464 prepu ch 3 - Growth and Development of the Newborn and Infant

The nurse goes in to check on a new mother to see how breastfeeding is going with her new son. The nurse observes the infant is on the mother's lap with the blanket unwrapped, and the mother is washing his face, and gently stroking the baby. The mother has had trouble breastfeeding the last few times. What is the appropriate response from the nurse? A - "Maybe you should watch the breastfeeding video again." B - That is not how you get him to eat." C - "You are doing a wonderful job attempting to wake the baby." D - "You will never get him to eat all unwrapped like that."

C - "You are doing a wonderful job attempting to wake the baby."

Anticipatory guidance for an infant for the 4th month should include the fact that the infant will be able to achieve which developmental milestone? A - develop a fear of strangers B - have many "blue" or moody periods C - be able to turn over onto the back D - insist on things being done the infant's way

C - be able to turn over onto the back

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? A - "The baby can sleep in your room in an infant crib, but not in an adult bed." B - "Sure, you can do whatever you want, it is your baby." C - "Sure you can, but make sure you use a soft mattress for support." D - "Bed sharing is okay, just make sure the infant is between two people."

A - "The baby can sleep in your room in an infant crib, but not in an adult bed."

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: A - should be pronounced and easy to elicit. B - is expected to appear within 1 month. C - is a protective reflex and retained for life. D - should have disappeared.

D - should have disappeared.

Which developmental milestone would the nurse expect an 11-month-old infant to have achieved? A - Sitting independently B - Turning a doorknob C - Walking independently D - Building a tower of four cubes

A - Sitting independently

A mother asks the nurse where the microwave is so that she can warm up breast milk to feed her baby. What is the best response by the nurse? A - "Make sure that you test the milk on your wrist before feeding." B - "You should warm the milk under warm water instead." C - "You should only give fresh breast milk to an infant." D - "Breast milk can be given cold, so there is no need to heat it."

B - "You should warm the milk under warm water instead."

Which milestone would the nurse expect an infant to accomplish by 8 months of age? A - Pulling self to a standing position B - Sitting without support C - Being able to sit from a standing position D - Creeping on all fours

B - Sitting without support

The parent of an infant asks the nurse when to begin brushing the infant's teeth. What would be the nurse's best response? A - by 12 months of age B - as soon as the first tooth erupts C - as soon as the infant begins to eat fruit D - when weaning is complete

B - as soon as the first tooth erupts

The nurse is educating the mother of a 6-month-old boy about the symptoms for teething. Which symptom would the nurse identify? A - running a mild fever or vomiting B - increased biting and sucking C - choosing soft foods over hard foods D - frequent loose stools

B - increased biting and sucking

A parent takes the 4-month-old infant to the health care provider. The parent asks what type of baby cereal to provide now that the infant is starting solid foods. How should the nurse respond? A - "You should buy oat cereal." B - "You should buy barley cereal." C - "You should buy rice cereal." D - "You should buy wheat cereal."

C - "You should buy rice cereal."

The nurse is assessing the sleeping practices of the parents of a 4-month-old girl who wakes repeatedly during the night. Which parent comment might reveal a cause for the night waking? A - If she is safe, they lie her down and leave. B - The child has a regular, scheduled bedtime. C - They put her to bed when she falls asleep. D - They sing to her before she goes to sleep.

C - They put her to bed when she falls asleep.

The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with a child of this age? A - 1 to 3 natal teeth B - 1 to 2 lower teeth C - 1 upper tooth D - no teeth

D - no teeth

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? A - "By keeping the room at a neutral temperature, I do not have to use blankets." B - "My husband gave the baby a special bear that I will place in the crib." C - "I will place my infant on the back to sleep every night." D - "I have a crib in my room so that I can breastfeed my baby."

B - "My husband gave the baby a special bear that I will place in the crib."

What is the correct amount of wet diapers a mature infant should produce each day? A - An infant should have 6 to 8 wet diapers/day. B - An infant should have 1 to 2 wet diapers/day. C - An infant should have 3 to 5 wet diapers/day. D - An infant should have 9 to 10 wet diapers/day.

A - An infant should have 6 to 8 wet diapers/day.

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? A - Grows and develops skills more rapidly than at any other time in their life. B - Has an increased attention span and can be interested in an activity for a long length of time. C - Insists they can "do it" and the next moment they revert to being dependent. D - Takes in new information at a rapid rate and asks "why" and "how".

A - Grows and develops skills more rapidly than at any other time in their life.

Stacy is going to visit her son in the intensive care unit. She has been pumping breast milk and storing it in the fridge. Stacy is making her son's bottle for his feeding and goes to warm the breast milk. What option should the nurse give the mom to prepare the bottle? A - "Just take the bottle from the fridge and use it." B - "You can use the hot water tap to get warm water to warm the bottle." C - "It is okay if the frozen milk is in the bottle." D - "Just use the microwave in our kitchen."

B - "You can use the hot water tap to get warm water to warm the bottle."

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? A - Lock all cabinets that contain cleaning supplies. B - Restrain the baby in a car seat. C - Keep all pots and pans in lower cabinets. D - Give warm bottles of formula to the baby.

B - Restrain the baby in a car seat.

The nurse is performing an assessment on a 8-month-old infant. The infant's medical history notes that he was born at 32 weeks' gestation. The infant is progressing normally. At what adjusted age should the nurse expect the infant's developmental accomplishments? A - The infant will likely show the skills of an infant with the adjusted age of 7 months. B - The infant can be expected to display developmental skills consistent with a 8-month-old infant. C - The infant will most likely present with developmental skills consistent with a 6-month-old infant. D - By 8 months of age, the child's skill level will vary greatly and cannot be predicted.

C - The infant will most likely present with developmental skills consistent with a 6-month-old infant.

The infant weighs 6 lb 8 oz (2,950 g) at birth. If the infant is following a normal pattern of growth, what would be an expected weight for this child at the age of 12 months? A - 19 lb 8 oz (8825 g) B - 10 lb 8 oz (4760 g) C - 13 lb (5900 g) D - 15 lb 4 oz (6920 g)

A - 19 lb 8 oz (8825 g)