PEDS- Chapter 3 -"the point" review
The nurse is preparing a list of abilities of 10 month olds to use in teaching a parenting group. Which of the following should appear at this age?
Cruises around furniture.
The nurse is conducting a physical examination of a 5 month old boy. Which of the following observations may be cause for concern about the infants neuroligic development?
The infant displays an asymmetric tonic neck reflex (fancing reflex) *normally disappears by age 4 months
The nurse is examining an 8 month old girl for appropriate development during a regular check up. Which of the following observations points to a developmental risk?
Uses only the left hand to grasp
List the order the primitive protective reflexes in infancy in the order the disappear as the chil matures
-step -root -moro -palmer -plantar -babinski
The nurse is assessing a 4 month old born prematurely at 30 weeks gestation. The infants adjusted age is?
6 weeks *The adjusted age is calculated by subtracting 10 week prematurity from 16 weeks (4 months)
The nurse is providing anticipatory guidance reguarding the respiratory development of a 4 week old girl for her mother. Which of the following is accurate?
Explaining to the mother the risk for infection is high due to the lack of antibodies
The nurse is caring for a 5 week old infant who is spitting up "all the time". This is the mothers first child. Which is a priority nursing intervention?
Observe the mother while she feeds and burps her infant
The nurse pulls the 5 month old to sitting position from supine and notes head lag. The nurses response is to?
Refer the infant for developmental and/or neurologic evaluation *There should be no head lag by 4 months. Head lag in the 5 month old may indicate motor or neurologic problema and needs immediate follow-up.
The nurse conducting a 6 month well baby check up assesses for the presence/absence of the asymmetric tonic neck reflex. At this age the reflex
Should have disappeared * around 4 month
A father mentioned to the nrse that his usually smiling , happy 8 month old boy was clingy and intensely serious when his grandmonther fisited from a distant city. The nurse explained the child was experiencing?
Stranger anxiety *occurs around 8 months
A 12 month old seen at a wlak in clinic weighed 8 pounds 4 ounces at birth. Weight now is 20 pounds 8 ounces. The nurse determine:
The childs weights less than expected for age * birht weight should triple by 12 months; the child should weigh near 24 pounds 12 ounces
A 5 month old infant being assess was born at 32 weeks. The nurse doing the well child check up shoulld compare the baby to what norms?
The development of a 3 month old * the infant was born 8 weeks early. 2 months are subtracted from the present age of 5 months (adjusted age)
A young breastfeeding motherr calls the telephone nurse because she is concerned about her 3 month olds stool. Which statement is of concern?
The stools are foamy and smell terrible *this may indicate digestive problem or illness
Parents complain of being "worn out" at their childs 6 month chech-up because their boy awakens each night and cries. The nurse suggest which measures (select all that apply)
-Establish a quieting ritual before bed -During night awakening, keep interactions minimal
The nurse is teaching the mother of a 5 month old boy is concerned about thumb sucking. Which of the following should be included in the teaching plan?
-Informing the mother that thumb sucking occurs more often during periods of stress -telling the mother this behavior usually decreases by 6-9 months -advising the mother this behavior is a form of self comfort -assuring the mother this behavior wont cause malocclusion
The infant in the exam room has the following signs and symptoms. Which ones will the nurse attribute to teething?
-Irrtability and awakening from sleep -refusing to eat -increased sucking on hands -drooling and biting
At birth the newborns head and chest circumference were measured. The nurse knows that the head should be about
1 inch larger than the chest
A mother is concerned that her infant is not gaining awequate weight. The baby is 6 weeks old. Birth weight was 7 pounds 8 ounces (3,400 g). How much should the child weight
9 pounds (4.32 kg) *The child should gain about 20 to 30 g daily while making up common 10% weight loss following birth
The nurse is helping the mother of a 5 month old boy understand the importance of developmentally appropriate play. Which one of the toys best meets the needs of this child?
A yellow rubber duck for the bath * it is safe and visually stimulating while bobbing in the water and adds pleasure to bathtime
A mother is discussing her 10 month old boy with the nurse. Which comment indicates a need for teaching?
He loves being in his walker and "Zips" around the house *walkers are a safety hazard
Thenurse is teaching the mother of a 2 month old girl about the social and emotional developments that will occur in the next 8 weeks. Which of the following behaviors is most likely to occur?
Mimicking mothers facial expressions *Infants mimic facial expressions until they are 3 to 4 months old
What feeding practice used by the parents of an 8 month old should the nurse discourage?
Placing all liquids given to the child in a "no spill" sippy cup *these cups promote sucking rather than teaching cup drinking. Reserve these for times avoiding spills is essential
The nurse is promoting a healthy diet to the mother of a 6 month old girl. Which of the following would have the most effect on the infants neurologic development?
Promoting continuation of breastfeeding *this ensures proper level of nutritional fat for myelination of the nervous system
The nurse is assessing development of a 4 monthe old during a well child visit. Which of the following observations needs further investigation?
The infant respond to his mother when he sees her but not at other times when she is near *the infant does not respond to the mothers voice, could indicate a hearing loss
A staff nurse is talking about Piagets theory ith a nursing student. Infants are in the sensorimotor stage of cognitive development during which object permanence is mastered. An example of an infant displaying this ability is?
looking for a toy in her crib at the last place she saw it