Peds 25 Growth & Development Newborn & Infant PrepU

16. A newborn requires skin care that includes bathing. Besides hygiene, what is another reason for bathing the newborn? Bathing is a time for bonding with the parents. Bathing is a great time to apply lotion. Bathing can prevent infection. Bathing helps moisten the skin.

Bathing is a time for bonding with parents

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

Colic symptoms will probably fade at 3 months of age

5. A 9-month-old has been brought to the clinic for a well-child visit. The mother reports her son was born 6 weeks prematurely. During the data collection, the child's mother reports her son seems to be a few months "behind" what she recalls from her older children. What is the best response by the nurse? "Delays are normal when a child is premature." "All children mature and develop at different rates so it is unwise to compare them in this way." "You should talk with the doctor about getting your son tested." "We will need to check this out since any delays related to prematurity should be resolved by the time a child is 6 months old."

Delays are normal when a child is premature

12. The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that: the newborn's stomach can hold between 0.5 oz and 1 oz. the best feeding schedule offers food every 4 to 6 hours. demand scheduled feeding is associated with increased difficulty getting the baby to sleep through the night. most newborns need to eat about 4 times per day.

The newborn's stomach can hold between 0.5 oz and 1 oz

3. The nurse is preparing a list of abilities of 10-month-olds to use in teaching a parenting group. Which ability should appear at this age? Feeds self with spoon (but spills) Uses two or three words with meaning Sits from standing position Cruises around furniture

cruises around furniture

9 month old checkup. Not crawling. Concerned about what? slowed weight gain fear of strangers gross motor development waking at night for breastfeeding

gross motor development

2. The nurse is assessing the oral cavity of a 6-month-old child. When palpating the location in which the first primary teeth erupt, which location is being assessed? upper lateral gumline lower lateral gumline upper central gumline lower central gumline

lower central gemlike

20. The nurse is assessing the newborn. Which would the nurse assess to be an abnormal finding? The neck is short, thick and mobile Natal teeth noted in the mouth that are loose The newborn startles to loud sounds Gluteal folds are present and symmetrical

natal teeth noted in the mouth that are loose

13. A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend? a forward-facing 5-point harness restraint a rear-facing booster seat a rear-facing 5-point harness restraint a forward-facing convertible booster

a rear-facing 5-point harness restraint

18. An infant is breastfed. When assessing the stools, which findings would be typical? Less constipation than bottle-fed infants A strong odor Fewer stools than bottle-fed infants Harder stools than those of bottle-fed infants

less constipation than bottle-fed infants

14. 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 be pronounced and easy to elicit. is expected to appear within 1 month. should have disappeared. is a protective reflex and retained for life.

should have disappeared

7. At the 6-month-old well-child visit, the parent is concerned that the child is unsteady and often falls over when sitting. What will the nurse advise the parent about this? The child should be provided with a baby seat to support the sitting position. The child should have a referral for a neuromuscular assessment. The child is progressing well on other milestones so there's no cause for worry. The child's stability will progress to independent sitting over the upcoming months.

the child's stability will progress to independent sitting over the upcoming months

11. The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements reflecting height/weight would the nurse expect to document for this visit? 24 pounds (10.8 kg) and 30 inches (75 cm) 16 lb (7.2 kg) and 26 inches (65 cm) 28 pounds (12.7 kg) and 32 inches (80 cm) 20 lb (9.1 kg) and 28 inches (70 cm)

24 pounds & 30 inches

15. After the nurse provides education to new parents about appropriate sleeping habits for infants, which statement by a parent would indicate to the nurse that teaching needs to reoccur? "I will place my infant on the back to sleep every night." "By keeping the room at a neutral temperature, I do not have to use blankets." "My husband gave the baby a special bear that I will place in the crib." "I have a crib in my room so that I can breastfeed my baby."

My husband gave the baby a special bear that I will place in the crib

17. The nurse is teaching the parents of a 9-month-old infant about proper dental care. Which statement by the parents most concerns the nurse? "We only brush our infant's teeth twice a day." "We prefer to use a cloth instead of a brush for cleaning the teeth and gums." "We use a fluoridated toothpaste to brush our infant's teeth." "Our infant goes to sleep at night with a bottle of milk or juice."

Our infant goes to sleep at night with a bottle of milk or juice

1. A nurse is educating a client being discharged with her newborn baby. What is the highest priority item that must be included in the teaching plan? Lock all cabinets that contain cleaning supplies. Keep all pots and pans in lower cabinets. Give warm bottles of formula to the baby. Restrain the baby in a car seat.

Restrain the baby in a car seat

10. A teen mom asks the discharge nurse if it is okay to sleep in bed with her baby. She says her mom always did it with her siblings and it seemed okay. How should the nurse respond? "The baby can sleep in your room in an infant crib, but not in an adult bed." "Sure you can, but make sure you use a soft mattress for support." "Bed sharing is okay, just make sure the infant is between two people." "Sure, you can do whatever you want, it is your baby."

The baby can sleep in your room in an infant crib, but not in an adult bed

6. During the first visit to the pediatrician's practice the nurse is performing an admission interview and assessment of a 4-week-old infant. The mother states, "I am sure my baby girl knows my smell because she is much more settled in my arms rather than my mother's arms when she is upset." What is an appropriate response by the nurse? "I'm not sure a 4-week-old infant can tell their mother from another woman's smell." "You may be right, since infants can sense their mother's smell as early as 7 days old." "Maybe she just knows your voice better than your mother's." "Babies really can't tell the difference between people at that age."

You may be right, since infants can sense their mother's smell as early as 7 days old

8. The nurse assesses a 4-month-old child during a well-child visit (above). Which assessment finding should the nurse report to the primary health care provider? not smiling or tracking faces waking 3 times per night to feed not rolling over occasionally spitting up after breastfeeding

not smiling or trackin faces

9. The mother of a newborn reports she does not think her baby likes his formula since he spits up after only taking a small amount. Which response by the nurse is most appropriate? "It is too soon to determine a milk intolerance." "You need to make certain to burp him more frequently." "Your baby's stomach is small and can only hold about 0.5 to 1 oz at birth." "Babies do not each much."

your baby's stomach can only hold 0.5-1 oz at birth