Mod 4 1-5 Peds Growth and Development/Infants

The nurse is teaching the mother of an infant about the prevention of sudden infant death syndrome (SIDS). Which statement by the mother indicates effective learning?

"I will position my baby on the back while sleeping."

The parent of a 2-year-old expresses concern that their child's growth rate has slowed. Which explanation would the nurse give to the parent about the growth of toddlers?

"This growth pattern is typical at this age."

A nurse advises parents to assist their child with stretching exercises. The child has impaired physical mobility due to neuromuscular impairment. Which rationale explains the need to perform stretching exercises?

To prevent contractures.

The mother asks how she should introduce new foods to her 5-month-old infant. Which foods would the nurse suggest to be selected first?

Vegetables and noncitrus fruits

The nurse counsels the mother of an 8-month-old infant to be sure that the floors are free of small objects when her child is crawling. Which is the rationale is the basis for this instruction?

Eight-month-old infants pick up small objects and place them in their mouths.

Which nursing intervention will help foster the development of a trusting parent-child relationship?

Encouraging face-to-face contact between the parents and infant.

A 6-month-old infant with a birth weight of 7 lbs is admitted to the pediatric unit with a diagnosis of failure to thrive. How many pounds would this infant typically weigh.

14

An infant who has undergone cardiac surgery for a congenital defect is to be discharged. Which would the nurse emphasize to the parents regarding administration of the prescribed antibiotic?

Ensure that the antibiotic is administered as prescribed.

Before administering the first series of immunizations to a 2-month-old infant, the nurse tells the mother that reactions may occur. What are the characteristics of these reactions?

Local or systemic and usually mild.

Which goal is appropriate for school-age children when participating in organized athletics?

A lifelong enjoyment of fitness

A nurse completing an initial assessment of a newborn finds tiny white papules on the newborn's cheeks, chin, and nose. The nurse documents this finding as which condition?

Milia

Which method for calculating most pediatric dosages is correct?

Milligrams per Kilogram (mg/kg)

Which type of family pattern favors negotiation, compromise, and growth?

Democratic

The absence of both cerebral hemispheres is which congenital neural tube defect?

Anencephaly

Parents of a newborn ask if the baby has immunity to illnesses. Which is the correct response by the nurse?

Antibodies are passively received from the mother through the placenta and breast milk.

Which type of family is formed when both parents bring children from previous relationships into a joint living situation?

Blended

Which family structure is composed of at least one step-parent and one step-sibling?

Blended family

Which family consists of a traditional family and an additional family?

Extended

Which feeding instruction would the nurse give the mother of a 2-month-old infant with the diagnosis of heart failure?

Feed slowly while allowing time for adequate periods of rest.

Which type of family is reflected when a court orders to place the children in a private home after deeming the parents unable to care for them?

Foster

Which stage of psychosocial development, according to Erikson's developmental theory, is observed in a 5-year child?

Initiative versus guilt

Which attribute of temperament is related to the energy level of the child's reaction?

Intensity of reaction

Which is the appropriate way to introduce infants to pureed foods?

Introduce one food at a time every 4 to 7 days

Which side effect would the nurse review with an adolescent client who is prescribed estrogen therapy? Select all that apply. One, some, or all responses may be correct.

Nausea, Insomnia, headache, weight gain, nervousness, breast tenderness.

A 1-month-old infant is prescribed digoxin and presents at a follow-up visit with an apical pulse of 88 beats/min. Which is the nurse's responsibility regarding this pulse rate?

Notify the health care provider immediately.

A nurse observes an 11-month-old boy sitting on his mother's lap crying and tugging at his right ear. Which problem would this behavior likely indicate?

Otitis media

Which behavior is most unusual for a 7-month-old infant?

Putting clothespins in a plastic bottle.

Which information would be included related to automobile infant restraint systems when teaching parents of a newborn preparing for discharge? Select all that apply. One, some, or all responses may be correct.

Secure the infant seat so that it faces the rear, Follow the manufacturer's directions to secure the infant seat in the back seat, Be sure to follow weight guidelines set forth in the manufacturer's instructions.

Which type of family involves unmarried couples living together sharing roles?

Social contract

Which orientation sage of Kohlberg's theory of moral development is a part of conventional reasoning?

Society-maintaining