GROWTH AND DEVELOPMENT

Which statement by a parent reflects the need for further teaching regarding car seat safety? A. "My baby should stay in a rear-facing car seat until he is 1 year old." B. "I should check my old car seat's expiration date before using it for this baby." C. "My older child will need to stay in a booster seat until he is 4 feet 9 inches." D. "My children should ride in the back seat until they are 13 yo."

A. "My baby should stay in a rear-facing car seat until he is 1 year old." - 2 yo

After reading the vaccine info sheets, the parent of a 2-mo infant is hesitant to consent to recommended vaccinations. The nurse should first as the parent: A. "Did you know that vaccinations are required by law for school entry?" B. "What personal beliefs or safety concerns do you have about vaccinations?" C. "Would you prefer that fewer vaccines are given at a time?" D. "Can you please sign the vaccine waiver form?"

B. "What personal beliefs or safety concerns do you have about vaccinations?"

The nurse assesses a 6 month old for vaccination readiness. Which of the findings would most likely indicate the need to delay administering the diphtheria, tetanus, and acellular pertussis (DTaP) vaccine? A. A family hx of sudden infant death syndrome B. A fever of 38.5 C following the 4-month vaccinations C. An acute bilateral ear infection D. Living with a family member who is immunosuppressed

C. An acute bilateral ear infection

Which of the following is appropriate language developmental for an 8-mo old? The child should be: A. Saying "dada" and "mama" specifically B. Saying three words besides "mama" and "dada" C. Saying "dada" and "mama" nonspecifically D. Saying "ball" when parents point to a ball

C. Saying "dada" and "mama" nonspecifically Rationale: children cannot say "dada" or "mama" specifically or use more than three words until they're about 12 mo. The child also can't respond to specific commands or point to objects when requested till 17 months of age

A parent brings a 4 mo old to the clinic for a regular well visit and expresses concern that the infant is not developing appropriately. which findings in the infant would indicate the need for further developmental screening? A. has no interest in peekaboo games b. does not turn front to back C. does not babble D. sits unsupported

C. does not babble Rationale: By end of 3 mo infants should babble; lack suggests language delay and warrants further investigation. Pikaboo- around 7 mo; ability to roll from front to back occurs around 5 mo; sitting unsupported is expected around 6 months.

A 10 mo looks for objects that have been removed from his view. The nurse should instruct the parents that: A. neuromuscular development enables the child to reach out and grasp objects. B. the child's curiosity has increased C. the child understands the permanence of objects even though the child cannot see them D. the child is now able to transfer objects from hand to hand

C. the child understands the permanence of objects even though the child cannot see them

The parents of a 3-week old healthy newborn ask the nurse why their child is intermittently crossing eyed. The nurse's best response is: A. "An eye patch maybe necessary for 6 weeks to correct your child's vision." B. "Your child will likely need ophthalmology consult." C."It is normal to have eye-crossing in the newborn period." D. "Surgery may be necessary to correct your child's vision."

C."It is normal to have eye-crossing in the newborn period." normal for 2-3months

The nurse should refer the parents of an 8-mo old child to a HCP if the child is unable to: A. Stand momentarily without holding onto furniture B. Stand alone well for long periods of time C. Stoop to recover an object D. Sit without support for a long periods of time

D. Sit without support for a long periods of time Rationale: An 8-mo child doesn't have the ability to stand w/o hanging on to a stationary object for support. Muscles are not developed enough to support all body weight w/o assistance; balance not developed to the point where he can stand & stoop over to reach an object.

The nurse is teaching the parents of an 8-mo old about what the child should eat. The nurse should include which informational teaching plan? A. Vegetables should be induced before fruits B. Solid fruits should not be introduced until the infant is 10 months old C. Iron-fortified cereals should not be introduced until the infant is 8 mo old. D. The infant's diet can be changed from formula to whole milk when the infant is 12 mo old.

D. The infant's diet can be changed from formula to whole milk when the infant is 12 mo old. Rationale: infants should be kept on formula or breast milk until 1 year. it doesn't matter what order the fruits & vegs are introduced; can have solids/ cereals @ 4-6 mo

Which structure should be closed by the time the child is 2 months old?

Posterior fontanellle should be closed by age 2 months. Anterior is closed by 18 mo