STUDY GUIDE PEDIATRY CHAPTER 25
The nurse is assessing an infant at his 6 month well baby check up. The nurse notes that at birth the baby weighed 8 pounds and was 20 inches in length. Which of the following findings is most consistent with the normal infant growth and development.
the baby weighs 16 pounds and 26 inches.
What are the nursing interventions that will help achieve the Healthy People 2020 objective of increasing the proportion of mother who breastfeed?
1. Encourage breastfeeding in all mothers. 2. Provide adequate education related to Breastfeeding. 3. Be available for any question or subjects 4. Encourage pumping of breastfeeding after mother returns to work.
In what incidences is breastfeeding contraindicated?
1. Infants with galoctosemia. 2. Maternal use of elicits drug or few prescription medications. 3. Maternal untreated active tuberculosis. 4. Maternal HIV infection in developed contries.
When providing education to a new parent about how to tell if the infant is hungry, what behavioral cues should be discussed as early cues of hunger?
1. Making sucking motions. 2. Sucking hands. 3. Putting the fist to the chin.
List of motor skills of the infant in order of occurrence
1. Transfer object. 2. Sits unsupported. 3. Crawls on hands and knees. 4. Puts object in container. 5. Pokes with finger index.
The anterior fontanel normally remains open until
12 to 18 months of life.
1 month old : Lift head while prone. 2 month old: Raises head and chest. 3 month old: Hold open hand to face.
4 month old: Rolls from prone to supine. 5 month old: Grasps rattle or toy. 6 month old: tripoid sit.
Education of parents about what to expect in the next phase of development is referred as
Anticipatory guidance
Explain meaning of reflexes:
Asymmetric tonic neck: Fencing position. Babinski Reflex: Fanning and hyperextension. Moro Reflex: Hands form "C". Parachute Reflex: Prepare to catch themselves. Root Reflex: searches with the mouth.
the nurse is examining a 6 month old girl who was born 8 weeks early. Which of the following findings is cause for concern?
Head size increased 5 inches since birth.
What changes normally take place in the cardiovascular system during the first year of life?
Heart doubles in size Pulse Rate decreases from 120/140 to 100 Blood Pressure increases from 60/40 to 100/50 Thermoregulation becomes more effective, peripheral capillaries constrict to cold and dilate in response to heat.
The nurse is teaching healthy eating habits to the parents of a 7 month old girl. Which of the following recommendations is the most valuable advice?
Keep serving new foods several times.
The nurse is providing helpful feeding tips to the mother of a 2 week old boy. Which of the following recommendations will best help the child feed effectively?
Maintaining a feed on demand approach.
Identify 4 primitive reflexes present at birth:
Moro, root, suck, asymmetric tonic neck, plantar & Palmar Grasp, Step and Babinski.
The nurse is observing a 6 month old boy for developmental progress. Which of the following milestones would be typical for him?
Puts down a little ball to pic up a stuffed toy.
The nurse is teaching the parents of a 6 month old boy about proper child dental care. Which of the following actions will the nurse indicate as the most likely to cause dental caries?
Putting the child to bed with a bottle of milk or juice.
The nurse is providing anticipatory guidance to the mother of a 1 week old girl. Which of the following is reason for the mother to contact her care provider?
Rectal temperature is greater than 100.4
. The nurse is reviewing the adjusted age of an infant. What is the adjusted age and how is it calculated.
Subtract the # weeks that the infant was premature from the infant chronological age.
The nurse is eduating the mother of a 6 month old boy about the symptoms for teething. Which of the following symptoms would the nurse identify?
The child increases biting and sucking.
The nurse is assessing the oral cavity of a 4 month old infant. Which of the following findings are consistent with a child of this age?
The infant has no teeth.
The nurse is educating the mother of a newborn baby about feeding practices. The nurse correctly advises the mother:
The newborn's stomach can hold between one half to 1 once.
A 1 month old infant's mother voices concern about her baby respiration's. She stated they are rapid and irregular. What information should the nurse provide?
The respiration's of a 1 month old infant are normally irregular and periodically pause.
The nurse is assessing the sleeping practices of the parents of a 4 month old girl who wakes repeatedly during the night. Which of the following parent comments might reveal a cause for the night walking?
They put her to bed when she falls asleep.
The nurse is caring for the family of a 2 month old boy with colic. The mother reports feeling very stressed by the baby's constant crying. Which of the following interventions would provide the most help in the short term?
Urging the baby's mother to take time for herself away from the child.
The mother of 1 week old baby boy voices concerns about her baby's weight loss since birth. At birth the baby weighed 7 poinds; the baby currently weighs 6 pouns 1 ounce. What response by the nurse is most apporopriate?
Your baby has lost a bit more than the normal amount.
Inconsolable crying, known as
colic last longer than 3 hours
The thin yellowish fluid called
colostrum is produced by the breasts for the first 2 to 4 days after birth
The sequential process by which infants and children gain various skills and function is referred to as
development.
Milk production is stimulated by
prolactin, a hormone secreted by the anterior pituitary.
Stranger anxiety is an indicator the infant is recognizing himself as
separate from others.
