Questions for Exam 3 Flashcards
At which age does an infant start to recognize familiar faces and objects, such as his or her
own hand?
3 months
During the 2-month well-child checkup, the nurse expects the infant to respond to sound in
which manner?
Turn his or her head to side when sound is at ear level.
Which characteristic best describes the fine motor skills of an infant at age 5 months?
Able to grasp object voluntarily
The nurse is checking reflexes on a 7-month-old infant. When the infant is suspended in a
horizontal prone position, the head is raised and the legs and spine are extended. Which reflex is
this?
Landau
In terms of gross motor development, what should the nurse expect an infant age 5 months to
do?
Turn from the abdomen to the back.
At which age can most infants sit steadily unsupported?
8 months
By which age should the nurse expect that an infant will be able to pull to a standing position?
11 to 12 months
At which age do most infants begin to fear strangers?
6 months
At which age should the nurse expect most infants to begin to say mama and dada with
meaning?
10 months
At which age should the nurse expect an infant to begin smiling in response to pleasurable
stimuli?
2 months
The nurse is discussing development and play activities with the parent of a 2-month-old
boy. Which statement by the parent would indicate a correct understanding of the teaching?
I can use a music box and soft mobiles as appropriate play activities for my baby.
What is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?
Playing peek-a-boo
What information should be given to the parents of a 12-month-old child regarding
appropriate play activities for this age?
Give large push-pull toys for kinetic stimulation.
The parents of a 2-month-old boy are concerned about spoiling their son by picking him up
when he cries. What is the nurses best response?
Babies need comforting and cuddling. Meeting these needs will not spoil him.
The nurse is interviewing the father of a 10-month-old girl. The child is playing on the floor
when she notices an electrical outlet and reaches up to touch it. Her father says no firmly and
moves her away from the outlet. The nurse should use this opportunity to teach the father what?
That the child is old enough to understand the word no
At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice
for their infant. Which observation should the nurse stress as especially important to consider
when making the selection?
a. Developmentally appropriate toys
b. Nutritious snacks served to the children
c. Handwashing by providers after diaper changes
d. Certified caregivers for each of the age groups at the facility
Handwashing by providers after diaper changes
A breastfed infant is being seen in the clinic for a 6-month checkup. The mother tells the
nurse that the infant recently began to suck her thumb. Which is the best nursing intervention?
a. Reassure the mother that this is normal at this age.
b. Recommend the mother substitute a pacifier for her thumb.
c. Assess the infant for other signs of sensory deprivation.
d. Suggest the mother breastfeed the infant more often to satisfy her sucking needs.
Reassure the mother that this is normal at this age.
An infant, age 6 months, has six teeth. The nurse should recognize that this is what?
a. Normal tooth eruption
b. Delayed tooth eruption
c. Unusual and dangerous
d. Earlier than expected tooth eruption
Earlier than expected tooth eruption
Which intervention is the most appropriate recommendation for relief of teething pain?
a. Rub gums with aspirin to relieve inflammation.
b. Apply hydrogen peroxide to gums to relieve irritation.
c. Give the infant a frozen teething ring to relieve inflammation.
d. Have the infant chew on a warm teething ring to encourage tooth eruption.
Give the infant a frozen teething ring to relieve inflammation.
Rickets is caused by a deficiency in what?
a. Vitamin A
b. Vitamin C
c. Folic acid and iron
d. Vitamin D and calcium
ANS: D
Fat-soluble vitamin D and calcium are necessary in adequate amounts to prevent rickets. No
correlation exists between rickets and folic acid, iron, or vitamins A and C.
Which factors will decrease iron absorption and should not be given at the same time as an iron supplement? a. Milk b. Fruit juice c. Multivitamin d. Meat, fish, poultry
ANS: A
Many foods interfere with iron absorption and should be avoided when iron is consumed. These
foods include phosphates found in milk, phytates found in cereals, and oxalates found in many
vegetables. Vitamin Ccontaining juices enhance the absorption of iron. Multivitamins may
contain iron; no contraindication exists to taking the two together. Meat, fish, and poultry do not
affect absorption.
The nurse is helping parents achieve a more nutritionally adequate vegetarian diet for their
children. Which is most likely lacking in their particular diet?
a. Fat
b. Protein
c. Vitamins C and A
d. Iron and calcium
ANS: D
Deficiencies can occur when various substances in the diet interact with minerals. For example,
iron, zinc, and calcium can form insoluble complexes with phytates or oxalates (substances
found in plant proteins), which impair the bioavailability of the mineral. This type of interaction
is important in vegetarian diets because plant foods such as soy are high in phytates. Fat and
vitamins C and A are readily available from vegetable sources. Plant proteins are available.
A 1-year-old child is on a pure vegetarian (vegan) diet. This diet requires supplementation with what? a. Niacin b. Folic acid c. Vitamins D and B12 d. Vitamins C and E
ANS: C
Pure vegetarian (vegan) diets eliminate any food of animal origin, including milk and eggs.
These diets require supplementation with many vitamins, especially vitamin B6, vitamin B12,
riboflavin, vitamin D, iron, and zinc. Niacin, folic acid, and vitamins C and E are readily
obtainable from foods of vegetable origin.
