peds ch 16 questions

The nurse can reassure parents that their infant's colic will probably not last beyond the age of:

3 month

A nurse counsels a mother who is starting her baby on solid foods is that she should wait _____ days before introducing the next food.

4-7

The baby can usually be offered finger foods such as toast or Zwieback crackers beginning about age:

7 month

The parents should make safety preparations prior to the time their infant crawls, usually age:

7 months

34. ______________ is characterized by periods of unexplained irritability and crying in a healthy, well-fed infant.

Colic

2. When does the posterior fontanelle close?

a. 2 to 3 months

6. The parent of a 3-month-old infant asks the nurse, At what age do infants usually begin drinking from a cup? What is the nurses most accurate response?

a. 5 months

30. What will the nurse take into consideration when educating parents regarding infant nutrition? (Select all that apply.)

a. Cultural practices c. Parental knowledge d. Infants developmental level e. Parent-child interaction

24. A new mother is voicing concern she is breastfeeding her newborn too frequently. How often does the nurse instruct this mother she should expect her newborn to feed?

a. Every 2 to 3 hours

26. The nurse is preparing to outline principles of discipline for parents of an infant. What information should the nurse include? (Select all that apply.)

a. Firmly say No. b. Distract the child to another activity. d. Remain consistent.

25. The nurse cautions that children who have unmet hunger needs will likely display which characteristic(s)? (Select all that apply.)

a. Irritability b. Ineffective feeding patterns c. No predictable sleep-wake cycle d. Distrust

11. The nurse is talking with a parent about tooth eruption. What teeth will the nurse explain are the first deciduous teeth to erupt?

a. Lower central incisors

29. The nurse is educating parents of a 2-month-old about immunizations. What immunizations against illness should their child receive? (Select all that apply.)

a. Pertussis (whooping cough) b. Influenza c. Diptheria d. Tetanus e. Polio

27. What should the teaching plan include about infant fall precautions? (Select all that apply.)

a. Remove all unsteady furniture. b. Keep crib rails up and in locked position .c. Steady infant with hand when on changing table. e. Keep infant seat on the floor.

23. The nurse is assessing a 1-year-old infant in the pediatric office. What finding should the nurse report to the physician immediately?

a. Respiratory rate of 60 breaths per minute

16. The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of cereal. What does this behavior indicate the infant has developed?

a. The pincer grasp

The primary use of growth and development guidelines is to:

a. help parents anticipate their child's changing needs

Minor head lag when pulling up a 1-month-old to the sitting position:

a. is an expected finding

The primary focus of regular infant health care is to:

a. prevent disease

Social development that is common for the 2-month-old infant is:

a. responsive smiling

A fruit that should be delayed until after the infant's first birthday is:

a. strawberries

3. At what age does an infants birth weight triple?

b. 1 year

5. What is the earliest age at which the infant should be able to walk independently?

b. 12 to 15 months

17. A parent is concerned because her infant has a diaper rash. What is the best action the nurse would advise the parent to implement?

b. Apply a protective ointment on the area.

9. A parent brings a 6-month-old infant to the pediatric clinic for her well-baby examination. Her birth weight was 8 pounds, 2 ounces. What will the nurse weighing the infant today would expect her weight to be?

b. At least 16 pounds

15. The nurse discusses child-proofing the home for safety with the mother of a 9-month-old. Which statement made by the mother would indicate an unsafe behavior?

b. In the car, she rides in a front-facing car seat.

A mother is concerned because her 1-year-old who was 7 lbs (3178g) at birth is "getting fat." The baby now weighs 21 lbs and all developmental milestones have been reached at appropriate ages. What should the nurse tell the mother about her baby's weight?

b. The baby's weight gain is what is expected at this age

The mother of a 2-month-old is bringing her to the office for a routine checkup and immunizations. She says the baby cries quite a bit but she just lets her cry so she won't become "spoiled". As a nurse, the best response is to:

b. explain that babies this young cannot be spoiled, then give her some ideas to help soothe the baby

When bringing her 9-month-old baby in for a checkup, a new mother asks if she can feed the baby pureed fish since this is a low-fat food that is a staple in the family's diet. The best response of the nurse is:

c. "You can try, but many infants dislike the taste of fish."

4. What is the earliest age at which an infant is able to sit steadily alone?

c. 8 months

12. The nurse is assessing development in a 9-month-old infant. What would the nurse expect to observe?

c. Creeping along the floor

8. What is an abnormal finding in an evaluation of growth and development for a 6-month-old infant?

c. Head lag present

20. Which statement indicates the mother of an 8-month-old understands infant sleep patterns?

c. I put the pacifier in the crib so that she can find it when she wakes up.

7. What would the nurse expect a 4-month-old to be able to accomplish?

c. Lift head and shoulders.

19. What is the most appropriate activity to recommend to parents to promote sensorimotor stimulation for a 1-year-old?

c. Play with push-pull toys.

22. Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to their child. What is the correct response?

c. The infant has exhausted maternal iron stores.

18. The mother of an infant born prematurely tells the nurse, The baby is irritable. She cries during diaper changes and feedings. Can you make some suggestions about what I should do to soothe her? What is the most appropriate recommendation to help this parent?

c. Wrap the infant snugly when you hold them.

Considering safety when choosing toys for a 5-month-old, one should assume that all of them will go into the baby's:

c. mouth

The priority need in personality development during the first year is to acquire:

c. trust in the primary caregivers

32. The nurse explains that the second process of self-mobility an infant learns is seen at the age of 9 months, when the infant begins to ___________.

creep

A mother wants to know if she can keep leftover baby food in a jar. Choose the best nursing response.

d. "Remove the amount of food you think the baby will eat from the jar and refrigerate the rest."

14. A mother is concerned because her 10-month-old is lethargic. What is the best action the nurse can advise this mother to implement?

d. Handle the infant slowly and gently.

13. What statement made by a parent indicates correct understanding of infant feeding?

d. I give the baby any new foods before he takes his bottle.

10. What will the nurse advise a parent to do when introducing solid foods?

d. Introduce each new food 4 to 7 days apart.

31. Parents of an infant inform the nurse they are planning home preparation of solid foods. What directions should the nurse provide? (Select all that apply.)

d. Puree food in electric blender. e. Add sugar sparingly.

1. A mother calls the pediatricians office because her infant is colicky. What is the most helpful measure the nurse can suggest to the mother?

d. Rock the fussy infant slowly and gently.

Which is the most important teaching about use of the microwave for heating infant food?

d. Test the temperature of any warmed food on the inner wrist

21. How might the nurse demonstrate the parachute reflex with an infant?

d. Thrusting the infant downward into the crib

A good initial method to deal with a 9-month-old infant who is attracted to a dangerous situation is to:

d. distract him from the situation.

The best postion for a newborn to sleep in is:

d. on the back or side

Which development milestone is expected for the child's age:

d. pulls self to standing position at 10-months

If a parent wants to microwave before feeding, the nurse:

d. teach guidelines for microwaving and caution the the parents to test the temperature of the formula before feeding

35. The nurse explains that an infants prehensile development is progressive and logical. Arrange the development in the order from the simplest to the most complex. Put a comma and space between each answer choice (a, b, c, d, etc.)

e. Hands held closed most of the time a. Hands held open most of the time c. Picks up toy with squeeze action b. Grasps with thumb on one side and three fingers on the other d. Thumb and forefinger hold object

28. The nurse is aware that the 7-month-old can signal feeding readiness by which action(s)? (Select all that apply.)

e. Manipulating finger foods

A formula often prescribed for the infant who cannot tolerate cow's milk formulas is based on:

soy

33. The nurse cautions parents to place their infant in the ______________ position, rather than on his or her stomach, to reduce the risk of sudden infant death syndrome (SIDS).

supine