Chapter 29 questions Peds

A nurse is talking to and making facial expressions at a 9-month-old baby girl during a routine office visit. What is the most advanced milestone of language development that the nurse should expect to see in this child? A. The infant says "da-da" when looking at her father B. The infant squeals with pleasure C. The infant coos, babbles, and gurgles D. The infant imitates her father's cough

A. The infant says "da-da" when looking at her father

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? A. Trust B. Feel anger C. Love D. Fear

A. Trust

What position is the infant placed in for "tummy time"? A. The infant is placed in the bath on their tummy. B. The infant is placed on the floor on their tummy. C. The infant is placed on the bed on their tummy. D. The infant is placed on mommy's lap on their tummy.

B. The infant is placed on the floor on their tummy.

The nurse is teaching a new mother about the development of sensory skills in her newborn. What would alert the mother to a sensory deficit in her child? A. The newborn's eyes wander and occasionally are crossed. B. The newborn does not respond to a loud noise. C. The newborn's eyes focus on near objects. D. The newborn becomes more alert with stroking when drowsy.

B. The newborn does not respond to a loud noise.

A 2-month-old infant has inconsolable crying, is gassy, and constantly draws the legs up. It has been determined that the infant has colic. What intervention should the nurse recommend to treat colic? A. The infant is hungry, so the parent should feed more. B. The infant is breastfed so the mother should eat more broccoli. C. The infant is bottle fed, so the parent needs to try a different formula to assess for sensitivity. D. The parents should play music continuously to comfort the infant.

C. The infant is bottle fed, so the parent needs to try a different formula to assess for sensitivity.

A mother calls the hospital nursing hotline and asks, "My 8-week-old daughter cries 8 hours a day, and she is hard to console. Is that normal?" What should the nurse's response be to this mother? A. "Let me ask you some more questions to see if there are symptoms of colic." B. "Yes, infants cry all the time at that age." C. "No, call your doctor." D. "Yes, maybe she is just tired."

A. "Let me ask you some more questions to see if there are symptoms of colic."

Infant development is best described by which statement? A. Development varies greatly from infant to infant. B. Development is not sequential but predictable. C. Development proceeds from fine to gross. D. Development proceeds cephalocaudally.

C. development proceeds cephalocaudally

When the nurse discharges a new mom and infant, the nurses notices that the car seat is in the front seat of the car. What is the appropriate response for the nurse to make regarding the car seat? A. "Let me go over car seat safety with you, so you can install your car seat properly." B. "You should never put the car seat in the front." C. "I see you have a car seat. That is great." D. "With the car seat in front, you can keep an eye on your baby."

A. "Let me go over car seat safety with you, so you can install your car seat properly."

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

A. Colic symptoms will probably fade at 3 months of age.

A nurse notices that a 4-month-old infant has an asymmetric head, with the back of the skull flattened. Which of the following should she recommend to the parents to correct this condition? A. Place the infant on her stomach during play time each day B. Place the infant on her stomach to sleep each night C. Increase the infant's sleep time each day D. Consult a pediatric surgeon about surgically reshaping the skull

A. Place the infant on her stomach during play time each day

What should the nurse instruct a parent to help a child complete Erikson's developmental task during the infant period? A. Respond to the child's needs consistently. B. Keep the child stimulated with many toys. C. Talk to the child at a special time each day. D. Expose the child to many caregivers to help learn variability

A. Respond to the child's needs consistently

What action shows an example of Erik Erikson's developmental task for the infant? A. The infant cries and the caregiver picks the child up. B. The infant cries when he or she has a wet diaper. C. The infant smiles as people walk past the crib. D. The infant plays the game peek-a-boo.

A. The infant cries and the caregiver picks the child up.

The nurse is planning an educational seminar for community members that focuses on the 2020 National Health Goals to promote health during the infant year. What should the nurse include in this seminar? Select all that apply. A. Using infant car seats B. Placing infants on back to sleep C. Continuing breast-feeding for 6 months D. Introducing solid food by age 6 months E. Receiving immunizations after the age of 1

A. Using infant car seats B. Placing infants on back to sleep C, Continuing breast-feeding for 6 months

The nurse enters her client's room and finds the infant on a pillow with a bottle propped up while the mother is dressing. What statement should the nurse make? A."Look how cute she is." B. "Are you almost ready to be discharged?" C. "You should always hold your baby for feedings instead of propping the bottles." D. "Is she almost done feeding?"

C. "You should always hold your baby for feedings instead of propping the bottles."

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: A. looking for a toy in her crib at the last place she saw it. B. shaking a rattle to enjoy the sound. C. pushing a spoon from her high chair tray to the floor. D. smiling at herself in the mirror.

A. looking for a toy in her crib at the last place she saw it

A nurse places a toy car in front of a 6-month-old girl. She swats at it, and the car flies across the examination table and lands on the floor. She squeals with surprise and delight. When the nurse puts the toy car in front of her again, she immediately swats it again and laughs as it rolls across the table and falls to the floor again. What has the girl demonstrated? A. Secondary circular reaction B. Primary circular reaction C. Object permanence D. Binocular vision

A. secondary circular reaction

A father mentioned to the nurse that his usually smiling, happy 8-month-old boy was clingy and intensely serious when his grandmother visited from a distant city. The nurse explained the child was experiencing: A. stranger anxiety. B. changes in temperament. C. cephalocaudal development. D. separation anxiety. E. colic.

A. stranger anxiety.