A parent of a 10-month-old infant tells the nurse that the baby cries and screams whenever the infant is left with the grandparents. Based on the nurse’s knowledge of growth and development, the nurse’s response is
A. the infant is most likely spoiled.
B. stranger anxiety is common for an infant of this age.
C. separation anxiety should have disappeared between 4 and 8 months of age.
D. the grandparents are not responsive to infant.
B. stranger anxiety is common for an infant of this age.
A parent states that she takes her child to a person’s home for care while she is at work. There are no other children being cared for in the person’s home. Based on this finding, the nurse would document child care as being
A. in-home care.
B. family daycare.
C. center-based care.
D. licensed daycare.
B. family daycare.
A 6-month-old infant attempts to pick up a toy using his entire hand. This action would be documented as using a
A. pincer grasp.
B. palmer grasp.
C. prehension.
D. gross motor development.
B. palmer grasp.
In working with a group of parents related to providing information relative to car seat restraints. Which statement by a member of the parent group would indicate that additional teaching was necessary?
A. “I will place the car seat facing backwards in the car.”
B. “The car seat should be anchored to the vehicle’s seat belt.”
C. “The LATCH system should be used for a child who is below 35 pounds.”
D. “The child should be in a rear facing position up to 24 months of age.”
C. “The LATCH system should be used for a child who is below 35 pounds.”
Parents of an infant report that the child is extremely fuzzy at times. Which parental response might lead to potential poor outcomes in later life for the child?
A. Attempts to provide comfort by playing music.
B. Holding the infant while applying a gentle rocking motion.
C. Offering the infant more food to decrease fuzziness.
D. Playing with the infant to attempt distraction.
C. Offering the infant more food to decrease fuzziness.
Which assessment finding would the nurse expect to see with regard to weight status in an infant who is 1 year of age?
A. Weight is doubled that of birth weight.
B. Average weight of a 1 year old is stable if found to be 15 pounds.
C. Weight is tripled that of birth weight.
D. Breastfeeding infants typically will have smaller head circumference than bottle fed infants.
C. Weight is tripled that of birth weight.
A parent is concerned that her toddler may become obese if high fat or sugary foods are included in the diet. Which food selection should still be included in a child’s dietary plan during this stage of life?
A. Sweetened fruit juices
B. Whole milk
C. Low fat milk
D. Processed cakes and muffins
B. Whole milk
In terms of play behavior, which observation would be considered to be an abnormal finding based on normal growth and development patterns?
A. Playing peek a boo at age at 1 year of age.
B. At 1 month of age, they extend arms to be picked up by their parent or caregiver.
C. Show preference for a toy by 4 months of age.
D. At 8 months of age, child refuses to play with a stranger.
B. At 1 month of age, they extend arms to be picked up by their parent or caregiver.
Which is the most appropriate recommendation for relief of teething pain?
A. Rub the gums with aspirin to relieve inflammation.
B. Apply hydrogen peroxide to the gums to relieve irritation.
C. Give the child a frozen teething ring to relieve inflammation.
D. Have the child chew on a warm teething ring to encourage tooth eruption.
C. Give the child a frozen teething ring to relieve inflammation.
Which recommendation would a nurse make to new parents who are planning to introduce solid foods to their 6-month-old son?
A. Cream of wheat cereal
B. Cream of farina cereal
C. Cereals fortified with iron
D. Rice cereal
D. Rice cereal
The infant’s mother reports that her 6-month-old daughter seems to be afraid of strangers now. Based on this reported finding the nurse would advise the mother that
A. psychological counseling may be needed if the behavior continues or worsens.
B. this is probably due to “nightmares” and should be self-limiting, so there is no need to worry.
C. ask the mother what type of specific behaviors was the child exhibiting as there may be potential abuse occurring.
D. tell the mother that fear of strangers is normal during this time period and typically will be self-limiting.
D. tell the mother that fear of strangers is normal during this time period and typically will be self-limiting.
If an infant understands that an object, even if out of sight still exists then it would be correct to note that the infant has achieved
A. moral comprehension.
B. object permanence.
C. mental representation.
D. demonstrates reflex activity.
B. object permanence.
In order for an infant/child to formulate an attachment with another human being, they must (Select all that apply.)
A. discriminate self between individuals.
B. understand moral principles of right versus wrong.
C. achieve object permanence.
D. understand principles of time.
E. recognize themselves in the mirror.
A. discriminate self between individuals.
C. achieve object permanence.
Infants in the first few days of life are expected to have a weight loss between 5 and 10% based on the following principles (Select all that apply.)
A. increased renal tubular function.
B. enlargement of ECF compartment.
C. increased glomerular filtration rate.
D. shivering thermogenesis.
E. decrease in percentage of body water.
B. enlargement of ECF compartment.
D. shivering thermogenesis.
Which herbal therapies are associated with increased milk production? (Select all that apply.)
A. Blessed thistle
B. Fennel
C. St. John’s Wort
D. Fenugreek
E. Echinacea
A. Blessed thistle
B. Fennel
D. Fenugreek
Which finding would be considered to be abnormal with regard to growth and development principles? (Select all that apply.)
A. Chest circumference is equal to head circumference at the end of the first year.
B. Increased height is most likely to do to size of limbs rather than torso by the end of the first year.
C. Increase in weight of the brain about 1.5 times by the end of the first year.
D. Growth of heart is doubled by the end of the first year.
E. Primitive reflexes remain consistently within the first year of life.
A. Chest circumference is equal to head circumference at the end of the first year.
B. Increased height is most likely to do to size of limbs rather than torso by the end of the first year.
D. Growth of heart is doubled by the end of the first year.