Infant

The father of a 3-week-old infant who has developed sepsis says that he feels guilty because he did not realize his infant was sick. Which response by the nurse would be most appropriate?

"Babies can get sick quickly, and parents don't always realize it."

A mother expresses concern that picking up the infant whenever he cries will spoil him. What is the nurse's best response?

"Babies need comforting and cuddling; meeting these needs will not spoil him."

A nurse is teaching a new mother how to prevent burns in the home. Which statement by the mother indicates more teaching is required?

"I will heat my infant's formula in the microwave."

A bottle-fed infant, age 3 months, is brought to the pediatrician's office for a well-child visit. During the previous visit, the nurse taught the parent about infant nutritional needs. Which statement by the parent during the current visit indicates effective teaching?

"I'm giving the baby iron-fortified formula and a fluoride supplement because our water isn't fluoridated."

Which parent statements demonstrate an understanding of feeding priorities with their 4-month-old? Select all that apply.

"Solid foods aren't compatible with my baby's immature gastrointestinal (GI) tract." "Solid foods will not meet my baby's nutritional needs." "Giving my baby solid foods before 4-6 months can contribute to protein allergies."

The nurse is preparing to discharge a 9-month-old infant recovering from gastroenteritis and dehydration and teaching a parent regarding the infant's dietary and fluid requirements. Which of the following statements made by the parent indicates that further instruction is required?

"We can go ahead and begin to the feed the baby whatever they want to eat and drink."

A mother of a hospitalized infant appears anxious and displays anger with the staff. Which response by the nurse is most appropriate?

"You seem upset. Having your child hospitalized must be difficult."

A nurse is preparing to administer an I.V. containing dextrose 10% in ¼ normal saline solution to a 6-month-old infant. The nurse should select which tubing to safely administer the solution?

I.V. tubing with a volume-control chamber

During discharge teaching with new caregivers, the caregivers express concern over a recent whooping cough outbreak. The caregivers asks when the client can receive the vaccine for whooping cough. The nurse states that which is the recommended immunization schedule for diphtheria, tetanus toxoids, and acellular pertussis (DTaP)?

2 months, 4 months, 6 months, 18 months, 4 to 6 years, and grade 9

A nurse is teaching the parent of a 5-month-old infant diagnosed with bronchiolitis. Which statement by the mother indicates that teaching has been effective?

No action is needed; this is a normal finding.

When assessing the chest of a 4-month-old infant, the nurse identifies the ratio of the anteroposterior-to-lateral diameter as 1:1. What action should the nurse take next?

No action is needed; this is a normal finding.

A 6-month-old infant is brought to the clinic. The mother reports the infant has been lethargic and not eating well.The infant's anterior fontanel is sunken. Which additional information is a priority for the nurse to assess?

Number of wet diapers the in the last 24 hours

A nurse is teaching the parent of an infant. The nurse should instruct the parent to introduce the infant to solid foods at what age?

6 months

The nurse is caring for an infant diagnosed with thrush. Which instruction would the nurse give to a client's mother who will be administering nystatin oral solution?

Administer the drug right after meals by dabbing the solution to the sites.

The nurse assesses an 8-month-old infant for a possible head injury after a fall of about 3 feet. The child is awake, alert, and crying. Vital signs are within normal limits. What action should the nurse take next?

Assess the infant's pupillary responses.

A first-time mother is concerned that her 6-month-old infant is not gaining enough weight. What should the nurse tell the mother?

Birth weight doubles by 6 months of age."

The nurse notices that a 1-month-old infant has esotropia. What should the nurse advise the parents to do?

Do nothing because this condition is normal for the infant's age.

A 1-year-old child is admitted to the hospital with sickle cell crisis. Which intervention does the nurse anticipate will be included in the child's plan of care?

IV fluid therapy

Which nursing intervention is most important postoperatively for an infant who has received a ventriculoperitoneal shunt?

Monitor intake and output.

A 4-month-old infant has been carried into the emergency department after falling off the parents' bed and hitting the head on the floor. What should the nurse do first?

Move the family to an area where an assessment can be completed and call for a physician.

A nurse is performing a neurologic assessment on an infant. When assessing for function of cranial nerve X (vagus), which technique is most appropriate to use?

Press a tongue blade on the posterior surface of the tongue.

An older infant who has been injured in an automobile accident is to wear a splint on the injured leg. The mother reports that the infant has become mobile even while wearing the splint. What should the nurse advise the mother to do?

Remove any unsafe items from the area in which the infant is mobile.

After resuming feedings in an infant who has undergone a pyloroplasty, which action would be most appropriate?

Starting feedings with 5 to 10 ml, slowly increasing amounts as tolerated.

A parent tells the nurse that their 8-month-old infant is anxious. Which suggestion by the nurse is most appropriate to help the parent lessen anxiety in the infant?

Talk quietly to the infant while he is awake.

A client brings her 6-month-old infant in for a well-baby visit. During the exam, the nurse is unable to elicit the Moro reflex. Which is the appropriate action by the nurse?

explaining to the client that this reflex disappears around 3-4 months

After placing an infant with myelomeningocele in an Isolette shortly after birth, the nurse should use which indicator as the best way to determine the effectiveness of this intervention?

The axillary temperature remains between 97° F and 98° F (36.1° C and 36.7° C).

When teaching a group of parents about the potential for febrile seizures in children, which information should the nurse include?

The seizures occur as the fever rises.

Which instructions should the nurse include in the teaching plan about skin care for the mother of a child with atopic dermatitis?

Use a mild soap followed by patting the skin to dry it.

The nurse is caring for an infant diagnosed with nonorganic failure to thrive. Which action should be included in the plan of care for the infant?

Weighing the unclothed infant at the same time every day.

The parent of a 2-week-old infant brings the child to the clinic for a checkup. The parent expresses concern about the baby's breathing because the infant breathes quickly for a while and then breathes slowly. The nurse interprets this finding as an indication of what factor?

a normal pattern in infants of this age

After receiving a report, the nurse is making out assignments. Which client would be appropriate to assign to unlicensed assistive personnel?

an 8-month-old with pneumonia who will be discharged today

A nurse is teaching child care classes for adolescent parents. To enhance the adolescents' understanding of infant safety, the nurse would suggest that the parent:

crawl around on the floor looking for potential hazards from the viewpoint of an infant.

An infant, age 6 weeks, is brought to the clinic for a well-baby visit. Which position is best for the nurse to assess the fontanel?

held in upright position

Which activity by the mother offers the most support to the child during the first few days after surgery to repair a cleft lip?

holding and cuddling the child

Which night clothes would the nurse recommend for an infant with atopic dermatitis?

one-piece cotton pajamas with long sleeves

When fluids by mouth are appropriate for the infant after surgery to correct intussusception, the nurse most likely would initiate which type of feeding?

oral electrolyte solution

What liquid does the nurse recommend the parents of a 1½-month-old infant with hypothyroidism use to administer levothyroxine with?

small amount of formula or breast milk

A 6-month-old on the pediatric floor has a respiratory rate of 68, mild intercostal retractions, and an oxygen saturation of 89%. The infant has not been feeding well for the last 24 hours and is restless. Using the SBAR (Situation-Background-Assessment-Recommendation) technique for communication, the nurse calls the health care provider (HCP) with the recommendation for which treatment?

starting oxygen.

Which finding indicates that the infant has adequately evacuated the barium after undergoing a barium enema?

stools that progress from clay-colored to brown

When teaching the mother of an infant diagnosed with congenital hypothyroidism about daily oral levothyroxine sodium therapy, which manifestation should the nurse include as possibly indicating an overdose?

sweating