growth and development ch 23: 28 days- 1 year

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?

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

The nurse is conducting a training session for families who are to receive assistance from the Women, Infants, and Children (WIC) supplemental food program. The nurse determines the session is successful after the participants correctly choose which food items they will be able to receive through the program? Select all that apply.

Milk Dry beans Juice Bread Eggs

An 8-month-old child is diagnosed with a second ear infection and the father is concerned the infections are being caused by something he is doing or by something in the child's development. Which question should the nurse prioritize to collect more information to answer this father's questions?

"Does the baby go to bed with a bottle of formula each night?"

The mother of an 8-month-old infant appears frustrated and shares with the nurse she can't leave the room without her baby crying. Which is the best response from the nurse to help this mother?

"If he cannot see you he thinks you are gone and that is frightening."

The nurse is meeting with a group of new mothers of infants and is leading the discussion related to weaning. Which suggestion should the nurse prioritize to this group of mothers concerning weaning their infant?

"It is important to let the infant set the pace for weaning, no matter what age they are."

A frustrated mother with a 9-month-old baby comes to the clinic because her son is refusing all solid food. When talking with this mother, the nurse discovers the mother has struggled with a weight problem all her life, which she attributes to being forced to eat even when she was full. Not wanting to treat her child the same way, 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 swallow, so catch the food and offer it again until the baby learns this."

A group of nursing students are preparing a presentation illustrating basic safety measures which can be utilized for infants. Which measures should the students prioritize in their presentation? Select all that apply.

-Crib and playpen bars should be no more than 2 3/8 inches apart. -Car seats should be placed in back seats. -A safe temperature for hot water heaters in households with infants is 120°F (48.9°C).

The nurse is preparing to teach a class to a group of young parents with infants the basics of introducing solid foods into the diet. Which factor about the food should the nurse point out the infants respond to best when introducing solid foods into the diet?

Bland

The nurse is conducting a class at the local health department office for new mothers of infants who are in the various stages of weaning. Which alternative food should the nurse prioritize when questioned by a mother whose infant is refusing to drink milk from a cup to ensure the infant is consuming enough calcium?

Cottage cheese

A 6-month-old arrives for a well-baby visit with a case of diaper rash that the parent believes is normal for infants. The parent reports changing the baby's diaper when he wakes up and before naps or bedtime. Which frequency should the nurse point out will better help heal and prevent future incidences of diaper rash?

Every 2 to 4 hours

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.

The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula?

Iron

The nurse is assessing a 12-week-old infant in the clinic at a well-baby visit. Which assessment finding does the nurse predict to assess in this healthy infant?

Smiles at significant others

A breast-feeding mother asks the nurse about when she can begin feeding her 5-month-old infant some solids and vitamins. What information should the nurse provide?

The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron.

The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant's teeth?

The first tooth usually erupts between 6 to 8 months.

The nurse takes a call from a concerned mother whose infant received routine immunizations the day before and now has a temperature of 101*F (38.3*C), is fussy and pulling at the injection site. The mother wants to know what she should do. Which is the best response from the nurse to this mother?

"This is a common reaction. Give your child acetaminophen, cuddle him, and apply a cool compress to the injection site."

The nurse is conducting a class for new parents of infants. The nurse determines the session is successful when the parents correctly choose which instruction concerning bathing their infant?

"When I bathe my baby, I shampoo his hair each time as well."

The nurse is assessing the motor skills of an infant who is 9 months old. Which motor skills should the nurse prepare to assess in an infant achieving normal growth and development milestones?

Is eating cereal using the thumb and index finger

The nurse is meeting with a group of older siblings of infants to discuss various aspects of infant care. Which instruction should the nurse prioritize with this group?

The infant sleeps 10 to 12 hours at night and can take two to three naps during the day.

The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements would the nurse prepare to document for this visit?

24 pounds (10.8 kg) and 30 inches (75 cm)

The pediatric nurse is meeting with a group of young mothers of newborn infants who are questioning the 'soft spot' on the head and when it will close. Which fact should the nurse point out to the mothers?

May increase slightly in size the first few months of life

The mother has presented to the pediatric clinic with her 1-year-old infant for the next round of immunizations. The nurse would question administering the immunizations if which situation is noted on assessment?

The infant is being treated for a case of eczema.

The nurse is assessing a 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?

Trust

A first-time mother calls the pediatrician's office to ask the nurse about her baby's tooth eruption. The baby is 8 months old and still does not have any teeth. What information can the nurse share with this mother that would correctly respond to her anxiety about her baby's dentition?

Tooth eruption is often genetically based, with some families having babies with early tooth eruption, while others have late tooth eruption.

A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping patterns in her infant?

Use the crib for sleeping only, not for play activities.