ch 25 growth and development Flashcards
the nurse is examining a 10 month old boy who was born 10 weeks early. Which finding is cause for concern?
The child’s head circumference is 49.53 cm ( normal = 35 cm)
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 statement best describes a developmental milestone occurring in infancy?
By 6 months of age, the infant’s brain weighs half that of the adult brain; at 12 months the brain weighs 2.4 times what it did at birth.
the nurse is assessing the respiratory system of a newborn. Which anatomical differences place the in fact at risk for respiratory compromise? select all that apply
-the nasal passages are narrower
-the larynx is more funnel shaped
there are significantly fewer alveoli
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?
this is a primitive reflex known as palmar grasp
which reflex, if found in a 4 month old infant, would cause the nurse to be concerned?
step reflex (should have disappeared at 4-8 weeks)
a new mother expresses concern to the nurse that her baby is crying and grunting when passing stool. what is the nurses best response to this observation?
this is normal behavior for infants unless the stool passes is hard and and dry
the neonatal nurse assesses newborns for iron deficiency anemia. which newborn is at highest risk for this disorder?
a premature newborn
the nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statement accurately describes the typical infant’s achievement of these milestones? select all that apply
-at 1 month, the infant lifts and turns the head to the side in the prone position
-at 7 months, the infant sits alone with some use of hands for support
-at 9 months, the infant crawls with the abdomen off the floor
-at 12 months, the infant walks independently
the nurse is teaching a new mother about the development of sensory skills in her newborn. what would alter the mother to a sensory defect in her child?
the newborn does not respond to a loud noise
the nurse is assessing a 4 month old boy during a scheduled visit. which findings might suggest a developmental problem?
the child does not vocally respond to voices
the nurse observes an infant interacting with his parents. what normal social behavioral developments are for this age group? select all that apply
-around 2 months, the infant exhibits a real smile
-around 3 months, the infant smiles widely and gurgles when interacting with the caregiver
-around 3 months, the infant will mimic the parent’s facial movements such as sticking out the tongue
-separation anxiety may also start in the last few months of infancy
the nurse is performing a health assessment of a 3 month old african american boy. for what condition should the infant be monitored based on his race?
lactose intolerance
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?
discouraging the addition of fruit juice to the diet
the nurse is teaching a new mother the proper techniques for breastfeeding her newborn. which is a recommended guideline that should be implemented?
bring the baby’s wide-open mouth to the breast to from a seal around all of the nipple and areola
the nurse is providing discharge teaching regarding formula preparation for a new mother. which guideline would the nurse include in the teaching plan?
do not add cereal to the formula in the bottle or sweeten the formula with honey
the nurse is caring for a 4 week old girl and her mother. which is the most appropriate subject for anticipatory guidance?
telling how and when to introduce rice cereal
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?
the cereal should be a fairly thin consistency at first
the nurse is providing anticipatory guidance to the mother of a 9 month old girl during a well baby visit. which topic would be most appropriate?
advising how to create a toddler-safe home
the nurse in a community clinic is caring for a 6 month old boy and his mother. which intervention is priority to promote adequate growth?
monitoring the child’s weight and height
the nurse is caring for a 7 month old during a well child visit. which intervention is most appropriate for this child?
discussing the type of sippy cup to use
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. what is the priority intervention?
asking the mother if the child uses spanish words
a 6 month old girl weighs 14.7 lb during a scheduled check up. her birth weight was 8 lb. what is the priority nurse intervention
discussing the child’s feeding patterns
the nurse is educating a first time mother who has a 1 week old boy. which is the most accurate anticipatory guidance?
explaining that the stomach holds less than 1 ounce
a mother is concerned about her infant’s spitting up. which suggestion would be the most appropriate?
keep the baby sitting up for about 30 minutes afterward
the nurse is providing anticipatory guidance to a mother to help promote healthy sleep for her 3 week old baby. which recommended guideline might be included in the teaching plan?
place the baby on his or her back when sleeping
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?
reducing stimulation may decrease the length of crying
the parent of a 6 month old infant asks the nurse for advice about his son’s thumb sucking. what would be the nurses best response to this parent?
thumb sucking is a healthy self comforting activity
at which age would the nurse expect to find the beginning of object permanence
6 months
the nurse is assessing the infants in the nurse for the six stages of consciousness. the nurse becomes concerned when assessing which infants? select all that apply.
-an infant rapidly moves from deep sleep to crying
-an infant moves from active alert state to drowsiness
-an infant frequently skips the quiet alert state during the 6 soc.
a new mother tells the nurse that she is having difficulty breastfeeding her baby. when observing the mother, which actions prompt the nurse to provide teaching about proper breastfeeding techniques?
-the mother carefully washes her breasts prior to feeding the infant
-the mother feeds the infant every hour
-the mother supplements feedings with water
the nurse is assessing the developmental milestones of an infant. the infant was born 8 weeks ago and was 4 weeks premature. the nurse anticipates that the infant will be missing milestones for what age of child? record answer in weeks
4
to determine adjusted age, subtract the number of weeks that the infant was premature from the infants chronological age
