Peds Exam 2

The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The nurse should expect the infant to now weigh approximately how many pounds? Select one: a. 10 b. 15 c. 20 d. 25

Birth weight doubles at about age 5 to 6 months. At 6 months, a child who weighed 7 pounds at birth would weigh approximately 15 pounds. The correct answer is: 15

Which of the following vitamins increases the absorption of iron? Select one: a. A b. C c. D d. Biotin

C

After the introduction of the Back to Sleep campaign in 1992, an increased incidence has been noted of which of the following pediatric disorders? Select one or more: a. SIDS b. shaken baby syndrome c. Apnea of infancy d. Plagiocephaly

Plagiocephaly is a misshapen head caused by the prolonged pressure on one side of the skull. If that side becomes misshapen, facial asymmetry may result. The sternocleidomastoid muscle may tighten on the affected side, causing torticollis. The correct answer is: Plagiocephaly

According to Piaget, an infant (birth to 2 years) would be which developmental stage? Select one: a. Preoperational thought, preconceptual phase b. Not a specified level c. Oral d. Formal operations e. Sensorimotor f. Undifferentiated g. Trust versus Mistrust h. Concrete operations i. Preoperational thought, intuitive phase

Sensorimotor

At about what age does an infant start to recognize familiar faces and objects, such as a feeding bottle? Select one: a. 1 month b. 2 months c. 3 months d. 4 months

The child can recognize familiar objects at approximately age 3 months.

Where do the lesions of atopic dermatitis most commonly occur in the infant? (Select all that apply.) Select one or more: a. Buttocks b. Extensor surfaces of arms and legs c. Cheeks d. Scalp e. Trunk f. Back

The lesions of atopic dermatitis are generalized in the infant. They are most commonly on the cheeks, scalp, trunk, and extensor surfaces of the extremities.

At what age are an infant's hands often open?

b. 5 months

An 8-month-old infant is restrained to prevent interference with the IV infusion. The nurse should do which of the following? Select one: a. Remove the restraints once a day to allow movement. b. Keep the restraints on constantly. c. Keep the restraints secure so infant remains supine. d. Remove restraints whenever possible.

d. Remove restraints whenever possible. The nurse should remove the restraints whenever possible. When parents or staff are present, the restraints can be removed and the IV site protected.

The screening test for PKU is most reliable if the blood sample is: Select one: a. from cord blood. b. taken 14 days after birth. c. taken before oral feedings are initiated. d. fresh blood from the heel.

d. fresh blood from the heel.

A child who actively looks for a hidden object has developed:

object permanence

According to Freud, an infant (birth to 1 year) would be which developmental stage?

oral

At what age does an infant have a beginning pincer grasp (index, 4th, 5th, & thumb)?

8 months

At what age does an infant make consonant sounds: t, d, w?

8 months

What age is typically associated with stranger anxiety?

8 months

At what age does the infant pull himself/herself to stand?

9 months

At what age does an infant watch a parent's face intently as the parent talks to the infant?

1 month

Until what age are an infant's hands predominantly closed (fisted)?

1 month

At what age can an infant change from prone to a sitting position? Select one:

10 months

At what age may an infant begin to say one word (besides mama & dada)?

10 months

At what age does an infant experience frustration with restrictions?

11 months

At what age does an infant have a neat pincer grasp?

11 months

By what age should the nurse expect an infant to be able to pull to a standing position?

11-12 months

At what age does an infant imitate animal sounds (moo-moo)?

12 months

At what age does an infant walk with one hand held?

12 months

At what age does an infant have a social smile in response to stimuli?

2 months

At what age does an infant vocalize to a familiar voice?

2 months

At what age does an infant's cry become differentiated?

2 months

At what age does the infant hold his/her head up, but bends forward, when in a sitting position?

2 months

At what age is an intermittent asymmetric tonic neck flex position when supine most typical?

2 months

Until what age is the grasp reflex fading?

2 months

At what age does an infant "talk" a great deal, when spoken to?

3 months

At what age does an infant clutch his/her own hands and pull at blankets and clothes?

3 months

At what age does an infant hold a rattle, but will not reach for it?

3 months

Binocularity, the ability to fixate on one visual field with both eyes simultaneously, is normally present by what age?

3-4 months

An infant's ability to lift his/her head and chest ~90 degrees when prone is a typical gross motor milestone for which age?

4 months

At what age does an infant begin to show memory?

4 months

At what age does an infant demand attention by fussing?

4 months

At what age does an infant laugh aloud?

4 months

At what age does an infant reach for object, but often overshoots?

4 months

At what age does an infant's vocalizations change according to his/her mood?

4 months

Until what age is almost no head lag considered normal?

4 months

At what age does the infant typicaly progress through their first stage of separation-individuation - recognizing when their mother leaves. It can cause separation anxiety in the infant due to the bond they have formed with their mother.

4-8 months

At what age does an infant show excitement with his or her whole body (squeals and breaths heavily)?

5 months

At what age does an infant use a palmar grasp?

5 months

At what age does an infant vocalize displeasure when an object is taken away?

5 months

At what age is an infant typically able to roll from abdomen to back?

5 months

At what age does an infant bear almost all of his/her weight, when held in a standing position?

6 months

At what age does an infant begin to imitate sounds?

6 months

At what age does an infant drop one cube when another is given?

6 months

At what age does an infant hold arms out to be picked up?

6 months

At what age does an infant hold his/her own bottle?

6 months

At what age does an infant's babbling resemble one-syllable words (ma, da)?

6 months

At what age is an infant typically able to roll from back to abdomen?

6 months

At what age does an infant demonstrate expectation, in response to repetition of stimuli?

7 months

At what age can an infant release an object at will?

8 months

At what age does an infant combine syllables, such as mama or dada, but without meaning?

8 months

Although infants may be allergic to a variety of foods, the most common allergens are: Select one: a. fruit and eggs. b. fruit, vegetables, and wheat. c. cow's milk and green vegetables. d. eggs, cow's milk, and wheat.

Milk products, eggs, and wheat are three of the most common food allergens. Ingestion of these products can cause sensitization and, with subsequent exposure, an allergic reaction.

Parents tell the nurse that their 1-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on which of the following? Select one: a. Children should not sleep with their parents. b. Separation from parents should be completed by this age. c. Daytime attention should be increased. d. This is a common and accepted practice, especially in some cultural groups.

Co-sleeping, or sharing the family bed, in which the parents allow the children to sleep with them, is a common and accepted practice in many cultures. Parents should evaluate the options available and avoid conditions that place the infant at risk. The correct answer is: This is a common and accepted practice, especially in some cultural groups.

Which of the following behaviors indicates that an infant has developed object permanence? Select one: a. Recognizes familiar face, such as mother b. Recognizes familiar object, such as bottle c. Actively searches for a hidden object d. Secures objects by pulling on a string

During the first 6 months of life, infants believe that objects exist only as long as they can see them. When infants search for an object that is out of sight, this signals the attainment of object permanence, whereby an infant knows an object exists even when it is not visible. The correct answer is: Actively searches for a hidden object

Before surgery to relieve an intestinal obstruction, a 3-month-old infant is kept NPO and has a nasogastric tube in place. Which nursing intervention will help to calm the infant, as well as meet developmental needs? Select one: a. Offer the infant a favorite toy to hold b. Hang a brightly colored mobile in the infant's crib c. Place the infant on the abdomen to permit crawling d. Allow the infant to suck on a pacifier

Feedback 1 Sucking meets oral needs, which are primary during infancy. 2 An infant a few days old is too young to focus well on a mobile; in addition, the newborn will be placed in a side-lying position postoperatively and thus would not be able to see the mobile. 3 A 2-day-old infant is not developmentally capable of enjoying a soft, cuddly toy. 4 This is not a developmental need. The correct answer is: Allow the infant to suck on a pacifier

What suggestion should the nurse give to the mother who is having difficulty coping with her 2-month-old son who has colic? Select one: a. Give him a warm bath to calm him down b. Sit comfortably in a quiet, darkened room while holding your son when he cries c. Provide him with warm, sweetened tea when he begins to cry d. Arrange for some time away from your son each day to rest

Feedback 2 Peak crying times are early evening and night, which exhaust the mother. She needs time away from her baby and should be encouraged to make some arrangements for time for herself.1 Providing warmth through a hot-water bottle or heating pad over the abdomen may be helpful for some children but not for others. 3 Many treatments, including this one, may not be effective; children do outgrow colic, so parents need support to help them manage until that time. 4 Treatment is usually based on relieving abdominal cramping by stimulating peristalsis; a quiet environment may help prevent, not treat, the problem. The correct answer is: Arrange for some time away from your son each day to rest

An important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS) would be which of the following? Select one: a. Explain how SIDS could have been predicted and prevented. b. Interview parents in depth concerning the circumstances surrounding the child's death. c. Discourage parents from making a last visit with the infant. d. Make a follow-up home visit or call to parents as soon as possible after the child's death.

Feedback A competent, qualified professional should visit the family at home as soon as possible after the death and provide the family with printed information about SIDS and support services. The correct answer is: Make a follow-up home visit or call to parents as soon as possible after the child's death.

At what age do most infants begin to fear strangers? Select one: a. 2 months b. 4 months c. 6 months d. 12 months

Feedback Between ages 6 and 8 months, fear of strangers and stranger anxiety become prominent and are related to the infant's ability to discriminate between familiar and unfamiliar people. The correct answer is: 6 months

The nurse is interviewing the father of 10-month-old Megan. She is playing on the floor when she notices an electric outlet and reaches up to touch it. Her father says "no" firmly and removes her from near the outlet. The nurse should use this opportunity to teach the father that Megan: Select one: a. is old enough to understand the word "no." b. is too young to understand the word "no." c. should already know that electric outlets are dangerous. d. will learn safety issues better if she is spanked.

Feedback By age 10 months, children are able to associate meaning with words. The father is using both verbal and physical cues to alert the child to dangerous situations. The correct answer is: is old enough to understand the word "no

Which of the following statements best describes the infant's physical development? Select one: a. Anterior fontanel closes by about 4 months. b. Teeth begin to erupt at about 9 months. c. Birth weight doubles by age 5 months and triples by age 1 year. d. Maternal iron stores persist during the first 12 months of life.

Feedback Growth is very rapid during the first year of life. The birth weight has approximately doubled by age 5 to 6 months and triples by age 1 year. The correct answer is: Birth weight doubles by age 5 months and triples by age 1 year

The parents of a 12-month-old child ask the nurse if the child can eat hot dogs as do their other children. The nurse's reply should be based on which of the following? Select one: a. Child is too young to digest hot dogs. b. Child is too young to eat hot dogs safely. c. Hot dogs must be sliced into sections to prevent aspiration. d. Hot dogs must be cut into small, irregular pieces to prevent aspiration.

Feedback Hot dogs are of a consistency, diameter, and round shape that may cause complete obstruction of the child's airway. If given to young children, the hot dog should be cut into small irregular pieces rather than served whole or in slices. The correct answer is: Hot dogs must be cut into small, irregular pieces to prevent aspiration.

According to Kohlberg, an infant (birth to 1 year) would be in which developmental stage?

Not a specified level

Sara, age 4 months, was born at 35 weeks of gestation. She seems to be developing normally, but her parents are concerned because she is a "more difficult" baby than their other child, who was term. The nurse should explain that: Select one: a. infants' temperaments are part of their unique characteristics. b. infants become less difficult if they are not kept on scheduled feedings and structured routines. c. Sara's behavior is suggestive of failure to bond completely with her parents. d. Sara's difficult temperament is the result of painful experiences in the neonatal period.

Feedback Infant temperament has a strong biologic component. Together with interactions with the environment, primarily the family, the biologic component contributes to the infant's unique temperament. The correct answer is: infants' temperaments are part of their unique characteristics.

According to Piaget, the 6-month-old infant would be in what developmental stage? Select one: a. Use of reflexes b. Primary circular reactions c. Secondary circular reactions d. Coordination of secondary schemata

Feedback Infants are usually in the secondary circular reaction stage from age 4 to 8 months. This stage is characterized by a continuation of the primary circular reaction for the response that results. Shaking is performed to hear the noise of the rattle, not just for shaking. The correct answer is: Secondary circular reactions

Which of the following factors will decrease iron absorption and therefore should not be given at the same time as an iron supplement? Select one: a. Milk b. Multivitamin c. Fruit juice d. Meat, fish, poultry

Feedback Many foods interfere with iron absorption and should be avoided when the iron is consumed. These foods include phosphates found in milk, phytates found in cereals, and oxalates found in many vegetables. The correct answers are: Milk, Fruit juice, Meat, fish, poultry

Phenylketonuria (PKU) is a genetic disease that results in the body's inability to correctly metabolize: Select one: a. glucose. b. phenylalanine. c. phenylketones. d. thyroxine.

Feedback PKU is an inborn error of metabolism caused by a deficiency or absence of the enzyme needed to metabolize the essential amino acid phenylalanine. The correct answer is: phenylalanine.

Which of the following foods should the nurse recommend as a good source of potassium for a child receiving diuretics? Select one: a. Carrots b. Bananas c. Dairy products d. Dark green vegetables

Feedback Potassium supplementation is required with the use of some diuretics. Bananas, citrus fruits, bran, legumes, and peanut butter are some of the foods that are significant sources of potassium. The correct answer is: Bananas

Sudden infant death syndrome (SIDS) is one of the most common causes of death in infants. At what age is the diagnosis of SIDS most likely? Select one: a. At I week to 1 year of age, peaking at 2 to 4 months b. At 6 to 8 weeks of age c. At 6 months to 1 year of age, peaking at 10 months d. At 1 to 2 years of age

Feedback SIDS can occur any time between 1 week and 1 year of age. The incidence peaks at 2 to 4 months of age. The correct answer is: At I week to 1 year of age, peaking at 2 to 4 months

What information could be given to the parents of a 12-month-old child regarding the most appropriate play activities for this age? [Think of what a child at this age should be doing developmentally.] Select one: a. Give large push-pull toys for kinetic stimulation. b. Place cradle gym across crib to facilitate fine motor skills. c. Provide child with fingerpaints to enhance fine motor skills. d. Provide stick horse to develop gross motor coordination.

Feedback The 12-month-old child is able to pull to standing and walk holding on or independently. Appropriate toys for this age child include large pull toys for kinesthetic stimulation. The correct answer is: Give large push-pull toys for kinetic stimulation

By what age does the posterior fontanel usually close? Select one: a. 6 to 8 weeks b. 10 to 12 weeks c. 4 to 6 months d. 8 to 10 months

Feedback The bones surrounding the posterior fontanel fuse and close by age 6 to 8 weeks. The correct answer is: 6 to 8 weeks

An infant presents with a diagnosis of anemia. What is NOT an expected finding: Select one: a. poor feeding b. Low HR c. SOB d. pale

Feedback The correct answer is: Low HR

According to Erikson, an infant (birth to 1 year) would be which developmental stage? Select one: a. Not a specified stage b. Undifferentiated c. Identity versus role confusion d. Autonomy versus shame and doubt e. Oral f. Trust versus mistrust g. Sensorimotor h. Initiative versus guilt i. Industry versus inferiority

Feedback The correct answer is: Trust versus mistrust

Which of the following immunizations would normally be administered to a 2 month old infant? (Immunizations last administered at birth; immunizations up to date). Select one or more: a. HIB (Haemophilus influenzae B) b. HPV (Human Papillomavirus) c. Varicella (chickenpox) d. Influenza (if autumn) e. MMR (measles, mumps, rubella) f. IPV (inactivated polio) g. HAV (Hepatitis A) h. MCV4 (Meningococcal) i. PCV (Prevnar, pneumococcal) j. Rotavirus k. DTaP (Diptheria, Tetanus, acellular Pertussis) l. HBV (Hepatitis B)

Feedback The correct answers are: HBV (Hepatitis B), Rotavirus, DTaP (Diptheria, Tetanus, acellular Pertussis), HIB (Haemophilus influenzae B), PCV (Prevnar, pneumococcal), IPV (inactivated polio)

What would you expect to see when you are assessing a child with Failure to Thrive? (select all that apply) Select one or more: a. feeding disorder b. developmental delays c. Low weight % for age d. fear of strangers e. withdrawn

Feedback The correct answers are: Low weight % for age, developmental delays, feeding disorder, withdrawn

Which of the following immunizations would normally be administered to a 4 month old infant? (Immunizations last administered at 2 months; immunizations up to date). Select one or more: a. HPV (Human Papillomavirus) b. DTaP (Diptheria, Tetanus, acellular Pertussis) c. HIB (Haemophilus influenzae B) d. Varicella (chickenpox) e. HBV (Hepatitis B) f. PCV (Prevnar, pneumococcal) g. HAV (Hepatitis A) h. MCV4 (Meningococcal) i. Rotavirus j. MMR (measles, mumps, rubella) k. Influenza (if autumn) l. IPV (inactivated polio)

Feedback The correct answers are: Rotavirus, DTaP (Diptheria, Tetanus, acellular Pertussis), HIB (Haemophilus influenzae B), PCV (Prevnar, pneumococcal), IPV (inactivated polio)

The nurse is talking to a parent of an infant with severe atopic dermatitis. Which of the following should the nurse reinforce with the parent? (Select all that apply.) Select one or more: a. "You can use warm wet compresses to relieve discomfort." b. "You will need to keep your infant's skin well hydrated by using a mild soap in the bath." c. "You should bathe your baby in a bubble bath two times a day." d. "Cool compresses may help with comfort - but only for short periods of time" e. "You can try a fabric softener in the laundry to avoid rough cloth." f. "You should apply an emollient to the skin immediately after a bath."

Feedback The eczematous lesions of atopic dermatitis are intensely pruritic. Scratching can lead to new lesions and secondary infection; an antihistamine can be used. Keeping the skin hydrated is a goal of treating atopic dermatitis. Applying an emollient immediately after a bath helps to trap moisture and prevent moisture loss. The correct answers are: "You will need to keep your infant's skin well hydrated by using a mild soap in the bath.", "Cool compresses may help with comfort - but only for short periods of time", "You should apply an emollient to the skin immediately after a bath."

Which of the following is an important nursing consideration when caring for an infant with failure to thrive? Select one: a. Establish a structured routine and follow it consistently. b. Maintain a nondistracting environment by not speaking to child during feeding. c. Place child in an infant seat during feedings to prevent overstimulation. d. Limit sensory stimulation and play activities to alleviate fatigue.

Feedback The infant with failure to thrive should have a structured routine that is followed consistently. Disruptions in other activities of daily living can have a great impact on feeding behaviors. Bathing, sleeping, dressing, playing, and feeding are structured. The correct answer is: Establish a structured routine and follow it consistently.

Which of the following foods should be avoided with a diagnosis of celiac disease? Choose all that apply. Select one or more: a. Rice b. Rye c. Barley d. Wheat e. millet f. Corn g. Oats

Feedback The main consideration is helping the child adhere to dietary management. Gluten is found in wheat, rye, oats, and barley. The correct answers are: Wheat, Rye, Oats, Barley

Which of the following vitamins is administered prophylactically to all newborns to ensure adequate blood clotting? Select one: a. A b. K c. Niacin d. Folic acid

Feedback Vitamin K is a catalyst for the production of prothrombin and the liver clotting factors II, VII, IX, and X. The correct answer is: K

When teaching a mother how to prevent accidents while caring for her 6-month-old infant, the nurse should emphasize that at this age, the infant can usually: Select one: a. Stand while holding on to furniture b. Crawl short distances c. Sit up d. Roll over

Feedback infants are able to roll over by 6 months of age. Although some may be sitting by 6 months, this is not the norm and they are sitting with assistance. Crawling and standing while holding onto furniture does not occur until later ages. The correct answer is: Roll over

The parent of 2-week-old Sarah asks the nurse if Sarah needs fluoride supplements, because she is exclusively breast-fed. The nurse's best response is which of the following? Select one: a. "She needs to begin taking them now." b. "They are not needed if you drink fluoridated water." c. "She may need to begin taking them at age 6 months." d. "She can have infant cereal mixed with fluoridated water instead of supplements."

Fluoride supplementation is recommended by the American Academy of Pediatrics beginning at age 6 months if the child is not drinking adequate amounts of fluoridated water. The correct answer is: "She may need to begin taking them at age 6 months."

Which of the following immunizations would normally be administered to a newborn infant? (no previous immunizations).

HBV

Which of the following immunizations would normally be administered to a 12 month old infant? (Immunizations last administered at 6 1/2 months; immunizations up to date). Select one or more: a. HIB (Haemophilus influenzae B) b. DTaP (Diptheria, Tetanus, acellular Pertussis) c. PCV (Prevnar, pneumococcal) d. HPV (Human Papillomavirus) e. Rotavirus f. Influenza (if autumn) g. HAV (Hepatitis A) h. HBV (Hepatitis B) i. IPV (inactivated polio) j. MMR (measles, mumps, rubella) k. MCV4 (Meningococcal) l. Varicella (chickenpox)

HIB (Haemophilus influenzae B), PCV (Prevnar, pneumococcal), MMR (measles, mumps, rubella), Varicella (chickenpox), HAV (Hepatitis A), Influenza (if autumn)

Kyle, age 6 months, is brought to the clinic. His parent says, "I think he hurts. He cries and rolls his head from side to side a lot." This most likely suggests which of the following features of pain? Select one: a. Type b. Severity c. Duration d. Location

Location

Which of the following is an important nursing consideration in the care of a child with celiac disease? Select one: a. Refer to a nutritionist for detailed dietary instructions and education. b. Help child and family understand that diet restrictions are usually only temporary. c. Teach proper hand washing and standard precautions to prevent disease transmission. d. Suggest ways to cope more effectively with stress to minimize symptoms.

The main consideration is helping the child adhere to dietary management. Considerable time is spent explaining to the child and parents about the disease process, the specific role of gluten in aggravating the condition, and foods that must be restricted. Referral to a nutritionist would help in this process. The correct answer is: Refer to a nutritionist for detailed dietary instructions and education.

Which of the following foods are allowed with a diagnosis of celiac disease? Choose all that apply. Select one or more: a. millet b. Corn c. Wheat d. Rye e. Rice f. Barley g. Oats

The main consideration is helping the child adhere to dietary management. Gluten is found in wheat, rye, oats, and barley. The correct answers are: Rice, Corn, millet

The clinic is lending a federally approved car seat to an infant's family. The nurse should explain that the safest place to put the car seat is: Select one: a. front facing in back seat. b. rear facing in back seat. c. front facing in front seat with airbag on passenger side d. rear facing in front seat if an air bag is on the passenger side.

The rear-facing car seat provides the best protection for an infant's disproportionately heavy head and weak neck. The middle of the back seat is the safest position for the child. The correct answer is: rear facing in back seat

The parents of a 3-month-old infant report that their infant sleeps supine (face up) but is often prone (face down) while awake. The nurse's response should be based on knowledge that this is: Select one: a. unacceptable because of the risk of sudden infant death syndrome (SIDS). b. unacceptable because it does not encourage achievement of developmental milestones. c. acceptable to encourage fine motor development. d. acceptable to encourage head control and turning over.

These parents are implementing the guidelines to reduce the risk of SIDS. Infants should sleep on their backs and then be placed on their abdomens when awake to enhance development of milestones such as head control. The correct answer is: acceptable to encourage head control and turning over.

Austin, age 6 months, has six teeth. The nurse should recognize that this is which of the following? Select one: a. Normal tooth eruption b. Delayed tooth eruption c. Unusual and dangerous d. Earlier-than-normal tooth eruption

This is earlier than expected. Most infants at age 6 months have two teeth. The correct answer is: Earlier-than-normal tooth eruption

Which of the following is an important nursing consideration in the care of the infant with PKU? Select one: a. Suggest ways to make formula more palatable. b. Teach proper administration of phenylalanine hydroxylase. c. Encourage the breastfeeding mother to adhere to low-phenylalanine diet. d. Give reassurance that dietary restrictions are a temporary inconvenience.

To achieve optimal metabolic control, a restricted phenylalanine diet will probably be required for virtually all individuals with classic PKU throughout life. The nurse and nutritionist should work with families to make the formula more palatable for the infant. The correct answer is: Suggest ways to make formula more palatable.

According to Fowler, an infant (birth to 1 year) would be which developmental stage?

Undifferentiated

The nurse is teaching a class on preventing diaper rash in newborns to a group of new parents. Which of the following statements made by a parent indicates a correct understanding of the teaching? Select one: a. "I should wash my infant's buttocks with soap and water every time I change the diaper." b. "I will wash with a mild soap and water and dry thoroughly whenever my infant has a bowel movement." c. "I should wash my infant's buttocks with soap before applying a thin layer of oil." d. "I will apply baby oil and powder to the creases in my infant's buttocks."

a. "I should wash my infant's buttocks with soap and water every time I change the diaper."

The following scerio applies to the next 3 questions: You and some friends are studying for the peds exam at Applebee's for half price appitizers. Along with studying your notes, you observe the behavior of the children in the restaraunt. You watch a family walk into the door carrying what appears to be a 6 month old child. When they enter, they meet up with some friends and the mother hands the child off to one of them. The child begins to cry and reach for the mother. This can be explained as: Select one: a. seperation anxiety b. stranger anxiety c. an inappropritate attachment to the mother d. The person receiving the child is likely abusing them

b. stranger anxiety

By what age does birth length usually double? Select one: a. 1 year b. 2 years c. 4 years d. 6 years

c. Linear growth or height occurs almost entirely as a result of skeletal growth and is considered a stable measurement of general growth. On average, most children have doubled their birth length at age 4 years.a and b. This is too young for doubling of length.d. Most children will have achieved the doubling by age 4 years. The correct answer is: 4 years

An infant who weighs 7 pounds at birth would be expected to weigh how many pounds at age 1 year? Select one: a. 14 b. 16 c. 18 d. 21

d. In general birth, weight triples by the end of the first year of life. For an infant who was 7 pounds at birth, 21 pounds would be the anticipated weight at the first birthday.a, b, and c. These weights are below what would be expected for an infant with a birth weight of 7 pounds