. give the child a cookie if they go to bed without making a scene

b. establish a set bedtime and follow a routine

Which assessment is not a sign of a well nourished child? a. the child has shiny hair b. the child eliminates regularly c. the child has dry mucous membranes d. the child has steady weight gains in ht/wt

c. the child has dry mucous membranes

the nurse performs a developmental assessment on an 8 month old infant. the nurse should refer the family to the health care provider if the child is unable to demonstrate which gross motor ability? a. standing momentarily without holding onto furniture b. standing unsupported for long periods of time c. stooping to recover an object on the ground d. sitting without support for long periods of time

d. sitting without support for long periods of time

An uncle is shopping for a toy to give his niece. He has no children of his own and asks his neighbor, a nurse, what would be the most appropriate toy to give a 15-month-old. Which toy should the nurse recommend to facilitate learning and development? a. stuffed animal b. music box c. push pull toy d. a moble

c. push pull toy

which observation is expected when the nurse is assessing the gestational age of a neonate born at term? a. ear lying flat against the head b. absence of rugae on the scrotum c. sole creases covering the entire foot d. square window sing angle of 90 degrees

c. sole creases covering the entire foot

after teaching a new parent about the care of their neonate after circumcision with a Gomco clamp, which statement by the parents indicates to the nurse that the parent needs additional instructions? a. "the petroleum gauze may fall off into the diaper" b. "a few drops of oozing blood from the site is normal" c. "i will leave the gauze in place for 24 hours" d. I will remove any yellowish crusting gently with water"

d. I will remove any yellowish crusting gently with water"

Neonate is born by C-section birth at 36 weeks gestation. The temperature of the birthing room is 70 degrees. To prevent heat loss from convection, the nurse should take which action? a. dry the neonate quickly after birth b. keep the neonate away from the air conditioning vents c. place the neonate away from outside windows d. prewarm the bed

b. keep the neonate away from the air conditioning vents

which statement by a parent indicates understanding of infant oral hygiene? a. "baby teeth fall out so there is no need for regular brushing" b. the baby teeth save space for the permanent teeth" c. we give a baby a bottle at night to fall asleep" d. we brush with plenty of fluoride toothpaste every morning"

b. the baby teeth save space for the permanent teeth"

the nurse is preparing to administer a vitamin K injection to a neonate shortly after birth. what statement by the birth parent indicates that they understand the purpose of the injection? a. "my baby does not have the normal bacteria in their intestines to produce this vitamin K" b. "my baby is at a high risk for a problem involving their blood's ability to clot" c. "the red blood cells my baby formed during pregnancy are destroying the vitamin K" d. "my baby's liver is not able to produce enough of this vitamins so soon after birth"

a. "my baby does not have the normal bacteria in their intestines to produce this vitamin K"

when an infant turns 1 year old, how much should their weight have increased from birth? a. their wt should triple b. their wt should quadrupled c. their wt should increase by 10 lb d. their wt should double

a. their wt should triple

what type of play consist of children playing next to each other but not with each other? a. symbolic play b. competitive play c. parallel play d. cooperative play

c. parallel play

according to Maslow's hierarchy of needs, which need has to be met before any other? a. safety and protection b. emotional c. physiological needs d. self actualization

c. physiological needs

when assessing an 18 month old development what would be normal finding for a child of this age? a. the child is able to put 3 words together b. the child can copy a triangle c. the child can feed themselves d. the child is able to go upstairs with alternating feet

c. the child can feed themselves

the nurse has completed discharge teaching with new parents who will be bottle-feeding their term newborn. which statement by the parent reflects the need for more teaching? a. "we should weight our baby daily to make sure they are gaining weight" b. "our baby will require feedings through the night for several weeks or months after birth" c. "the baby should burp during and after each feeding with no projectile vomiting:" d. "our baby should have one to three soft stools a day"

a. "we should weight our baby daily to make sure they are gaining weight"