Ch. 17 Infant

Question 1

An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning a mobile for an infant?

A. Provides stimulation necessary for continued growth and development for the infant
B. Provides too much stimulation for the infant, making it difficult for the infant to focus
C. Serves as inadequate stimulation for the infant because it is an inanimate object
D. Serves as a distraction for the infant, making it easier to fall asleep

Answer 1

A. Provides stimulation necessary for continued growth and development for the infant

Question 2

The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?

A. Developing enuresis as a toddler
B. Having difficulty forming relationships
C. Becoming a picky eater
D. Taking longer to toilet train

Answer 2

B. Having difficulty forming relationships

Question 3

By what age is an infant’s retina fully developed?

A. Birth
B. 2 months
C. 4 months
D. 6 months

Answer 3

C. 4 months

Question 4

A nurse is completing a well-child assessment of a 6-month old infant. Which of the following guidelines should be used when assessing the infant’s height and weight?

A. CDC growth charts
B. CDC body mass index (BMI) charts
C. WHO growth standards
D. Denver Developmental Screening height and weight standards

Answer 4

C. WHO growth standards

Question 5

A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?

A. “Yes, you just delivered a healthy, beautiful baby girl.”
B. “This is your first baby. You can always try again for a boy.”
C. “Don’t worry, many parents often feel the same way you do.”
D. “You are tired. I think you should get some rest.”

Answer 5

A. “Yes, you just delivered a healthy, beautiful baby girl.”

Question 6

A nurse is working with a family of an infant to improve their health perception and health management pattern. Which of the following interventions would be most appropriate for the nurse to implement?

A. Assess the home for safety hazards
B. Teach parents appropriate coping mechanisms
C. Demonstrate effective parenting skills
D. Encourage appropriate stimulation of the infant

Answer 6

C. Demonstrate effective parenting skills

Question 7

The mother of an 8-month old asks what the minimum recommended amount of fat intake is for her infant. Which of the following would be the minimum recommended fat intake?

A. 18 g/day
B. 25 g/day
C. 30 g/day
D. 48 g/day

Answer 7

C. 30 g/day

Question 8

Which of the following statements concerning infant nutrition is correct?

A. During hot and especially dry weather, infants should have supplemental water
B. 50% of an infant’s intake should come from protein to insure adequate growth
C. Breast milk and formulas contain 50% of their calories from fat
D. Skim milk started during infancy will help prevent later childhood obesity

Answer 8

C. Breast milk and formulas contain 50% of their calories from fat

Question 9

A nurse is completing a home visit of a new mother who is breastfeeding her infant. Which of the following instructions should the nurse provide during this visit?

A. Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss
B. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk
C. Be sure to wipe of all breast milk on the nipples between feedings to avoid infection
D. All of the above statements are correct

Answer 9

B. Drink 1 quart of fluids daily to produce sufficient quantity of breast milk

Question 10

A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?

A. “It is recommended that solid foods are introduced no earlier than 3 months of age.”
B. “It is recommended that solid foods are introduced no earlier than 6 months of age.”
C. “You should wait until your child is 9-months old to start solid foods.”
D. “You should wait until your child is 1 year old to start solid foods.”

Answer 10

B. “It is recommended that solid foods are introduced no earlier than 6 months of age.”

Question 11

A new mother has decided to breastfeed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?

A. Breast-fed infants have darker bowel movements than bottle-fed babies
B. Breast-fed infants have smellier bowel movements than bottle-fed babies
C. Breast-fed infants have more frequent bowel movements than bottle-fed babies
D. Breast-fed infants have harder bowel movements than bottle-fed babies

Answer 11

C. Breast-fed infants have more frequent bowel movements than bottle-fed babies

Question 12

During a home visit, the nurse finds a 9-month old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?

A. For safety, suggest removing all toys except soft stuffed animals from the playpen
B. Suggest keeping the infant in the playpen as much as possible to promote safe play
C. Encourage providing the infant with supervised time outside of the playpen
D. All of the above

Answer 12

C. Encourage providing the infant with supervised time outside of the playpen

Question 13

A new young mother asks the nurse what she should do to play with her 3-month old infant. Which of the following suggestions should the nurse provide?

A. Take the infant for a walk outside
B. Place several toys around the infant when lying on the floor
C. Rock the infant in a rocking chair
D. Search the internet for toys highly recommended for infants

Answer 13

C. Rock the infant in a rocking chair

Question 14

The mother of a 4-month old infant is concerned about the possibility of SIDS because her neighbor’s daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse?

A. “You should place the infant in the bed with you until 6 months of age.”
B. You should never give the infant a pacifier while she is sleeping.”
C. “You should try to stop smoking.”
D. “You should place the infant on her stomach.”

Answer 14

C. “You should try to stop smoking.”

Question 15

A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?

A. Parents are encouraged to place their infants in the supine sleeping position
B. SIDS is the leading cause of death among infants aged 6 months to 1 year old
C. SIDS is associated with infants who have had difficulty sleeping at night
D. Parents are encouraged to limit the amount of “tummy time” of their infant

Answer 15

A. Parents are encouraged to place their infants in the supine sleeping position

Question 16

A nurse is assessing the language development of a 6-month old infant. Which of the following findings would the nurse anticipate?

A. The infant forms two-syllable sounds
B. Then infant coos and makes vowel sounds
C. The infant babbles
D. The infant says “ma-ma” and “bye-bye”

Answer 16

C. The infant babbles

Question 17

Which of the following infants is most at risk to experience child abuse?

A. The father has experienced paternal engrossment
B. The infant responds to parental touch
C. The infant’s parents have low self-esteem
D. The infant has been adopted

Answer 17

C. The infant’s parents have low self-esteem

Question 18

A nurse is assessing a 4-month old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?

A. The infant’s shirt is wet from drooling
B. The infant has gained one pound since her 2-month well-child visit
C. The infant holds his or her head steady when in a sitting position
D. The infant grasps objects with two hands

Answer 18

B. The infant has gained one pound since her 2-month well-child visit

Question 19

A nurse visits a 3-month old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?

A. Advise the mother that the nurse will wait in the home until mom returns from the bus stop
B. Advise the mother that if she does not reschedule the visit within 1 week, the nurse will notify child protective services
C. Weigh the infant and offer community resources to the mother
D. Offer to go pick up the other children at the bus stop

Answer 19

C. Weigh the infant and offer community resources to the mother

Question 20

Where do most accidents occur?

A. In the home
B. In the car
C. At day care
D. On the playground

Answer 20

A. In the home

Question 21

Which of the following is an example of passive immunity?

A. An attenuated (weakened) but live vaccine-measles, mumps, rubella (MMR)
B. A toxin of the disease organism, which fosters immunity
C. Diphtheria, tetanus, and acellular pertussis (DTaP) killed vaccine
D. Protection from drinking breast milk

Answer 21

D. Protection from drinking breast milk

Question 22

Which of the following is the most common poison ingested by infants?

A. Houseplants
B. Lead
C. Cleaning agents
D. Aspirin

Answer 22

D. Aspirin

Question 23

A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?

A. The infant should be in a rear-facing car seat in the front seat
B. The infant should be in a rear-facing car seat in the back seat
C. The infant should be a front-facing car seat in the front seat
D. The infant should be in a front-facing car seat in the back seat

Answer 23

B. The infant should be in a rear-facing car seat in the back seat

Question 24

A 15-month old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?

A. Ask the mother if she would like an interpreter
B. Ask the mother what home remedies have been used
C. Ask the mother how long the child has had these symptoms
D. Ask the mother about any allergies the child may have

Answer 24

A. Ask the mother if she would like an interpreter

Question 25

A nurse would like to be involved in promoting change in health care policies. Which of the following statements would be accurate as applied to this goal?

A. Becoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start
B. Nurses must have a minimum of a master’s degree to directly advise legislators on a one-to-one basis regarding healthcare
C. Engaging in political lobbying activities is unprofessional and inappropriate to the nursing role
D. All of the above statements are correct

Answer 25

A. Becoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start

Question 26

A mother asks a nurse what the best toy would be for her 2-month old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?

A. Colorful mobile with music
B. Rattle
C. Stuffed teddy bear
D. Play telephone

Answer 26

A. Colorful mobile with music

Question 27

A 5-month old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately

A. 10 pounds, 14 ounces
B. 11 pounds, 7 ounces
C. 12 pounds, 14 ounces
D. 13 pounds, 7 ounces

Answer 27

C. 12 pounds, 14 ounces

Question 28

A 9-month old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?

A. Play with a rattle
B. Eat cheerios off a hard surface
C. Hold a spoon to feed himself
D. Drink from a cup

Answer 28

B. Eat cheerios off a hard surface

Question 29

A nurse makes a home visit to a 15-month old following a hospitalization for a fall. Which finding would be concerning to the nurse?

A. Radiator heating system in the home
B. The child drinking from a cup
C. The child experiencing a temper tantrum
D. A decorative bowl filled with colorful marbles on the coffee table

Answer 29

D. A decorative bowl filled with colorful marbles on the coffee table

Question 30

Which of the following represents a developmental task(s) normally accomplished in infancy?

A. Develops a feeling of affection for others
B. Able to run
C. Uses shorts sentences
D. Choices “A” and “C” are correct

Answer 30

A. Develops a feeling of affection for others

Question 31

An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?

A. The infant is testing his limits
B. The infant is exploring his environment
C. The infant is expressing his emotions
D. The infant is developing fine motor skills

Answer 31

B. The infant is exploring his environment

Question 32

The mother of a 16-month old infant asks a nurse her option about holiday decorating. Which of the following recommendations should the nurse provide to the mother?

A. Avoid hanging a wreath with holly and berries on the front door
B. Avoid hanging decorative pictures of a bearded Santa Claus on the window
C. Avoid placing poinsettia plants around the home
D. Avoid hanging stockings on the fireplace mantle

Answer 32

C. Avoiding placing poinsettia plants around the home

Question 33

Which of the following statements is correct concerning weaning?

A. Weaning should not be started until the infant can sit only slightly supported
B. Weaning can not be started until the extrusion reflex is fully developed
C. Once the child has learned to use as cup, he or she should no longer have a bottle or breast
D. AAP recommends weaning begin at 8 to 9 months and be completed by age 1 year

Answer 33

A. Weaning should not be started until the infant can sit only slightly supported

Question 34

A 2-month old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?

A. DTap-1
B. MMR
C. Varicella
D. Influenza

Answer 34

A. DTaP-1

Question 35

Which of the following statements are correct concerning language development? Select all that apply.

A. Infants initially make vowel sounds using the front part of their mouth
B. Cooing sounds begin at 2 to 3 months
C. Babbling begins at approximately 9 to 12 months
D. By one year words such as “ma-ma” or “bye-bye” begin to emerge

Answer 35

A. Infants initially make vowel sounds using the front part of their mouth
B. Cooing sounds begin at 2 to 3 months
D. By one year words such as “ma-ma” or “bye-bye” begin to emerge

Question 36

A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview? Select all that apply.

A. Paternal age
B. Maternal age
C. Family history
D. Religious affiliation

Answer 36

B. Maternal age

C. Family history