Chapter 25: Growth and Development of the Newborn and Infant Prep U

The mother of an infant asks you when to begin brushing her son's teeth. Your best response would be:

As soon as the first tooth erupts

At what age do infants usually turn from front to back?

4 months

A frustrated mother comes to a 9-month well-baby check-up because her son is refusing all of the solid food she gives him. When talking with this mother, the nurse discovers that she has struggled all her life with a weight problem. She attributes this problem to being forced to eat all of the food she was served as a child, even when she was full. Because she doesn't want to cause the same problem in her child, she tells the nurse that 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? a) "The baby needs to learn how to move the food to the back of the mouth for swallowing, so catch the food and offer it again until the baby learns this." b) "Because your baby is a fussy eater, have more than one food available at each feeding so he can choose a food he likes." c) "The baby might be allergic to the particular foods you offered, so try different kinds of food." d) "The baby might not be ready for solid food, so wait a month or so and try again."

a) "The baby needs to learn how to move the food to the back of the mouth for swallowing, so catch the food and offer it again until the baby learns this."

Two parents who have financial issues ask the nurse if a borrowed crib would be okay to use for their new twin boys. Which response should the nurse use in educating the parents? a) "No, you cannot use a borrowed crib." b) "You can use the crib, but there are guidelines to follow." c) "You should just buy a new crib to be on the safe side." d) "You can use any crib that you want."

b) "You can use the crib, but there are guidelines to follow."

What is the correct amount of wet diapers a mature infant should have each day? a) An infant should have 3 to 5 wet diapers/day. b) An infant should have 1 to 2 wet diapers/day. c) An infant should have 6 to 8 wet diapers/day. d) An infant should have 9 to 10 wet diapers/day.

c) An infant should have 6 to 8 wet diapers/day.

What mineral is an important factor in tooth development? a)Potassium b)Iron c)Fluoride d)Mmagnesium

c) Fluoride

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? a) The growth of a 5-month-old b) The growth of a 2-month-old c) The development of a 3-month-old d) The development of a 10-week-old

c) The development of a 3-month-old The infant was born 8 weeks early. Two months are subtracted from the present age of 5 months. Both growth and development should be assessed using 3-month norms.

In working with an infant, the nurse recognizes what as a characteristic of the infant? a) The child takes in new information at a rapid rate and asks "why" and "how". b)The child insists they can "do it," the next moment they revert to being dependent. c) The child has an increased attention span and can be interested in an activity for a long length of time. d) The child grows and develops skills more rapidly than at any other time in their life.

d) The child grows and develops skills more rapidly than at any other time in their life.

The nurse is caring for the family with a 2-month-old boy with colic. The mother reports feeling very stressed by the baby's constant crying. Which intervention would provide the most help in the short term? a) Watching how the parents respond to the child b) Educating the parents about when colic stops c) Assessing the parents' care and feeding skills d) Urging the baby's mother to take time for herself away from the child

d) Urging the baby's mother to take time for herself away from the child

If the infant is following a normal pattern of dentition, the child would most likely have how many teeth by the age of 14 months? a) Six to 12 teeth b) 14 to 18 teeth c) Four teeth d) 24 teeth

a) Six to 12 teeth

What information would you include when teaching the parents of an infant about colic? a) Formula intake should be doubled to keep her from losing weight. b) Colic symptoms will probably fade at 3 months of age. c) Their child will need future follow-up for a "nervous" bowel. d) Symptoms will decrease if she is laid on her back after feedings.

b) Colic symptoms will probably fade at 3 months of age.

The nurse is providing anticipatory guidance regarding the respiratory development of a 4-week-old girl for her mother. Which action is accurate? a) Explaining to the mother the risk for infection is high due to the lack of antibodies b) Informing the mother that the respiratory system reaches maturity similar to the adult's by 12 months of age. c) Telling the mother that abdominal breathing disappears by 9 month of age d) Advising the mother that the infant's usual respiratory rate should slow to about 20 breaths per minute by age 6 months

a) Explaining to the mother the risk for infection is high due to the lack of antibodies

During a mother baby class the nurse is discussing information related to teeth and teething. Which of the following statements is accurate regarding infants' teeth? a) The first tooth usually erupts between 6-8 months b) Swollen or inflamed gums during teething indicate a serious concern c) Fluoride should not be used on a child's teeth before 4 or 5 years of age d) The upper incisors are most often the first teeth to erupt

a) The first tooth usually erupts between 6-8 months

The family caregiver of an 8 month old infant makes the statement, "I can't leave the room he is in because when I do he cries." Which of the following statements is most appropriate for the nurse to respond? a) "It is important for him to be with you, so you should take him with you." b)"He knows you are in the next room and he is attempting to get your attention." c)"By ignoring his crying you will help him develop patience." d)"If he cannot see you he thinks you are gone and that is frightening."

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

The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking? a) They put her to bed when she falls asleep. b) They sing to her before she goes to sleep. c) The child has a regular, scheduled bedtime. d) If she is safe, they lie her down and leave.

a) They put her to bed when she falls asleep. If the parents are keeping the child up until she falls asleep, they are not creating a bedtime routine for her. Infants need a transition to sleep at this age. If the parents are singing to her before she goes to bed, if she has a regular, scheduled bedtime, and if they check on her safety when she wakes at night, then lie her down and leave, they are using good sleep practices. (less)

A father asks you what symptoms he can expect with normal teething in his infant. What would you tell him? a)The child's gumline will be tender. b)The child's temperature may go as high as 102°F. c)The child will not play or eat for 2 days. d)He can expect his child to be constipated for 2 days.

a)The child's gumline will be tender.

The nurse is educating the mother of a 6-month-old boy about the symptoms for teething. Which symptom would the nurse identify? a) Running a mild fever or vomiting b) Increased biting and sucking c) Frequent loose stools d) Choosing soft foods over hard foods

b Increased biting and sucking

The caregiver of an infant tells the nurse that her dentist told her not to let the child go to bed with a bottle of milk. The caregiver states she doesn't understand the reason for this since her baby seems to enjoy the bottle. The most appropriate response to this caregiver would be: a) "You could occasionally give your baby a bottle of water at bedtime." b) "Bottles given at bedtime can cause erosion of the enamel on the teeth." c) "Giving your baby a pacifier at bedtime will satisfy the need to suck." d) "Giving a bottle of milk when the infant goes to bed can lead to obesity."

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

An infant is breastfed. When assessing her stools, which findings would be typical? a)Stools of breastfed infants tend to have a strong odor. b)Breastfed infants are less likely to be constipated than bottle-fed infants. c)Breastfed infants usually have fewer stools than bottle-fed infants. d) Stools of breastfed infants are usually harder than those of bottle-fed infants.

b) Breastfed infants are less likely to be constipated than bottle-fed infants. The stools of breastfed infants tend to be yellow and looser than those of bottle-fed babies.

The mother of a 3-month-old is concerned because her daughter does not yet sit by herself. Which statement best reflects average sitting ability? a) Sitting ability and the age of first tooth eruption are correlated. b) Most babies do not sit steadily until 8 months; she is normal. c) Most babies sit steadily at 4 months; she is normal. d) Most babies sit steadily at 3 months; she is slightly delayed.

b) Most babies do not sit steadily until 8 months; she is normal.