CH.15 Care of Newborn & Infant

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

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

A mother calls a clinic nurse to ask if her infant born prematurely should receive the seasonal influenza vaccine. The nurse's next question should be: * "How old is your baby?" "Did your baby have any respiratory problems?" "Does your baby have any allergies?" "How premature was your baby?"

How old is your baby?

The neonatal nurse assesses newborns for iron-deficiency anemia. Which newborn is at highest risk for this disorder? * a term newborn with jaundice a preterm newborn a postterm newborn a newborn born to a mother with diabetes

a preterm newborn

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

as soon as the first tooth erupts

The nurse is caring for an infant who was born prematurely. After completing the assessment and discussing the infant's activities at home with her mother, it is clear that the child is not meeting her developmental milestones. When reporting this in the medical record, what term would be appropriate? * failure to thrive failure to progress developmental delay developmental disability

developmental delay

The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance? * advocating iron supplements with bottle-feeding discouraging the addition of fruit juice to the diet substituting cow's milk if breast milk is not available advising fluid intake per feeding of 5 or 6 ounces

discouraging the addition of fruit juice to the diet

A nurse is providing anticipatory guidance to new parents of an infant. Which information would be most important to stress with the parents to promote the infant's development of trust? "Each day at a special time, talk to your baby." "Stimulating your baby with many toys is key." "It's important to respond to the baby's needs consistently." "Try to have many caregivers caring for the baby so they learn variability."

It's important to respond to the baby's needs consistently.

An infant who is 4 months old continues to be seen at doctor visits for illness prevention. What would be the next scheduled appointment that this infant should attend to be evaluated? * The next visit would be in 1 month. The next visit would be at 9 months. The next visit would be at 6 months. The next visit would be in 3 months.

The next visit would be at 6 months.

The nurse is assessing an infant who is being breastfed. Which observation regarding the infant's stools is expected? * The stool will be soft. The stool will be hard. The stool will have a strong odor. There will be fewer stools.

The stool will be soft.

The parents of a 12-month-old child tell the nurse the child has stopped walking and is now only crawling or sitting with support. How should the nurse respond? * "Every child develops at different rates. Don't be alarmed. Just enjoy your child!" "This is a concern. Let's be sure the physician is aware of this change." "If you continue to notice these changes, we should follow up within the next 3 months." "Children often regress in their developmental stages...no need to worry."

This is a concern. Let's be sure the physician is aware of this change.

The nurse is assessing a 1-year-old at the well-child annual visit and notes the child is meeting the growth parameters. After noting the birth weight was 8 pounds (3.6 kg) and length was 20 inches (50.8 cm) long, which measurements reflecting height/weight would the nurse expect to document for this visit? 28 pounds (12.7 kg) and 32 inches (80 cm) 20 lb (9.1 kg) and 28 inches (70 cm) 16 lb (7.2 kg) and 26 inches 24 pounds (10.8 kg) and 30 inches (75 cm)

24 pounds (10.8 kg) and 30 inches (75 cm)

A nurse is providing health promotion education to a family of an 11-month-old infant who is eating "finger foods." The nurse knows the parents understand the risk of infant choking when they state which response below? A. "I can feed our baby lollipops." B. "I can feed our baby raisins." C. "I can feed our baby Cheerios." D. "I can feed our baby popcorn."

C. "I can feed our baby Cheerios."

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

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

The nurse is caring for a hospitalized 8-month-old girl with special health care needs. Which intervention would best help this infant grow and develop? * Use play to encourage fine motor skill development. Role model basic care; talk, read, and sing to the child. Support parental attachment to the child. Promote modified gross motor activities.

Support parental attachment to the child.

A new parent asks the nurse what she should look for when the baby starts to teethe. What should the nurse explain to the parent? * The child will have a high temperature. The child will not play or eat for 2 days. The child will be constipated for 2 days. The child's gum line will be tender.

The child's gum line will be tender.

A new parent asks the nurse, "About how many wet diapers should my infant have in a day?" Which response by the nurse would be most appropriate? "Your baby should have about 4 to 6 wet diapers a day." "Anywhere from 3 to 5 wet diapers a day is normal." "Typically, an infant has 6 to 8 wet diapers a day." "Most infants wet about 4 diapers a day."

Typically, an infant has 6 to 8 wet diapers a day.

During a well-child visit for a 2-month-old infant, the nurse explains the need to perform a hearing screening on the child within the next few months. The child's mother reports she has not noticed any deficits and does not see the need for this being done. Which response by the nurse is indicated? "Since you do not see any issues we can wait to test at a later time." "Hearing loss related to sensory concerns are often not noticeable by parental observations." "Hearing deficits related to neurological problems are often not noticeable by parental observations." "Unfortunately hearing losses in infants are common and it is best to check hearing before your child is 6 months old to rule out problems."

Unfortunately hearing losses in infants are common and it is best to check hearing before your child is 6 months old to rule out problems.

All infants should have their head circumference measured at health assessment visits. Where should the nurse place the tape measure to obtain this measurement? just above the eyebrows through the prominent part of the occiput; the hairline in front to the hairline in back; the center of the forehead to the base of the occiput; the middle of the forehead through the parietal prominences

just above the eyebrows through the prominent part of the occiput

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 raises head and chest while on stomach. B. The infant stays seated in the tripod position. C. The infant transfers objects from one hand to the other. D. The infant laughs aloud and responds to name.

A. The infant raises head and chest while on stomach.

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. Which response should the nurse prioritize when addressing this situation with the mother? "You could occasionally give your baby a bottle of water at bedtime." "Giving your baby a pacifier at bedtime will satisfy the need to suck." "Bottles given at bedtime can cause erosion of the enamel on the teeth." "Giving a bottle of milk when the infant goes to bed can lead to obesity."

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

A nurse is providing health promotion education to a family of an infant at the family birth center. The nurse knows the parents need more education when they state which response? "I will introduce new foods one at a time." "I will switch to whole milk when my infant is around 6 months of age." "I will introduce soft foods for my infant around 6 months of age." "I will give my infant a drinking cup gradually around 6 months." A

"I will switch to whole milk when my infant is around 6 months of age."

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

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

The nurse is preparing to administer a diphtheria, tetanus and pertussis vaccine to a 3-year-old child. Which version of the formulation of the vaccine should be administered? * TdaP DT DTaP DPT

DTaP

The nurse is conducting a physical examination of an 8-month-old infant. Which observation may be cause for concern about the infant's neurologic development? * The infant grasps a finger when it is placed in the palm. The infant's toes hyperextend when the bottom of the foot is stroked. The anterior fontanel (fontanelle) is open and easily palpated. The infant displays an asymmetric tonic neck reflex (fencing reflex).

The infant displays an asymmetric tonic neck reflex (fencing reflex).

The nurse is assessing the Babinski sign in a 3-day-old neonate. What is a normal response? The neonate's toes stay in the normal position and the big toe has dorsiflexion. The neonate's toes fan and the big toe has dorsiflexion. The neonate's toes wiggle. The neonate's foot moves back and forth.

The neonate's toes fan and the big toe has dorsiflexion.