EAQ CH.9/10

which condition would the nurse suspect when a 6-month-old infant demonstrates increased drooling, finger sucking, and biting on objects?

teething

which education would the nurse provide the parent of an infant with colic?

the symptoms of colic usually disappear by 3 months of age

which evaluation would the nurse make when observing a 5 month old infant who has no head lag when pulled to a sitting position?

this is an expected finding

which response would the nurse provide the parents of a 6-month old infant who are concerned that their baby pushes the spoonful of baby food away whenever it is near to the mouth?

Just keep offering the spoon to him even though he pushes it away

Which phase does Piaget classify as the period of birth to 24 months?

Sensorimotor

which treatment would the nurse expect for an infant with cow's milk hypersensitivity?

hydrolyzed formula

Which developmental finding in a 5-month old infant warrants further investigation?

inability to hold the head erect and steady when sitting

Which FTT classification would the nurse use for a 1 month old infant with FTT secondary to congenital heart disease?

increased metabolism

which anticipatory guidence would the nurse provide the family of a 6 month old infant being seen for a well baby visit?

keep the crib rails raised to full height at all times (because babies roll over between 4-7 months)

which condition would the nurse suspect if an infant has thin limbs, protruding abdomen, and a diet rich in carbs and poor in protein?

kwasshiorkor

for which reason is low fat milk not recommended for an infant less than 6 months old?

low fat milk is high in sodium and contains inadequate essential fatty acids

which education would the nurse provide the parent of a 4 month old infant who is sustained minor oral burns after drinking breast milk that was warmed in a microwave for 3 minutes?

never use a microwave for warming expressed breast milk.

which food is most likely to cause an anaphylactic reaction in an infant?

peanut butter

Which technique is the recommended approach to warming frozen breast milk for an infant?

place the container with frozen milk in lukewarm water to warm it

which intervention lowers the risk for sudden infant death syndrome (SIDS)?

placing the infant in the supine position to sleep.

For which condition would th enurse evaluate when caring for a 12-month-old infant who is unable to pull up to a standing position?

developmental dysplasia of the hip

Which recommendation would the nurse provide the mother of 8 month old infant who wishes to discontinue breastfeeding?

feed commercial iron-fortified formula

which response would the nurse provide when the parent of a 3 month old breastfeed infant asks about giving the baby water because it is summer and very warm?

fluids in addition to breast milk are not needed

In which way would the nurse describe growth during the first year of life?

growth is especially rapid during the first 6 months of the first year of life.

Which is the most important factor in determining the degree of fit between an infant's temperament and the interactions between the child and parents?

harmony between the parent's expectations and the child's actual temperament

Erikson theorized that the acquisition of which characteristic is the primary focus in infancy?

Trust

Which is a clinical manifestation of failure to thrive?

Under nutrition. Developmental delays. Avoidance of eye contact.

which is a clinical manifestation of failure to thrive?

Undernutrition. Developmental delays. Avoidance of eye contact.

which best describes the origin of a cow's milk allergy (CMA)?

a multifaceted disorder causing systemic and local reactions

At which age would the nurse expect an infant's anterior fontanel to close?

14 months (usually between 12-18). The posterior fontanel closes by 6-8 weeks.

Approximately how many kilograms would the nurse expect a 6-month old infant to weight if the infant weighed 3.5 kg at birth?

7.0 kg because weight doubles by 6 months.

which vitamin supplement would the nurse recommend for all pregnant women to prevent neural tube defects in infants?

0.4 mg of folic acid

At what age would the nurse expect an infant to be able to say mama and dada with meaning?

10 months

At which age do the primitive reflexes begin to fade?

3 months

which discharge education would the nurse provide the parent of an infant who will have home monitoring after ALTS?

CPR

which type of injury is common in a 2-month old infant?

Falls Aspiration Suffocation Motor vehicle accidents.

which recommendation would the nurse provide the parent of an infant experiencing teething pain?

Give the child a cold teething ring to relieve inflammation

Which action would the nurse take when the parents of a 12 month old express concern that their infant is still sucking the thumb and ask how to stop the "annoying behavior"?

Investigate the parent's feelings regarding their child's behavior

when caring for an infant with protein-energy malnutrition, which supplement would the nurse withhold until the infant is ABLE to tolerate a steady food source?

Iron

For which condition is an infant at risk if the diet has limited protein-based food sources?

Kwashiorkor

which clinical finding would the nurse recognize as a suggestive of marasmus?

Loose wrinkled skin and generalized wasting body tissues

which factor is associated with an increased occurance of SIDS?

Preterm infant. Bronchopulmonary dysplasia. Low APGAR.

which characteristics increase the risk of SIDS?

Prone sleeping. Preterm birth. Prenatal drug exposure.

Which factor increases the risk of SIDS?

Recent illness. Sleeping with an adult. Environmental smoke exposure. Sleeping prone.

which recommendation would the nurse provide the parent of a 3 week old to prevent SIDS?

Your baby should always sleep on the back. You should not smoke while you are pregnant. Use a firm crib mattress and tight fitted sheet.

the nurse finds that a 2 month old infant is not gaining weight despite receiving breast milk. The mother works for 8 hours and expresses milk once. Which recommendation would the nurse make?

advise the mother to express milk at least every 3-4 hours

For which condition is an EpiPen indicated?

anaphylaxis

which response would the nurse provide the parent of a 6 month old infant who develops black stools within 2 days of starting iron supplementation for anemia?

black stools are a common side effect; no need to worry

which recommendation would the nurse provide a pregnant woman with a family history of cow's milk allergy who asks about preventing the allergy in her infant?

breastfeeding during the first 6 months may help prevent allergy

which substance is classified as a macromineral?

calcium >100mg/daily. (microminerals=iron, fluoride and Vit D)

Which diet alternative would the nurse recommend to a 3-month-old infant who is allergic to cow's milk?

casein hydrolysate milk formula

which condition is also known as paroxysmal abdominal pain?

colic

which condition would the nurse suspect in an infant who cries loudly, draws the legs to the abdomen and takes a prolonged period to soothe?

colic

Which description would the nurse provide the parent of an infant who is experiencing colic?

colic causes paroxysmal abdominal pain or cramping marked by episodes of loud crying

which is the primary goal in the nutritional management of infants with failure to thrive?

correct nutritional deficiencies. restore optimal body composition. Educate the parent on the infant's nutritional requirements.

which clinical manifestation would the nurse anticipate when caring for an infant with kwashiorkor?

prominent abdomen with severe muscle atrophy

which recommendation would the nurse provide the parent of a 10 month old who developed a rash after eating mashed potatos?

reintroduce potatoes into the diet after approximately 12 months of avoidance

Which recommendation would the nurse provide to the parent of a 6 month old infant about the introduction of solid foods?

rice cereal is a good first food because it is easily digested and low in allergenic potential

Which new gross motor skill would the nurse expect a 7-month old infant to perform?

sitting erect momentarily

which condition may be prevented if the nurse recommends that a pregnant patient increase folic acid in her diet?

spina bifida (protein deficiency= kwashiorkor, Vitamin A/D deficiency=CF)

which recommendation would the nurse provide the parent of a 5 month old who awakens every 1 to 2 hours at night and nurses back to sleep

start putting the infant to bed while still wake

which response would the nurse provide the parent of a 10 month old infant who is worried that the baby cries and screams whenever being left with the grandparents?

stranger anxiety is common for an infant this age

Which recommendation would the nurse make for the family of a 9 month old infant who is worried about a baby's thumb sucking?

thumb sucking should be discouraged when permanent teeth begin to erupt (usually stops 18-20 months; discouraged after 4 years)

Which is the rationale for the nurse recommending that the parent of a 7-month old infant reduce pacifier use?

to prevent otitis media (middle ear infection).

For which reason would the nurse advise a family to avoid giving honey to their baby until the child is 1 year old?

to reduce the risk for botulism.

which clinical manifestation would the nurse expect when caring for a child with dyssomnias?

trouble falling asleep at night or difficulty staying awake during the day

For which complication would the nurse monitor an 11 month old infant fed a vegetarian diet?

vitamin B12 deficiency

which education would the nurse provide the parent of a 9 month old infant with a peanut allergy who will enroll in daycare?

your baby should have an inject-able epinephrine cartridge available at all times.