Question 1

At which age should the nurse suggest introducing rice cereal to the infant's diet?&#10;A) 3 months&#10;B) 6 months&#10;C) 9 months&#10;D) 12 months&#10;

Accepted Answer

The American Academy of Pediatrics recommends introducing solid foods, including rice cereal, to infants at around 6 months of age. This is when infants have developed the necessary physical and cognitive skills to safely consume solid foods and when breast milk or formula alone is no longer sufficient to meet their nutritional needs. It is important for parents and caregivers to discuss with their healthcare provider the appropriate timing and type of solid foods to introduce to their infant's diet.

Question 2

Which parental statement about newborn and infant stooling patterns indicates the need for further education?&#10;A) &#34;A formula stool has a soft consistency.&#34;&#10;B) &#34;A transitional stool is less thick and sticky.&#34;&#10;C) &#34;A breastfed baby will stool only once per day.&#34;&#10;D) &#34;A meconium stool is the first stool my baby will have.&#34;&#10;

Accepted Answer

A breastfed baby can have multiple stools per day, and it is important for parents to understand normal stooling patterns and colors for both breastfed and formula-fed infants.

Question 3

Which data cause the nurse to provide the parents of an infant with education regarding colic?&#10;A) Abdominal pain accompanied by crying 3 days per week&#10;B) No weight gain since the last well-child visit&#10;C) Muscle mass that has decreased&#10;D) Frequent emesis&#10;

Accepted Answer

Abdominal pain accompanied by crying 3 days per week is a symptom of colic in infants and would require education for the parents on how to manage it. The other options may require further evaluation and intervention, but are not specifically related to colic.

Question 4

Which nursing action is appropriate when assessing an infant for respiratory distress?&#10;A) Palpating for masses&#10;B) Inspecting for head bobbing&#10;C) Documenting the frequency of stools&#10;D) Monitoring for visible loops of bowel&#10;

Accepted Answer

Inspecting for head bobbing is an appropriate nursing action when assessing an infant for respiratory distress. Head bobbing indicates the infant is using accessory muscles to help with breathing and can be a sign of increased work of breathing. Palpating for masses, documenting the frequency of stools, and monitoring for visible loops of bowel are not relevant to assessing respiratory distress.

Question 5

Which is an example of an anthropometric measurement the nurse documents for the infant in the medical record?&#10;A) Heart rate&#10;B) Pain rating&#10;C) Blood pressure&#10;D) Head circumference&#10;

Accepted Answer

Anthropometric measurements are physical measurements of the body, such as height, weight, and head circumference. Out of the given options, head circumference is the only anthropometric measurement. Heart rate, pain rating, and blood pressure are not anthropometric measurements as they do not measure the physical dimensions of the body.

Question 6

Which nursing actions are included when collecting anthropometric measurements during the newborn assessment? (Select all that apply.)&#10;A) Measuring head circumference&#10;B) Monitoring blood pressure&#10;C) Determining heart rate&#10;D) Documenting length&#10;E) Assessing weight&#10;

Accepted Answer

Anthropometric measurements during newborn assessment include measuring head circumference, documenting length and assessing weight. Monitoring blood pressure and determining heart rate are not part of anthropometric measurements but can be assessed separately during the newborn assessment.

Question 7

Which immunization should the nurse plan to give prior to newborn discharge from the hospital?&#10;A) Rotavirus&#10;B) Hepatitis B&#10;C) Inactivated polio virus (IPV)&#10;D) Measles,mumps,rubella (MMR)&#10;

Accepted Answer

Hepatitis B is the only vaccine that is recommended to be given prior to newborn discharge from the hospital by the Centers for Disease Control and Prevention (CDC). The other vaccines listed are given at later ages.

Question 8

Which parental statement indicates the need for further education regarding newborn safety?&#10;A) &#34;I should lay my baby on his back when I put him to sleep.&#34;&#10;B) &#34;It is important to support my baby's head when I hold him.&#34;&#10;C) &#34;My baby doesn't require a hat unless I am wearing one also.&#34;&#10;D) &#34;I shouldn't overextend my baby's shoulders when changing his clothing.&#34;&#10;

Accepted Answer

This statement is incorrect as newborns may require a hat to regulate their body temperature and protect their head from the cold. This indicates the need for further education on newborn safety. The other statements reflect appropriate knowledge and practices for newborn safety.

Question 9

Which complementary therapy might the nurse encourage for an infant who is experiencing colic?&#10;A) Herbal tea&#10;B) Acupressure&#10;C) Stone therapy&#10;D) Massage therapy&#10;

Accepted Answer

The answer of Which complementary therapy might the nurse encourage...

Question 10

Which parental statement regarding the sleep needs of a younger infant is accurate?&#10;A) &#34;My baby requires 22 to 23 hours of sleep each day.&#34;&#10;B) &#34;My baby requires a 1- to 2-hour nap in the afternoon.&#34;&#10;C) &#34;My baby requires a 1- to 2-hour nap in the morning.&#34;&#10;D) &#34;My baby requires 16 hours of sleep each day,including two naps.&#34;&#10;

Accepted Answer

A younger infant requires 22 to 23 hours of sleep each day.

Question 11

Which immunizations should the nurse prepare the parents of an infant for during the 4-month well-child visit? (Select all that apply.)&#10;A) Rotavirus&#10;B) Hepatitis B&#10;C) IPV&#10;D) MMR&#10;E) Diphtheria,tetanus,pertussis (DTP)&#10;

Accepted Answer

The answer of Which immunizations should the nurse prepare the...

Question 12

Which statement regarding infant physical growth patterns should the nurse share with the parents of an infant?&#10;A) &#34;Your baby will double his birth weight by 3 months of age.&#34;&#10;B) &#34;Your baby should double his birth weight by 9 months of age.&#34;&#10;C) &#34;Your baby should triple his birth weight by 12 months of age.&#34;&#10;D) &#34;Your baby will lose 15% of his body weight by 1 month of age.&#34;&#10;

Accepted Answer

The answer of Which statement regarding infant physical growth patterns...

Question 13

Which data cause the nurse to report to the charge nurse that an infant is experiencing moderate dehydration?&#10;A) A 5% weight loss&#10;B) A 15% weight loss&#10;C) A decrease in urine output&#10;D) A delayed capillary refill time&#10;

Accepted Answer

The answer of Which data cause the nurse to report...

Question 14

Which statement regarding plotting anthropometric measurements indicates correct parental understanding?&#10;A) &#34;Body mass index (BMI)is monitored closely during the first year of life.&#34;&#10;B) &#34;Height,weight,and BMI are monitored from 3 to 18 years of age.&#34;&#10;C) &#34;You will plot my baby's weight,length,and head circumference through 4 years of age.&#34;&#10;D) &#34;There are four charts used to monitor physical growth from birth to 18 years of age.&#34;&#10;

Accepted Answer

The answer of Which statement regarding plotting anthropometric measurements indicates...

Question 15

Which data obtained during an infant's health history interview cause the nurse to provide specific information about SIDS?&#10;A) Sleeping on the back&#10;B) Smoking in the home&#10;C) Attending day care each day&#10;D) Being behind on current vaccinations&#10;

Accepted Answer

The answer of Which data obtained during an infant's health...

Question 16

Which parental statement indicates understanding of methods to prevent newborn neurological injury?&#10;A) &#34;I should cover my baby's head.&#34;&#10;B) &#34;I should place my baby on her back to sleep.&#34;&#10;C) &#34;I should never shake my baby,even if she won't stop crying.&#34;&#10;D) &#34;I should use the bulb syringe to remove secretions from my baby's nose.&#34;&#10;

Accepted Answer

The answer of Which parental statement indicates understanding of methods...

Question 17

Which intervention should be included in the plan of care for an infant who is experiencing diaper rash?&#10;A) Changing the diaper three times per day&#10;B) Keeping the diaper area clean and dry&#10;C) Using scented lotion on the diaper area&#10;D) Applying nystatin cream four times per day&#10;

Accepted Answer

The answer of Which intervention should be included in the...

Question 18

Which assessment data increase the risk for newborn airway compromise?&#10;A) Long torso&#10;B) Long neck&#10;C) Large tongue&#10;D) Large mandible&#10;

Accepted Answer

The answer of Which assessment data increase the risk for...

Deck 21: Health Promotion of the Infant: Birth to One Year