An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning a mobile for an infant?
Provides stimulation necessary for continued growth and development for the infant
Provides too much stimulation for the infant, making it difficult for the infant to focus
Serves as inadequate stimulation for the infant because it is an inanimate object
Serves as a distractor for the infant, making it easier to fall asleep
The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
Developing enuresis as a toddler
Having difficulty forming relationships
Becoming a picky eater
Taking longer to toilet train
By what age is an infant’s retina fully developed?
Birth
2 months
4 months
6 months
A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant’s height and weight?
CDC growth charts
CDC body mass index (BMI) charts
WHO growth standards
Denver Developmental Screening height and weight standards
A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
“Yes, you just delivered a healthy, beautiful baby girl.”
“This is your first baby. You can always try again for a boy.”
“Don’t worry, many parents often feel the same way you do.”
“You are tired. I think you should get some rest.”
A nurse is working with a family of an infant to improve their health perception and health management pattern. Which of the following interventions would be most appropriate for the nurse to implement?
Assess the home for safety hazards.
Teach parents appropriate coping mechanisms
Demonstrate effective parenting skills
Encourage appropriate stimulation of the infant
The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her infant. Which of the following would be the minimum recommended fat intake?
18g/day
25g/day
30g/day
48g/day
Which of the following statements concerning infant nutrition is correct?
During hot and especially dry weather, infants should have supplemental water
50% of an infant’s intake should come from protein to insure adequate growth
Breast milk and formulas contain 50% of their calories from fat
Skim milk started during infancy will help prevent later childhood obesity
A nurse is completing a home visit of a new mother who is breastfeeding her infant. Which of the following instructions should the nurse provide during this visit?
Consume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss
Drink 1 quart of fluids daily to produce sufficient quantity of breast milk
Be sure to wipe off all breast milk on the nipples between feedings to avoid infection
All of the above statements are correct
A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
“It is recommended that solid foods are introduced no earlier than 3 months of age.”
“It is recommended that solid foods are introduced no earlier than 6 months of age.”
“You should wait until your child is 9 months old to start solid foods.”
“You should wait until your child is 1 year old to start solid foods.”
A new mother has decided to breastfeed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
Breast-fed infants have darker bowel movements than bottle-fed babies
Breast-fed infants have smellier bowel movements than bottle-fed babies
Breast-fed infants have more frequent bowel movements than bottle-fed babies
Breast-fed infants have harder bowel movements than bottle-fed babies
During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
For safety, suggest removing all toys except soft stuffed animals from the playpen
Suggest keeping the infant in the playpen as much as possible to promote safe play
Encourage providing the infant with supervised time outside of the playpen.
All of the above.
A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?
Take the infant for a walk outside
Place several toys around the infant when lying on the floor
Rock the infant in a rocking chair.
Search the Internet for toys highly recommended for infants
The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor’s daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse?
“You should place the infant in the bed with you until 6 months of age.”
“You should never give the infant a pacifier while she is sleeping.”
“You should try to stop smoking.”
“You should place the infant on her stomach.”
A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?
Parents are encouraged to place their infants in the supine sleeping position
SIDS is the leading cause of death among infants aged 6 months to 1 year old
SIDS is associated with infants who have had difficulty sleeping at night
Parents are encouraged to limit the amount of “tummy time” of their infant
A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate?
The infant forms two-syllable sounds
The infant coos and makes vowel sounds
The infant babbles
The infant says “ma-ma” and “bye-bye.”
Which of the following infants is most at risk to experience child abuse?
The father has experienced paternal engrossment
The infant responds to parental touch
The infant’s parents have low self-esteem
The infant has been adopted
A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
The infant’s shirt is wet from drooling
The infant has gained one pound since her 2-month well-child visit
The infant holds his or her head steady when in a sitting position
The infant grasps objects with two hands
A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?
Advise the mother that the nurse will wait in the home until mom returns from the bus stop.
Advise the mother that if she does not reschedule the visit within 1 week, the nurse will notify child protective services
Weigh the infant and offer community resources to the mother
Offer to go pick up the other children at the bus stop
Where do most accidents occur?
In the home
In the car
At day care
On the playground
Which of the following is an example of passive immunity?
An attenuated (weakened) but live vaccine—measles, mumps, rubella (MMR)
A toxin of the disease organism, which fosters immunity
Diphtheria, tetanus, and acellular pertussis (DTaP) killed vaccine
Protection from drinking breast milk
Which of the following is the most common poison ingested by infants?
Houseplants
Lead
Cleaning agents
Aspirin
A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
The infant should be in a rear-facing car seat in the front seat
The infant should be in a rear-facing car seat in the back seat
The infant should be in a front-facing car seat in the front seat
The infant should be in a front-facing car seat in the back seat
A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?
Ask the mother if she would like an interpreter
Ask the mother what home remedies have been used.
Ask the mother how long the child has had these symptoms
Ask the mother about any allergies the child may have
A nurse would like to be involved in promoting change in health care policies. Which of the following statements would be accurate as applied to this goal?
Becoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start.
Nurses must have a minimum of a master’s degree to directly advise legislators on a one-to-one basis regarding healthcare
Engaging in political lobbying activities is unprofessional and inappropriate to the nursing role.
A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
Colorful mobile with music
Rattle
Stuffed teddy bear
Play telephone
A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately
10 pounds, 14 ounces
11 pounds, 7 ounces.
12 pounds, 14 ounces
13 pounds, 7 ounces
A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?
Play with a rattle
Eat Cheerios off a hard surface
Hold a spoon to feed himself
Drink from a cup
A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
Radiator heating system in the home
The child drinking from a cup
The child experiencing a temper tantrum
A decorative bowl filled with colorful marbles on the coffee table
Which of the following represents a developmental task(s) normally accomplished in infancy?
Develops a feeling of affection for others
Able to run
Use short sentences
Develops a feeling of affection for others & Use short sentences
An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?
The infant is testing his limits
The infant is exploring his environment
The infant is expressing his emotions
The infant is developing fine motor skills
The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?
Avoid hanging a wreath with holly and berries on the front door
Avoid hanging decorative pictures of a bearded Santa Claus on the window
Avoid placing poinsettia plants around the home
Avoid hanging stockings on the fireplace mantle
Which of the following statements is correct concerning weaning?
Weaning should not be started until the infant can sit only slightly supported
Weaning can not be started until the extrusion reflex is fully developed
Once the child has learned to use as cup, he or she should no longer have a bottle or breast
AAP recommends weaning begin at 8 to 9 months and be completed by age 1 year
A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
DTaP-1
MMR
Varicella
Influenza
Which of the following statements are correct concerning language development? (SELECT ALL THAT APPLY)
Infants initially make vowel sounds using the front part of their mouth
Cooing sounds begin at 2 to 3 months
Babbling begins at approximately 9 to 12 months
By one year words such as “ma-ma” or “bye-bye” begin to emerge
A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview? (SELECT ALL THAT APPLY)
Paternal age
Maternal Age
Family history
Religious affiliation
