Nursing care of a family with an infant

Question 1

1. The nurse is taking with the mother of a 1 year old child in a well-baby clinic. Which of the following statement the mother makes indicates a need for more instruction in keeping the child safe?
   a. “I have some syrup of ipecac at home in case my child ever needs it”.
   b. “I put all the medicines on the highest shelf in the kitchen”.
   c. “we have moved all the valuable vases and figures out of the family room”.

Answer 1

a. “I have some syrup of ipecac at home in case my child ever needs it”.

Question 2

2. The mother of a 4 months old infant asks the nurse when she can start feeding her baby solid food. Which of the following should the nurse include in teaching this mother about nutritional needs of infants?
   a. Infant cereals can be introduced by spoon when the extrusions reflex fades
   b. Solid foods should be given as soon as the infant’s first tooth erupts
   c. Pureed food can be offered when an infant has tripled his tripled birth
   d. Infant formula or breast milk provided adequate nutrient for the first year.

Answer 2

a. Infant cereals can be introduced by spoon when the extrusions reflex fades

Question 3

3.The nurse is assessing a 6 month old infant during a well-child visit. The nurse makes all of the following
observations. Which of the following assessment made by the nurse is an aera of concern indicating a need for
further evaluation?
a. Absence of moro reflex
b. Closed posterior fontanel
c. Three-pound weight gain in 2 months
d. Moderate head lag when pulled to sitting position.

Answer 3

D. Moderate head lag when pulled to sitting position.

Question 4

4.A 12 month old baby brought in for her well checkup. All of the immunizations are up to date. The child’s mother asks
the nurse what immunizations her child will receive today. What will be the nurse best response?
a. First dose of MMR
b. Second dose of Hib
c. Third dose of DtaP
d. Final dose of IPV

Answer 4

a. First dose of MMR

Question 5

5.A 10 month old weighs 10 kgs and has voided 100 ml in the past 4 hours. The nurse is aware that \_\_\_\_\_\_\_\_\_ is
normal urine output.
a. 1-2 ml/kg/hour
b. 3-5 ml/hour
c. 7-9ml/kg/hours
d. 10ml/kg/hours

Answer 5

a. 1-2 ml/kg/hour

Question 6

6.A mother reports her 1 year old child is taking a 2 hour nap and sleeping 11 hours at night. What would be the nurse
best response”
a. This is a normal schedule for a healthy 1 year old.
b. Wake the child up at least once during the time frame to change the diaper
c. Wake the child up to feed it at least once.
d. Provide more noise so that the child will awake more easily

Answer 6

a. This is a normal schedule for a healthy 1 year old.

Question 7

7. An appropriate toy that the nurse shoul offer to 3 month old infant woul be :
   a. Push-pull toy
   b. Stuffed animal
   c. Metallic mirror
   d. Large plastic ball

Answer 7

c. Metallic mirror

Question 8

8. The nurse is aware that the baby of a 5 month old infant would probably consist of:
   a. Picking up the rattle or toy and putting into the mouth
   b. Exploratory searching when a cuddy toy is hidden from view
   c. Simultaneously kicking the legs and batting the hands in the air
   d. Waving and clenching fist and dropping toys in the hands

Answer 8

a. Picking up the rattle or toy and putting into the mouth

Question 9

9. When caring for 6 month old infant , it is likely that the nurse will observe the presence of the reflex called:
   a. Startle
   b. Babinski
   c. Extrusion
   d. Tonic neck

Answer 9

b. Babinski

Question 10

4. The nurse’s developmental assessment of a 9 month old child would be expected to reveal.
   a. A two to three word vocabulary
   b. An ability to feed self with a spoon
   c. The ability to sit steadfast without support
   d. Closure of both anterior and posterior fontanels

Answer 10

c. The ability to sit steadfast without support