NUR 208 EAQ #2: Infant

An infant has been admitted with failure to thrive. The nurse knows that more education is needed when one of the parents makes which statement? 1. "I can double the amount of water in the formula to save money." 2. "I need to hold her head up a little higher than her stomach when I feed her." 3. "I need to burp the baby when the feeding is done to get rid of swallowed air." 4. "I need to make sure that the formula is in the nipple so she doesn't swallow so much air.

1. "I can double the amount of water in the formula to save money."

The parent of an infant with heart failure questions the necessity of weighing the baby every morning. Which would the nurse say that this daily information is important in determining? 1. Fluid retention 2. Kidney function 3. Nutritional status 4. Medication dosage

1. Fluid retention

Which teeth would the nurse expect to erupt first in a typically developing 6-month-old infant? 1. Incisors 2. Canines 3. Upper molars 4. Lower molars

1. Incisors

Which clinical finding suggests developmental dysplasia of the hip in an infant? 1. Leg length discrepancy 2. Limited ability to adduct the affected leg 3. Narrowing of the perineum with an anal stricture 4. Inability to palpate movement of the femoral head

1. Leg length discrepancy

Which education would the nurse provide the parents of an infant with bilateral cryptorchidism about the infant's prognosis if the problem is not corrected? 1. Sterility upon maturity 2. Inflammation in the epididymis 3. The development of a hydrocele 4. The development of a varicocele

1. Sterility upon maturity

Which hematocrit result would the nurse recognize as normal in a healthy 12-month-old infant? 1. 19% to 32% 2. 29% to 41% 3. 37% to 47% 4. 42% to 69%

2. 29% to 41%

Which are the leading causes of accidental death in infants under 1 year of age? Select all that apply. One, some, or all responses may be correct. 1. Falls 2. Drowning 3. Aspiration 4. Suffocation 5. Motor vehicle-related injuries

2. Drowning 4. Suffocation 5. Motor vehicle-related injuries

Which surgical procedure involves urinary diversion in which the ureters are transplanted to a resected section of the small intestines, with one end attached to the abdominal wall? 1. Cystostomy 2. Ileal conduit 3. Ureterosigmoidostomy 4. Cutaneous ureterostomy

2. Ileal conduit

Which toys would the nurse suggest to the parent of a 4-month-old infant to help promote the child's growth and development? 1. Push-pull toys 2. Soft squeeze toys 3. Nesting blocks and cups 4. Wooden hammer and pegboard

2. Soft squeeze toys

Which is the priority intervention for the infant with developmental dysplasia of the hip? 1. Flexion of the hip 2. Extension of the hip 3. Abduction of the hip 4. Adduction of the hip

3. Abduction of the hip

Which comorbidity is associated Down syndrome? 1. Renal disease 2. Hepatic defects 3. Congenital heart disease 4. Endocrine gland malfunction

3. Congenital heart disease

During a newborn assessment for developmental dysplasia of the hip, the nurse notes a clunk with the Ortolani test. How would the nurse explain this finding to the child's mother? 1. It is a broadening of the perineum. 2. It is shortening of the affected leg. 3. It is the femur head relocating in the hip. 4. It is drooping of the hip on one side of the body

3. It is the femur head relocating in the hip.

Which safety education would the nurse provide to the parent of a 3-month-old infant? 1. Remove small objects from the floor 2. Cover electric outlets with safety plugs 3. Test the temperature of water before bathing 4. Remove toxic substances from accessible areas

3. Test the temperature of water before bathing

A newborn with Erb palsy has an asymmetric Moro reflex. Which cause would the nurse suspect? 1. Acquired in utero 2. A tumor arising from muscle tissue 3. An X-linked inheritance pattern 4. An injury to the shoulder during birth

4. An injury to the shoulder during birth

Which type of cerebral palsy (CP) is associated with slow writhing movements? 1. Ataxic 2. Spastic 3. Dystonic 4. Athetoid

4. Athetoid

According to Piaget's theory of cognitive development, which milestone would the nurse expect a 6-month-old infant to demonstrate? 1. Early traces of memory 2. Beginning sense of time 3. Repetitious reflex responses 4. Beginning of object permanence

4. Beginning of object permanence

An infant is found to have developmental dysplasia of the hip 6 weeks after birth. The parents ask the nurse why their infant must be restrained in a harness at such an early age. How would the nurse respond? 1. Infants are easier to manage in a harness than toddlers. 2. Mobility will be delayed if correction is postponed until later. 3. Adduction devices cannot be used as effectively after the toddler age. 4. Infants' hip joints are cartilaginous, allowing molding of the acetabulum.

4. Infants' hip joints are cartilaginous, allowing molding of the acetabulum.

Which description would the nurse provide the parents of an infant who are asking about what a patent ductus arteriosus (PDA) is? 1. The diameter of the aorta is enlarged. 2. The wall between the right and left ventricles is open. 3. It is a narrowing of the entrance to the pulmonary artery. 4. It is a connection between the pulmonary artery and the aorta.

4. It is a connection between the pulmonary artery and the aorta.

Which education would the nurse provide parents about the side effects of the Haemophilus influenzae (Hib) vaccine? 1. Lethargy 2. Urticaria 3. Generalized rash 4. Low-grade fever

4. Low-grade fever

The nurse confirms that a 9-month-old infant's immunization schedule is up to date. Which immunization will the infant receive at 15 months of age? 1. Hepatitis B (HepB) 2. Polio vaccine (IPV) 3. Rotavirus 4. Measles, mumps, and rubella (MMR)

4. Measles, mumps, and rubella (MMR)

Which toy would be developmentally appropriate for a 6-month-old infant? 1. Push-pull 2. Wooden blocks 3. Shape-matching 4. Soft stuffed animals

4. Soft stuffed animals

When checking placement of a feeding tube, the nurse is unable to hear the air injected because of noisy breath sounds. Which would the nurse do next? 1. Notify the provider. 2. Advance the tube 1 cm. 3. Insert 1 mL of formula slowly. 4. Try aspirating stomach contents

4. Try aspirating stomach contents

Which order should parents introduce new foods to a 5-month-old who is now eating fortified cereal mixed with formula? 1. Meats and fish 2. Eggs and cheeses 3. Citrus fruits and bread 4. Vegetables and non-citrus fruits

4. Vegetables and non-citrus fruits