ABNORMAL DEVELOPMENT PRACTICE QUESTIONS
WITH VERIFIED ANSWERS 2026
3.
In the short-term care of this infant, it is important that the same person feed the
infant at each meal and that this person be able to assess for negative feeding
patterns and replace them with positive patterns. Once the infant is gaining
weight and shows progress in the feeding patterns, the parents can be instructed
in proper feeding techniques. This is a long-term outcome of nursing care.
Because there is no organic reason for the failure to thrive, it should not be
necessary to increase the formula calorie content. A 5-month-old infant is too
young to be expected to sit in a high chair for feedings and should still be bottle-
fed - CORRECT ANSWER The nurse formulates the nursing diagnosis Imbalanced
Nutrition: Less than body requirements related to negative feeding patterns for a
5-month-old infant diagnosed with failure to thrive. To meet the short-term
outcomes of the infant's plan of care, the nurse should expect to do which of the
following?
1.Instruct the parents in proper feeding techniques.
2.Give the infant high-calorie formula.
3.Provide consistent staff to care for the infant.
4.Allow the infant to sit in a high chair during feedings."
4.
The most effective follow-up care would occur in the home environment. The
community health nurse can be supportive of the parents and will be able to
,observe parent-infant interactions in a natural environment. The community
health nurse can evaluate the infant's progress in gaining weight, offer suggestions
to the parents, and help the family solve problems as they arise. - CORRECT
ANSWER The health care team determines that the family of an infant with failure
to thrive who is to be discharged will need follow-up care. Which of the following
would be the most effective method of follow-up?
1.Daily phone calls from the hospital nurse.
2.Enrollment in community parenting classes.
3.Twice-weekly clinic appointments.
4.Weekly visits by a community health nurse.
3.
On the initial visit, the parents may be shocked, fearful, and anxious. Nursing care
should include spending time with the parents to allow them to express their
emotions. The nurse should initially emphasize the neonate's normal
characteristics. After the parents have had sufficient time to adjust to the
neonate's special needs, surgical interventions can be discussed. Telling the
parents that this is not a life-threatening defect or that everything will be all right
after the surgery is not helpful. Doing so discounts their feelings. Reassuring the
parents about the success rate of the surgery can be done once the parents have
had time to adjust to the neonate and express their emotions." - CORRECT
ANSWER A female neonate born vaginally at term with a cleft lip and cleft palate is
admitted to the regular nursery. Which of the following actions should the nurse
do the first time that the parents visit the neonate in the nursery?
1.Explain the surgical interventions that will be performed.
2.Stress that this defect is not life-threatening.
3.Emphasize the neonate's normal characteristics.
, 4.Reassure the parents about the success rate of the surgery
1.
After feeding, the mouth should be cleaned with sterile water, not soapy water, to
reduce the risk for aspiration. The cleft lip should be cleaned with sterile water to
prevent crusting before surgical repair. The neonate needs to be fed in an upright
position to prevent aspiration. The neonate with a cleft lip and palate commonly
swallows large amounts of air during feeding. Therefore, the neonate needs to be
burped frequently to help eliminate the air and decrease the risk for regurgitation.
The neonate with a cleft lip and palate should be fed with a special soft nipple that
fills the cleft and facilitates sucking. - CORRECT ANSWER After teaching the
parents of a neonate born with a cleft lip and cleft palate about appropriate
feeding techniques, the nurse determines that the mother needs further
instruction when the mother says which of the following?
1."I should clean her mouth with soapy water after feeding."
2."I should feed her in an upright position."
3."I need to remember to burp her often."
4."I may need to use a special nipple for feeding.
2.
Breast-feeding is the method of choice for all neonates. Infant feeding is more
difficult for infants with cleft palates because of the inability to create a seal
around the nipple. Maternal nipples most readily conform to the palate and
create an adequate seal. Secondarily utilizing a nipple especially made for the
particular cleft facilitates the seal and encourages an easier suck and swallow.
Assessing the infant's weight and wet diapers on a daily basis monitors the
WITH VERIFIED ANSWERS 2026
3.
In the short-term care of this infant, it is important that the same person feed the
infant at each meal and that this person be able to assess for negative feeding
patterns and replace them with positive patterns. Once the infant is gaining
weight and shows progress in the feeding patterns, the parents can be instructed
in proper feeding techniques. This is a long-term outcome of nursing care.
Because there is no organic reason for the failure to thrive, it should not be
necessary to increase the formula calorie content. A 5-month-old infant is too
young to be expected to sit in a high chair for feedings and should still be bottle-
fed - CORRECT ANSWER The nurse formulates the nursing diagnosis Imbalanced
Nutrition: Less than body requirements related to negative feeding patterns for a
5-month-old infant diagnosed with failure to thrive. To meet the short-term
outcomes of the infant's plan of care, the nurse should expect to do which of the
following?
1.Instruct the parents in proper feeding techniques.
2.Give the infant high-calorie formula.
3.Provide consistent staff to care for the infant.
4.Allow the infant to sit in a high chair during feedings."
4.
The most effective follow-up care would occur in the home environment. The
community health nurse can be supportive of the parents and will be able to
,observe parent-infant interactions in a natural environment. The community
health nurse can evaluate the infant's progress in gaining weight, offer suggestions
to the parents, and help the family solve problems as they arise. - CORRECT
ANSWER The health care team determines that the family of an infant with failure
to thrive who is to be discharged will need follow-up care. Which of the following
would be the most effective method of follow-up?
1.Daily phone calls from the hospital nurse.
2.Enrollment in community parenting classes.
3.Twice-weekly clinic appointments.
4.Weekly visits by a community health nurse.
3.
On the initial visit, the parents may be shocked, fearful, and anxious. Nursing care
should include spending time with the parents to allow them to express their
emotions. The nurse should initially emphasize the neonate's normal
characteristics. After the parents have had sufficient time to adjust to the
neonate's special needs, surgical interventions can be discussed. Telling the
parents that this is not a life-threatening defect or that everything will be all right
after the surgery is not helpful. Doing so discounts their feelings. Reassuring the
parents about the success rate of the surgery can be done once the parents have
had time to adjust to the neonate and express their emotions." - CORRECT
ANSWER A female neonate born vaginally at term with a cleft lip and cleft palate is
admitted to the regular nursery. Which of the following actions should the nurse
do the first time that the parents visit the neonate in the nursery?
1.Explain the surgical interventions that will be performed.
2.Stress that this defect is not life-threatening.
3.Emphasize the neonate's normal characteristics.
, 4.Reassure the parents about the success rate of the surgery
1.
After feeding, the mouth should be cleaned with sterile water, not soapy water, to
reduce the risk for aspiration. The cleft lip should be cleaned with sterile water to
prevent crusting before surgical repair. The neonate needs to be fed in an upright
position to prevent aspiration. The neonate with a cleft lip and palate commonly
swallows large amounts of air during feeding. Therefore, the neonate needs to be
burped frequently to help eliminate the air and decrease the risk for regurgitation.
The neonate with a cleft lip and palate should be fed with a special soft nipple that
fills the cleft and facilitates sucking. - CORRECT ANSWER After teaching the
parents of a neonate born with a cleft lip and cleft palate about appropriate
feeding techniques, the nurse determines that the mother needs further
instruction when the mother says which of the following?
1."I should clean her mouth with soapy water after feeding."
2."I should feed her in an upright position."
3."I need to remember to burp her often."
4."I may need to use a special nipple for feeding.
2.
Breast-feeding is the method of choice for all neonates. Infant feeding is more
difficult for infants with cleft palates because of the inability to create a seal
around the nipple. Maternal nipples most readily conform to the palate and
create an adequate seal. Secondarily utilizing a nipple especially made for the
particular cleft facilitates the seal and encourages an easier suck and swallow.
Assessing the infant's weight and wet diapers on a daily basis monitors the
