Chapter 25-Growth and Development of the Newborn and Infant

6. A new mother shows the nurse that her baby grasps her finger when she touches the baby's palm. How might the nurse respond to this information?

B) "This is a primitive reflex known as the palmar grasp."

11. At which age would the nurse expect to find the beginning of object permanence?

B) 4 months

14. The nurse observes an infant interacting with his parents. Which of the following are normal social behavioral developments for this age group? Select all answers that apply.

B) Around 2 months the infant exhibits a first real smile. C) Around 3 months the infant smiles widely and gurgles when interacting with the caregiver. D) Around 3 months the infant will mimic the parent's facial movements, such as sticking out the tongue. F) Separation anxiety may also start in the last few months of infancy.

26. The nurse is educating a first-time mother who has a 1-week-old boy. Which of the following is the most accurate anticipatory guidance?

B) Explaining that the stomach holds less than 1 ounce

29. The nurse is counseling the mother of a newborn who is concerned about her baby's constant crying. What teaching would be appropriate for this mother?

B) Reducing stimulation may decrease the length of crying.

3. The nurse measures the head circumference of a 6-month-old infant. Which measurement would the nurse interpret as most appropriate?

C) 43.5 cm

20. The nurse is providing anticipatory guidance to a mother of a 5-month-old boy about introducing solid foods. Which statement by the mother indicates that effective teaching has occurred?

B) "The cereal should be a fairly thin consistency at first."

7. Which reflex, if found in a 4-month-old infant, would cause the nurse to be concerned?

B) Step

8. A new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. What is the nurse's best response to this observation?

A) "This is normal behavior for infants unless the stool passed is hard and dry."

30. The parent of a 6-month old infant asks the nurse for advice about his son's thumb sucking. What would be the nurse's best response to this parent?

A) "Thumb sucking is a healthy self-comforting activity."

21. The nurse is providing anticipatory guidance to the mother of a 9-month-old girl during a well-baby visit. Which of the following topics would be most appropriate?

A) Advising how to create a toddler-safe home

10. The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which of the following statements accurately describe the typical infant's achievement of these milestones? Select all answers that apply.

A) At 1 month the infant lifts and turns the head to the side in the prone position. D) At 7 months the infant sits alone with some use of hands for support. E) At 9 months the infant crawls with the abdomen off the floor. F) At 12 months the infant walks independently.

2. The nurse is teaching a new mother about the drastic growth and developmental changes her infant will experience in the first year of life. Which of the following describes a developmental milestone occurring in infancy?

A) By 6 months of age the infant's brain weighs half that of the adult brain; at age 12 months, the brain weighs 2.5 times what it did at birth.

23. The nurse is caring for a 7-month-old girl during a well-child visit. Which of the following interventions is most appropriate for this child?

A) Discussing the type of sippy cup to use

22. The nurse in a community clinic is caring for a 6-month-old boy and his mother. Which of the following is the priority intervention to promote adequate growth?

A) Monitoring the child's weight and height

5. The nurse is assessing the respiratory system of a newborn. Which of the following anatomic differences place the infant at risk for respiratory compromise? Select all answers that apply.

A) The nasal passages are narrower. D) The larynx is more funnel shaped. F) There are significantly fewer alveoli.

19. The nurse is caring for a 4-week-old girl and her mother. Which of the following is the most appropriate subject for anticipatory guidance?

B) Telling how and when to introduce rice cereal

13. The nurse is assessing a 4-month-old boy during a scheduled visit. Which of the following findings might suggest a developmental problem?

B) The child does not babble or laugh.

12. The nurse is teaching a new mother about the development of sensory skills in her newborn. Which of the following would alert the mother to a sensory deficit in her child?

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

24. The nurse is assessing a 12-month-old boy with an English-speaking father and a Spanish-speaking mother. The boy does not say mama or dada yet. Which of the following is the priority intervention?

C) Asking the mother if the child uses Spanish words

17. The nurse is teaching a new mother the proper techniques for breastfeeding her newborn. Which of the following is a recommended guideline that should be implemented?

C) Bring the baby's wide-open mouth to the breast to form a seal around all of the nipple and areola.

15. The nurse is performing a health assessment of a 3-month-old Black American boy. For what condition should this infant be monitored based on his race?

C) Lactose intolerance

28. The nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3-week old baby. Which of the following recommended guidelines might be included in the teaching plan?

C) Place the baby on his or her back when sleeping.

4. The nurse is helping a new mother prepare for breastfeeding her infant. During which of the following newborn states of consciousness would the nurse recommended attempting the feeding?

C) Quiet alert state

1. The nurse is examining a 10-month-old boy who was born 10 weeks early. Which of the following findings is cause for concern?

C) The child's head circumference is 19.5 inches.

27. A mother is concerned about her infant's spitting up. Which suggestion would be most appropriate?

D) "Keep the baby sitting up for about 30 minutes afterward."

9. The neonatal nurse assesses newborns for iron-deficiency anemia. Which of the following newborns is at highest risk for this disorder?

D) A premature newborn

16. The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which of the following is the most effective anticipatory guidance?

D) Discouraging the addition of fruit juice to the diet

25. A 6-month-old girl weighs 14.7 pounds during a scheduled check-up. Her birth weight was 8 pounds. Which of the following is the priority nursing intervention?

D) Discussing the child's feeding patterns

18. The nurse is providing discharge teaching regarding formula preparation for a new mother. Which of the following guidelines would the nurse include in the teaching plan?

D) Do not add cereal to the formula in the bottle or sweeten the formula with honey.