PEDS Prep U Chapters 3,4,5,6,7

a the child weighs less than expected for age.

A 12-month-old seen at a walk-in clinic weighed 8 pounds 4 ounces (3750 g) at birth. Weight now is 20 pounds 8 ounces (9300 g). The nurse determines: a the child weighs less than expected for age. b the child weighs the expected amount for age. c the child weighs more than expected for age. d the weight assessment is blatantly inaccurate.

b "Delays are normal when a child is premature."

A 9-month-old has been brought to the clinic for a well-child visit. The mother reports her son was born 6 weeks prematurely. During the data collection, the child's mother reports her son seems to be a few months "behind" what she recalls from her older children. What is the best response by the nurse? a "We will need to check this out since any delays related to prematurity should be resolved by the time a child is 6 months old." b "Delays are normal when a child is premature." c "All children mature and develop at different rates so it is unwise to compare them in this way." d "You should talk with the doctor about getting your son tested."

d "You should warm the milk under warm water instead."

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 "Breast milk can be given cold, so there is no need to heat it." b "Make sure that you test the milk on your wrist before feeding." c "You should only give fresh breast milk to an infant." d "You should warm the milk under warm water instead."

a rear-facing 5-point harness restraint

A mother of a 9-month-old 18-pound (8.2 kg) infant asks the nurse about choosing the best car seat. What should the nurse recommend? a rear-facing 5-point harness restraint b rear-facing booster seat c forward-facing convertible booster d forward-facing 5-point harness restraint

Use the crib for sleeping only, not for play activities.

A new mother reports that she is exhausted and that the little sleep she gets is determined by her baby. What is the nurse's best suggestion to help the mother establish healthy sleeping patterns in her infant?

a Bathing is a time for bonding with the parents.

A newborn requires skin care that includes bathing. Besides hygiene, what is another reason for bathing the newborn? a Bathing is a time for bonding with the parents. b Bathing helps moisten the skin. c Bathing is a great time to apply lotion. d Bathing can prevent infection.

Restrain the baby in a car seat.

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?

"You can try bananas 2 or 3 months from now."

A parent asks the nurse if the 2-month-old infant can have bananas yet. The nurse would respond and educate the parent on the nutrition stages of infants by which response?

"You should buy rice cereal."

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?

Less constipation than bottle-fed infants

An infant is breastfed. When assessing the stools, which findings would be typical?

d 27.5 in (70 cm)

The infant measures 21.5 in (54.6 cm) at birth. If the infant is following a normal pattern of growth, what would be an expected height for the infant at the age of 6 months? a.30.5 in (77.5 cm) b 32 in (81 cm) c 29 in (74 cm) d 27.5 in (70 cm)

a 19 lb 8 oz (8825 g)

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 15 lb 4 oz (6920 g) c 10 lb 8 oz (4760 g) d 13 lb (5900 g)

b The newborn's eyes are open and no body movements are noted.

The student nurse is reviewing the chart of a newborn. The document indicates the newborn is in the quiet alert state. Which is the best description of this sleep phase? a The infant's eyes are partially open and there are small movements in the extremities. b The newborn's eyes are open and no body movements are noted. c The infant is awake but appears drowsy. d The newborn's eyes are open and he is smacking his lips.

d be able to turn over onto the back

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 insist on things being done the infant's way b have many "blue" or moody periods c develop a fear of strangers d be able to turn over onto the back

c "What does his stool look like?"

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? a "We will need to collect a stool specimen for analysis." b "Grunting is normal with infant stool formation." c "What does his stool look like?" d "Is he in pain?"

21 lb 12 oz (9.9 kg)

The infant weighs 7 lb 4 oz (3300 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?

"Bottles given at bedtime can cause erosion of the enamel on the teeth."

The mother of an infant is confused after being told by her dentist not to let her baby go to bed with a bottle of milk. She does not agree with that suggestion. What response by the nurse would be best when addressing this situation with the mother?

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

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 "You will never get him to eat all unwrapped like that." b "You are doing a wonderful job attempting to wake the baby." c "That is not how you get him to eat." d "Maybe you should watch the breastfeeding video again."

b The infant raises head and chest while on stomach.

The nurse in a community clinic is assessing a 2-month-old infant. The parent asks if the infant is developing normally. The nurse refers to which finding as suggestive of normal development in infants from birth to 2 months of age? a The infant laughs aloud and responds to name. b The infant raises head and chest while on stomach. c The infant transfers objects from one hand to the other. d The infant stays seated in the tripod position.

no teeth

The nurse is assessing the oral cavity of a 4-month-old infant. Which finding is consistent with a child of this age?

d lower central

The nurse is assessing the oral cavity of a 6-month-old child. When palpating the location in which the first primary teeth erupt, which location of the gumline is being assessed? a upper lateral b lower lateral c upper central d lower central

d They put her to bed when she falls asleep.

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 They sing to her before she goes to sleep. c The child has a regular, scheduled bedtime. d They put her to bed when she falls asleep.

b Observe the mother while she feeds and burps her infant.

The nurse is caring for a 5-week-old infant who is spitting up "all the time." This is the mother's first child. What should be the priority nursing intervention? a Describe the capacity of a 5-week-old infant's stomach. b Observe the mother while she feeds and burps her infant. c Offer assurance that spitting up is normal. d Recommend the mother offer smaller and more frequent feedings.

d the newborn's stomach can hold between 0.5 oz and 1 oz.

The nurse is educating the mother of a newborn about feeding practices. The nurse correctly advises the mother that: a most newborns need to eat about 4 times per day. b demand scheduled feeding is associated with increased difficulty getting the baby to sleep through the night. c the best feeding schedule offers food every 4 to 6 hours. d the newborn's stomach can hold between 0.5 oz and 1 oz.

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

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 most likely present with developmental skills consistent with a 6-month-old infant. b By 8 months of age, the child's skill level will vary greatly and cannot be predicted. c The infant will likely show the skills of an infant with the adjusted age of 7 months. d The infant can be expected to display developmental skills consistent with a 8-month-old infant.

"I can expect my infant to be able to raise the head up when on the stomach within the next month."

The nurse is providing anticipatory guidance to the parent of a 2-month-old infant in relation to growth and development. What statement from the parent demonstrates proper understanding?

a Iron

The nurse is reviewing the diet of an 8-month-old infant with the mother who reveals she has been using evaporated milk to make the formula. Which additional ingredient should the nurse ensure she is including in the formula? a Iron b Vitamin D c Calcium d Vitamin E

c Most infants do not sit steadily until 8 months; this infant is normal.

The parent of a 3-month-old infant is concerned because the infant does not yet sit by oneself. Which statement best reflects average sitting ability? a Sitting ability and the age of first tooth eruption are correlated. b Most infants sit steadily at 3 months; this infant is slightly delayed. c Most infants do not sit steadily until 8 months; this infant is normal. d Most infants sit steadily at 4 months; this infant is normal.

as soon as the first tooth erupts

The parent of an infant asks the nurse when to begin brushing the infant's teeth. What would be the nurse's best response?

"Does your infant move a toy back and forth from one hand to the other when you give it to them?"

The parents of an 8-month-old infant voice concern to the nurse that their infant is not developing motor skills as they should. What question should the nurse ask to help determine if their fears are warranted?

d sitting independently

Which developmental milestone would the nurse expect an 11-month-old infant to have achieved? a building a tower of four cubes b turning a doorknob c walking independently d sitting independently