PEDS: Chapter 25 - Newborn/Infant
What should the nurse instruct a parent to help a child complete Erikson's developmental task during the infant period?
Respond to the child's needs consistently.
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?
"Baby can sleep in your room in an infant crib, but not in an adult bed."
The father of a 6-week-old infant voices concerns about his son's stooling. He further shares that his son grunts and cries when having a bowel movement. What response by the nurse is most appropriate?
"What does his stool look like?"
A mother asks the nurse where the microwave is so that she can warm up breastmilk to feed her baby. What is the best response by the nurse?
"You should warm the milk under warm water instead."
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?
"Your baby's stomach is small and can only hold about 1/2 to 1 ounce at birth."
An infant has been brought to the clinic for a well-child check. The infant is 12 months of age. The child's birth weight was 6 pounds, 7 ounces. What is the anticipated weight for the child at this visit?
19 pounds, 5 ounces
A mother calls the clinic every couple of weeks concerned that her infant is not developing appropriately. What would be an appropriate nursing diagnosis for the nurse to assign to this client?
Deficient knowledge related to normal infant growth and development
The pediatric nurse is careful to monitor and assess the growth and development of all clients. Which characteristic should the nurse prepare to assess in the infants?
Grows and develops skills more rapidly than at any other time in their life
The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with a child of this age?
No teeth
The nurse is promoting a healthy diet to the mother of a 6-month-old. What action would have the most effect on the infant's neurologic development?
Promoting continuation of breast-feeding
Which milestone would you expect an infant to accomplish by 8 months of age?
Sitting without support
The nurse is assessing an infant who is being breast-fed. Which observation regarding the infant's stools is expected?
Stool will be soft.
A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3.75 kg) at birth. Weight now is 20 pounds 8 ounces (9.3 kg). The nurse determines:
The child weighs less than expected for age.
The nurse is making a home visit and observes the 7-month-old pulling the family dog's hair and ears. Which parenting skill does the nurse determine is most effective?
The parent tells the child "no" with a stern voice and pulls the child's hand away from the dog
During a home visit, the nurse observes a 9-month-old child bang his head against the headboard of the crib at naptime. What should the nurse explain to the mother about this observation?
This action is normal up until preschool age.
The nurse is assessing an 6-month-old infant at a well-baby visit and is answering questions from the new mother. Which response should the nurse prioritize when addressing the mother's question concerning what the infant should be learning at this point in life?
Trust
A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. Which suggestion should the nurse prioritize to help the mother establish healthy sleeping patterns in her infant?
Use the crib for sleeping only, not for play activities.
Anticipatory guidance for an infant for the 4th month should include the fact that she probably will:
be able to turn over onto the back.
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 have disappeared.
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.
During an assessment, the nurse determines that a 3-month-old baby has a Moro reflex. What does this finding indicate to the nurse?
Most 3-month-olds still have a Moro reflex.
An infant is breast-fed. When assessing her stools, which findings would be typical?
Breast-fed infants are less likely to be constipated than bottle-fed infants.
A staff nurse is talking about Piaget's theory with a nursing student. Infants are in the sensorimotor stage of cognitive development during which object permanence is mastered. An example of an infant displaying this ability is:
looking for a toy in her crib at the last place she saw it.
The mother of an 8-month-old infant appears frustrated and shares with the nurse she can't leave the room without her baby crying. Which is the best response from the nurse to help this mother?
"If he cannot see you he thinks you are gone and that is frightening."
During a well-baby visit the mother of a 3-month-old infant tells the nurse that she does not understand why her baby continues to spit out food during feeding of solid foods. What is the best response by the nurse?
"Infants still have a tongue protrusion reflex until 4 to 6 months so they can't help but push out the solid food."
The nurse is meeting with a group of new mothers of infants and is leading the discussion related to weaning. Which suggestion should the nurse prioritize to this group of mothers concerning weaning their infant?
"It is important to let the infant set the pace for weaning, no matter what age they are."
The nurse is providing a nutrition workshop for the parents of infants. The nurse understands that further instruction is required when hearing which comments from the parents? Select all that apply.
- "Food is so expensive. I can't afford for my child to leave any food on the plate." - "I have tried at least 10 times with every green vegetable and I can't get my son to like them." - "I let my child eat whatever he wants right now so that we don't argue about food. Hopefully he will like healthy foods when he grows up."
The infant weighs 7 lb 4 oz (3,248 g) at birth. If the infant is following a normal pattern of growth, what would be the expected weight for this child at the age of 12 months?
21 lb 12 oz (9.9 kg)
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?
The development of a 3-month-old
The nurse is preparing a presentation for a health fair illustrating the major milestones of infants as they grow and develop. Which fact should the nurse point out when illustrating an infant's teeth?
The first tooth usually erupts between 6 to 8 months.
