PEDS CHAPTER 15- Care of the Newborn and Infant

The parents of an 8-month-old boy voice concern to the nurse that their child is not developing motor skills as he should. What question would be appropriate for the nurse to ask in determining if their fears are warranted?

"does he move a toy back and forth from one hand to the other when you give it to him?"

Patty calls the hospital 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?

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

The nurse is reinforcing teaching with a group of caregivers RT the nutritional needs of the infant. One caregiver asks why the 6-month-old infant needs to have solid foods when breast milk is such a good source of nutrition. What would be the best response by the nurse?

"milk will not fully provide the child's needs for iron, which is found in solid foods"

The nurse is admitting a 12-month-old to the medical unit. During the admission process the parents tell the nurse that their child is very advanced because he says "ball" when he picks up a football. How should the nurse respond?

"that is great that he is recognizing objects and is able to name them. he is right on target for language skills"

The nurse is assessing a 6-month-old child. The mother asks when the soft area in her child's head will go away. What is the best response by the nurse?

"the area is called the anterior fontanel and typically closes anytime up to 18 months of age"

The nurse takes a call from a concerned mother whose infant received routine immunizations the day before and now has a temperature of 101F, 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 infant weighs 7 lb 4 oz at birth. If the infant is following a normal pattern of growth, what would be the expected weight for this child at the age of 12 months?

21 lb 12 oz

The nurse is assessing a 6-week-old infant in the clinic. Which characteristic represents normal language development for this age?

babbling

A 6-month-old girl weighs 14.7 pounds during a scheduled check-up. Her birth weight was 8 pounds. What is the priority nursing intervention?

discussing the childs feeding patterns

The mother of a 3-month-old baby is concerned because the child is not able to sit independently. How should the nurse respond to this mother's concern?

most babies do not sit steadily until 8 months

The nurse is assessing the parents interacting with their infant. Which of the following would indicate to the nurse that attachment is occurring? Select all that apply.

parents make eye-to-eye contact, parents hold the baby close to the body, parents talk to the baby while holding the baby

The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week-old baby. Which recommended guideline might be included in the teaching plan?

place the baby on his or her back when sleeping

In providing anticipatory guidance RT choking hazards for infants, what should the nurse include in the teaching? Select all that apply.

propping a bottle, raw carrots, plastic bags

A new mother, when asked by a nurse, explaining that her 4-month-old infant has been nursing regularly every 3 to 4 hours and seems satisfied. However, the mother recently introduced solid food in the form of unbuttered popcorn to the baby as a supplement, to "get her used to eating solid food". She felt that the popcorn would be safe because it is soft on the babys gums. What should be the primary nursing diagnosis in this situation?

risk for aspiration RT feeding the infant an inappropriate food

Which developmental milestone would the nurse expect an 11-month-old infant to have achieved?

sitting independently

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 nurse is assessing the respiratory system of a newborn. Which anatomic differences place the infant at risk for respiratory compromise? Select all that apply.

the nasal passages are narrower, the larynx is more funnel-shaped, there are significantly fewer alveoli

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?

the respirations of a 1-month-old infant are normally irregular and periodically pause

A group of nursing students are reviewing information about growth and development during infancy. The students demonstrate understanding of the information when they identify which of the following as characteristic of a 10-month-old infant? Select all that apply.

understands the word "no", tilts head backward to see up, stands alone

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