Questions for Exam 3

Question 1

At which age does an infant start to recognize familiar faces and objects, such as his or her
own hand?

Answer 1

3 months

Question 2

During the 2-month well-child checkup, the nurse expects the infant to respond to sound in
which manner?

Answer 2

Turn his or her head to side when sound is at ear level.

Question 3

Which characteristic best describes the fine motor skills of an infant at age 5 months?

Answer 3

Able to grasp object voluntarily

Question 4

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?

Answer 4

Landau

Question 5

In terms of gross motor development, what should the nurse expect an infant age 5 months to
do?

Answer 5

Turn from the abdomen to the back.

Question 6

At which age can most infants sit steadily unsupported?

Answer 6

8 months

Question 7

By which age should the nurse expect that an infant will be able to pull to a standing position?

Answer 7

11 to 12 months

Question 8

At which age do most infants begin to fear strangers?

Answer 8

6 months

Question 9

At which age should the nurse expect most infants to begin to say mama and dada with
meaning?

Answer 9

10 months

Question 10

At which age should the nurse expect an infant to begin smiling in response to pleasurable
stimuli?

Answer 10

2 months

Question 11

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?

Answer 11

I can use a music box and soft mobiles as appropriate play activities for my baby.

Question 12

What is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?

Answer 12

Playing peek-a-boo

Question 13

What information should be given to the parents of a 12-month-old child regarding
appropriate play activities for this age?

Answer 13

Give large push-pull toys for kinetic stimulation.

Question 14

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?

Answer 14

Babies need comforting and cuddling. Meeting these needs will not spoil him.

Question 15

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?

Answer 15

That the child is old enough to understand the word no

Question 16

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

Answer 16

Handwashing by providers after diaper changes

Question 17

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.

Answer 17

Reassure the mother that this is normal at this age.

Question 18

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

Answer 18

Earlier than expected tooth eruption

Question 19

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.

Answer 19

Give the infant a frozen teething ring to relieve inflammation.

Question 20

Rickets is caused by a deficiency in what?

a. Vitamin A
b. Vitamin C
c. Folic acid and iron
d. Vitamin D and calcium

Answer 20

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.

Question 21

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

Answer 21

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.

Question 22

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

Answer 22

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.

Question 23

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

Answer 23

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.