Infancy Stage (Birth-12 months) Flashcards
NCLEX Questions - Infant Group
You are assessing a 2-month old infant. The mothers tells you that he has been lifting his head and looking around but coannot roll over. She is expressing concerns about the baby’s development. Your response would be:
A. “Don’t worry he will roll over at about 4 months.”
B. “Development is very individualized, but it does progress in a manner. Once he develops head and chest control, you should expect rolling over to follow.”
C. “Babies who sleep on their backs don’t try to roll over as soon.”
D. “Heavier babies are slower to roll over.”
B. “Development is very individualized, but it does progress in a manner. Once he develops head and chest control, you should expect rolling over to follow.”
Rationale:
The best response is to explain how development occur cephalocaudally, and that is very individualized. False reassurance, such as Option C and D do not serve to relieve the mother’s consern
NCLEX Questions - Infant Group
You are assigned to measure and weigh a 5-month-old infant who has been brought into the clinic. The infant’s birth weight was 7 lbs 2 oz. Using your knowledge of normal growth patterns, you would expect the weight today to be approximately:
A. 10 lbs. 11 oz
B. 12 lbs.
C. 14 lbs.
D. 21 lbs.
C. 14 lbs.
Rationale:
An infant’s weight at 5 months will double.
NCLEX Questions - Infant Group
The registered nurse discusses a teaching plan for primary intervention for a newborn with the LPN. Which of the following interventions would be appropriate?
A. Immunizations
B. Bi-monthly visits with pediatrician
C. Treating diaper rash
D. Changing the formula to a soy product
A. Immunizations
Rationale:
Primary prevention interventions are those that keep the client from developing health problems. Immunizations prevent childhood diseases.
NCLEX Questions - Infant Group
A new mother asks the nurse to suggest appropriate toys for her newborn son. Which of the following are appropriate choices?
A. Balloons and ribbons
B. Stuff animals of any variety
C. Plastic keys on a plastic ring
D. Bright music box attached to the outside of the crib
D. Bright music box attached to the outside of the crib
Rationale:
Choking and suffocation are safety hazards for the newborn. Also a newborn cannot grasp and hold toys. Music is an appropriate choice to stimulate the newborn.
NCLEX Questions - Infant Group
The nurse is assisting the mother of a 6-month-old infant to make appropriate solid food choices. Which of the following could be suggested? Choose all that apply.
A. Rice cereal mixed with bread B. Cheerios C. Thinly sliced hotdogs D. Pureed Bananas E. Commercially prepared vegetable puree
A. Rice cereal mixed with bread
D. Pureed Bananas
E. Commercially prepared vegetable puree
Rationale:
Only soft, easy to swallow and easily digestible foods are appropriate for the infant. Purees and rice cereals are good choices. These foods should not cause choking
NCLEX Questions - Infant Group
The nurse needs to give an infant an intramuscular injection. Which site should the injection be given?
A. Deltoid
B. Dorsogluteal
C. Rectus femoris
D. Vastus lateralis
D. Vastus lateralis
MyNursingLab - Polan Submodule 4.1
Currently immunizations begin when the infant is:
A. 1 month old.
B. 6 months old.
C. 2 months old.
D. 4 months old.
C. 2 months old.
MyNursingLab - Polan Submodule 4.1
Which of the following techniques observed by the nurse needs further instruction?
A. Using a dropper to give liquid medication to an infant.
B. Placing eye drops in the middle of the lower conjunctival sac.
C. Pulling the infant’s ear lobe down and back for ear drops.
D. Placing oral medication in the crying infants mouth.
D. Placing oral medication in the crying infants mouth.
NCLEX Questions - Infant Group
A mother brings her 18-month-old to the clinic because the child “eats ashes, crayons, and paper.” which of the following about the toddler would the nurse assess first?
A. Evidence of eruption of large teeth
B. Amount of attention from the mother
C. Any changes in the home environment
D. Intake of soft, low roughage diet.
B. Amount of attention from the mother
MyNursingLab - Polan Submodule 4.1
The nurse working in a physician’s office obtaining information from the parents of a 3-month-old infant. The nurse recognizes contraindications for immunizations. (Select all that apply)
A. Watery discharge from the nose. B. Excessive drooling C. Chemotherapy D. Immunodeficiency E. Steroid medication F. Acute febrile illness
B. Excessive drooling C. Chemotherapy D. Immunodeficiency E. Steroid medication F. Acute febrile illness
MyNursingLab - Polan Submodule 4.1
The nurse explains to the parents of a 6-month-old that which of the following substances can be included in the infant’s diet?
A. Salt substitutes
B. Shell fish and chicken
C. Citrus Fruits
D. Iron-rich cereals and vegetables
D. Iron-rich cereals and vegetables
MyNursingLab - Polan Submodule 4.1
The nurse understands that the infant will gain head control before sitting, standing, and walking based on:
A. Proximodistal development
B. Genetic principles
C. Gender
D. Cephalocaudal growth
D. Cephalocaudal growth
Berman Textbook - Chapter 9
Newborns with intact hearing will react with a startle to a loud noise. What is this reaction called?
Moro Reflex
Berman Textbook - Chapter 9
Where does cephalocaudal growth occur in an infant?
From the head downward
Berman Textbook - Chapter 9
Where does the proximodistal growth occur in an infant?
From the center of the body out.
Berman Textbook - Chapter 9
Place Erikson’s eight stages of development in order and name the age group/age in each stage.
\_\_\_Identify vs. role confusion \_\_\_Autonomy vs. shame and doubt \_\_\_Intimacy vs. isolation \_\_\_Generatively vs. stagnation \_\_\_Trust vs. mistrust \_\_\_Initiative vs. guilt \_\_\_Industry vs. inferiority \_\_\_Integrity vs. despair
5 Identify vs. role confusion (Adolescence: 12-20 yrs.)
2 Autonomy vs. shame and doubt (Early childhood: 18 mo-3 yrs.)
6 Intimacy vs. isolation (Young adulthood: 18-25 yrs.)
7 Generatively vs. stagnation (Adulthood: 25-65 yrs.)
1 Trust vs. mistrust (Infancy: Birth-18 mo.)
3 Initiative vs. guilt (Late childhood: 3-5 yrs.)
4 Industry vs. inferiority (School age: 6-12 yrs.)
8 Integrity vs. despair (Maturity: 65 yrs.-death)
Berman Textbook - Chapter 9
At what age can an infant roll over. Sit with support, hold head steady when sitting?
4 months
Berman Textbook - Chapter 9
At what age can an infant begin to creep and crawl and use pincer grasp with thumb and forefinger?
9 months
Berman Textbook - Chapter 9
What is colic?
An acute abdominal pain caused by periodic contractions of the intestines.
Berman Textbook - Chapter 9
What is described as colicky?
Infant’s crying lasting up to 10 to 12 hours a day.
Note:
Crying or fussy period lasting 1 to 2 hours a day is usually considered normal for infants.
Berman Textbook - Chapter 9
What is Shaken Baby Syndrome (SBS)?
Violent shaking of the infant, causing whiplash that can lead to severe brain injury.
Berman Textbook - Chapter 9
What is sudden death syndrome?
The sudden and unexpected death of an infant.
Berman Textbook - Chapter 9
Can postmortem examination reveal the cause of SIDs?
No
Berman Textbook - Chapter 9
When is the highest incidence of SIDS?
Between the second to fourth month
Berman Textbook - Chapter 9
What are some ways to reduce SIDS?
Infants should be placed on their backs when sleeping.
Remove pillows and blankets from cribs.
Keep room at low or cool temperature.
Infancy Handout Review Question
What immunizations should the parent expect the doctor to give her 2 month child during a well-baby visit?
- Hepatitis B (Often given within hours of birth at the hospital)
- Diphtheria, tenaus, acellular pertussis (DTaP)
- Inactivated poliovirus vaccine (IPV)
- Pneumococcal measles-mumps-rubella (MMR)
- Haemophilus influenzae type B (HIB)
- Rotavirus
- Influenza vaccine
Infancy Handout Review Question
What immunizations should the parent expect the doctor to give her 2 month child during a well-baby visit?
- Inactivated poliovirus vaccine (IPV)
- Pneumococcal measles-mumps-rubella (MMR)
- Haemophilus influenzae type B (HIB)
- Varicella
- Hepatitis A (two doses between 12 and 23 months, six months apart)
