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NUR240 - Pediatrics > Chapter 7: Health Promotion and Maintenance for the Newborn and Infant > Flashcards

Chapter 7: Health Promotion and Maintenance for the Newborn and Infant Flashcards

1
Q

T/F

Infant health supervision visits are very important to support the health of the baby and the family unit.

A

true

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2
Q

When does health promotion and maintenance begin for the newborn?

A

during the stay in the hospital or birthing center

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3
Q

Discharge of the mother and baby should occur only after appropriate __________ is confirmed and a thorough physical examination shows normal results.

A

growth

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4
Q

For newborns discharged between 48 and 72 hours of age, the first follow-up healthcare visit should occur by __________ of age.

a. 24 hours

b. 3 hours

c. 4 days

d. 5 days

A

d. 5 days

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5
Q

The first scheduled health supervision of infancy is at ________of age.

a. 1 day

b. one month

c. two months

d. 12 months

A

b. one month

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6
Q

T/F

Assessment of growth and development begins at birth and continues in newborn and infant health promotion and maintenance visits.

A

true

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7
Q

A delay in mastering functions, such as motor coordination and behavioral skills.

A

developmental delay

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8
Q

T/F

Babies will double their birth weight by 1 year of age.

A

false; triple

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9
Q

Match the correct age with the correct nutrition teaching.

  • Support breastfeeding efforts.
  • Teach correct formula types and preparation if used.
  • Teach burping and rate of feeding information.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

a. newborn

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10
Q

Match the correct age with the correct nutrition teaching.

  • Continue teaching listed above.
  • Offer support for breastfeeding and reinforce that breast milk is the only intake needed by infants at this age.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

b. 1 month

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11
Q

Match the correct age with the correct nutrition teaching.

  • Review fluid needs of infants.
  • Reinforce food safety for partially used bottles of breast milk or formula.
  • Use warm water for heating bottles rather than microwave to avoid burning.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

c. 2 months

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12
Q

Match the correct age with the correct nutrition teaching.

  • Discuss introduction of first foods between 4 and 6 months, and surveillance for symptoms of allergy or intolerance.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

d. 4 months

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13
Q

Match the correct age with the correct nutrition teaching.

Encourage families to view feedings as social interactions; emphasize importance of holding the newborn and not propping bottles.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

a. newborn

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14
Q

Match the correct age with the correct nutrition teaching.

  • Warn against feeding honey in the first year of life due to risk of botulism.
  • Begin daily cleaning of infant gums.
  • Provide information about any supplements needed

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

c. 2 months

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15
Q

Match the correct age with the correct nutrition teaching.

Discuss changing food patterns such as increasing amounts and decreasing numbers of daily milk feedings.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

d. 4 months

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16
Q

Match the correct age with the correct nutrition teaching.

  • Reinforce proper introduction of new foods, to include rice cereal, vegetables, and fruits.
  • Discuss any unusual food reactions observed.
  • Introduce cup for drinking and soft finger foods.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

e. 6 months

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17
Q

Match the correct age with the correct nutrition teaching.

  • Serve juice only in a cup and limit to no more than 6 oz daily.
  • Caution about common choking foods and items.
  • Provide information about fluoride supplement if water supply is not fluoridated.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

e. 6 months

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18
Q

Match the correct age with the correct nutrition teaching.

  • If mother does not continue to breastfeed, teach family to use iron-fortified formula for the first year of life.
  • Encourage self-feeding of finger foods, integrating common foods for the family.
  • Introduce source of protein such as tofu, cheese, mashed beans, and slivers of meats.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

f. 9 months

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19
Q

Match the correct age with the correct nutrition teaching.

  • Support mother who wishes to continue breastfeeding beyond 1 year of age.
  • Encourage cups for all feedings other than breast.

a. newborn
b. 1 month
c. 2 months
d. 4 months
e. 6 months
f. 9 months
g. 12 months

A

g. 12 months

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20
Q

T/F

Muscle development begins late in fetal life.

A

false; begins early

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21
Q

The __________ position of the newborn demonstrates development of the flexor muscles and relaxation of the extensor muscle s.

A

flexed

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22
Q

What is needed for adequate development of fine and gross motor skills in infancy.

A

physical activity

23
Q

T/F

As long as infants are meeting developmental milestones and have a stimulating environment that provides opportunity for fine and gross motor activity, they will use their motor skills, thus enhancing their performance.

A

true

24
Q

What position should infants sleep on?

A

supine - their backs

25
Q

the presence of one or more decayed, missing, or filled tooth surfaces in primary teeth in a child 71 months of age or younger

A

early childhood caries (ECC)

26
Q

wariness of strange people and places, often shown by infants between 6 and 18 months of age

A

stranger anxiety

27
Q

distress behaviors observed in young children separated from familiar caregivers

A

separation anxiety

28
Q

Process of dealing with feelings, learning to soothe self, and focusing on activities for increasing periods of time.

A

self-regulation

29
Q

In the first six months, how many hours of sleep does the infant get daily?

A

14 to 18 hours

30
Q

T/F

variability in sleep patterns is common, and not usually the result of changes in the infant’s daily schedule

A

true

31
Q

T/F

Family adaptation to a new baby beings in pregnancy, and evidence of initial family adaptation to pregnancy may be predictive of future parental coping.

A

true

32
Q

What is the primary site where the infant learns to interact with other people?

A

the family

33
Q

T/F

Infants are prone to many infectious diseases, especially once passive immunity from the mother wanes at about 3 months of age.

A

false ; 6 months

34
Q

Match the correct hazard to the developmental characteristic.

mobility increases in the first year of life, progressing from squirming movements to crawling, rolling, and standing

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

a. falls

35
Q

Match the correct hazard to the preventative measures.

  • Do not leave the newborn or infant unsecured in infant seat, even in newborn period.
  • Do not place on high surfaces such as tables or beds unless holding child.

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

a. falls

36
Q

Match the correct hazard to the preventative measures.

  • Once mobile by crawling, keep doors to stairways closed or use gates
  • Standing walkers have led to many injuries and are not recommended.

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

a. falls

37
Q

Match the correct hazard to the developmental characteristic.

  • infant control is dependent on caregivers for environmental control
  • the second half of the first year is marked by crawling and increased mobility
  • objects are explored by touching and placing in mouth

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

b. burns

38
Q

Match the correct hazard to the preventative measures.

  • Check temperature of bath water and food/liquids for drinking.
  • Cover electrical outlets.
  • Supervise infant so that play with electrical cords cannot occur.

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

b. burns

39
Q

Match the correct hazard to the developmental characteristic.

  • infant is dependent on caretakers for placement in car
  • on impact with another motor vehicle, an infant held on a lap acts as a missile

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

c. motor vehicle crashes

40
Q

Match the correct hazard to the preventative measures.

  • Use only approved restraint systems (according to federal motor vehicle safety standards).
  • The seat must be used for every trip, even if very short.
  • The seat must be properly buckled to the car’s lap belt system.

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

c. motor vehicle crashes

41
Q

Match the correct hazard to the developmental characteristic.

infant cannot swim and is unable to lift head

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

d. drowning

42
Q

Match the correct hazard to the preventative measures.

  • Never leave a newborn or infant alone in a bath of even 2.5 cm (1 in.) of water.
  • Supervise when in water even when a life preserver is worn.

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

d. drowning

43
Q

Match the correct hazard to the preventative measures.

  • Supervision should be provided by adults, not older children.
  • Flotation devices such as arm inflatables are not certified life preservers.

a. falls
b. burns
c. motor vehicle crashes
d. drowning

A

d. drowning

44
Q

Match the correct hazard to the developmental characteristic.

newborns and infants are dependent on caretakers to keep harmful substances out of reach

a. poisoning
b. choking
c. suffocation
d. strangulation

A

a. poisoning

45
Q

Match the correct hazard to the preventative measures.

  • Keep medicines out of reach.
  • Teach proper dosage and administration of medicines to parents.

a. poisoning
b. choking
c. suffocation
d. strangulation

A

a. poisoning

46
Q

Match the correct hazard to the preventative measures.

  • Cleaning products and other harmful substances should not be stored where the infant can reach them.
  • Remove plants from play areas.
  • Have poison control center number by telephone.

a. poisoning
b. choking
c. suffocation
d. strangulation

A

a. poisoning

47
Q

Match the correct hazard to the developmental characteristic.

  • the second half of infancy is marked by exploratory reaching and mouthing of objects
  • infant explored objects by placing them in the mouth

a. poisoning
b. choking
c. suffocation
d. strangulation

A

b. choking

48
Q

Match the correct hazard to the preventative measures.

  • Avoid foods that commonly cause choking.
  • Keep small toys away from infants, especially toys labeled “not intended for use by those under 3 years.”

a. poisoning
b. choking
c. suffocation
d. strangulation

A

b. choking

49
Q

Match the correct hazard to the developmental characteristic.

the newborn and young infant have minimal head control and may be unable to move if vomiting or having difficulty breathing

a. poisoning
b. choking
c. suffocation
d. strangulation

A

c. suffocation

50
Q

Match the correct hazard to the preventative measures.

  • Position newborn and infant on back for sleep.
  • Do not place pillows, stuffed toys, bumpers, blankets, or other objects in the crib.
  • Avoid latex balloons.

a. poisoning
b. choking
c. suffocation
d. strangulation

A

c. suffocation

51
Q

Match the correct hazard to the preventative measures.

-Do not use plastic in crib.

  • Co-sleeping with the parent is discouraged because of the danger of suffocation.
  • Sleep with the baby near but not in the parental bed.

a. poisoning
b. choking
c. suffocation
d. strangulation

A

c. suffocation

52
Q

Match the correct hazard to the developmental characteristic.

infant is able to get head into railings or crib slats but cannot remove it

a. poisoning
b. choking
c. suffocation
d. strangulation

A

d. strangulation

53
Q

Match the correct hazard to the preventative measures.

  • Be sure older cribs have slats spaced no more than 6 cm(2⅜in.)(2⅜in.)apart
  • The mattress must fit tightly against the crib rails.

a. poisoning
b. choking
c. suffocation
d. strangulation

A

d. strangulation

NUR240 - Pediatrics (8 decks)

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