2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Question 1 pts
A nurse is providing information to a group of pregnant clients and
their partners about the psychosocial development of an infant. Using
Erikson’s theory of psychosocial development, thenurse tells the
group that infants have which developmental need?
Co
orrrecct! Need to rely on the fact that their needs will be met
Must have needs ignored for short periods to develop a healthy
personality
Need to tolerate a great deal of frustration and discomfort to
develop a healthy personality
Need to experience frustration, so it is best to allow an infant tocry
for a while before meeting his or her needs
1/105
,2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Rationale: According to Erikson’s theory of psychosocial
development, infants struggle to establish a sense of basictrust
rather than a sense of basic mistrust in their world, their
caregivers, and themselves. If provided with consistent
satisfying experiences that are delivered in a timely manner,
infants come to rely on the fact that their needs are met and that,
in turn, they will be able to tolerate some degree of frustration
and discomfort until those needs are met. This sense of
confidence is an early form of trust and provides the foundation
for a healthy personality. Therefore the other options are
incorrect.
Test-Taking Strategy: Use the process of elimination. Eliminate
the option that contains the closed-ended word ―must.‖
Eliminate the comparable or alike options and indicate that
experiencing frustration is necessary. ReviewErikson’s theory
of psychosocial development as it relatesto the infant if you had
difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Question 2 pts
A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician’s office for a scheduled visit. The
infant’s weight at birth was 6 lb 8 oz. The nurse notes that the
infant now weighs 13 lb. The nurse should take which action?
Co
orrrec
ct!
Tell the mother that the infant’s weight is increasing as expected.
Tell the mother to decrease the daily number of feedings because
the weight gain is excessive.
Tell the mother that semisolid foods should not be introduced
until the infant’s weight stabilizes.
2/105
,2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Tell the mother that the infant should be switched from breastmilk
to formula because the weight gain is inadequate.
Rationale: Infants usually double their birth weight by 6 months
and triple it by 1 year of age. If the infant is 6 lb 8 oz, at birth, a
weight of 13 lb at 6 months of age is to be expected. Semisolid
foods are usually introduced between4 and 6 months of age.
Test-Taking Strategy: Use the process of elimination andfocus
on the data in the question. Recalling that infants double their
weight by 6 months of age will direct you to the correct
option. Review the growth rate of an infant if you had
difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Question 3 pts
The nurse is assisting with data collection on a well-baby
examination. The nurse measures the head circumference, and it
is the same as the chest circumference. On the basis of this
measurement, the nurse should take which action?
Report the presence of hydrocephalus to the health care
provider.
Suggest to the health care provider that a skull x-ray be
performed.
Tell the mother that the infant is growing faster than expected.
3/105
, 2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Co
orrrecct!
Document these measurements in the infant’s health care record.
Rationale: The head circumference growth rate during the first
year is approximately 0.4 inch (1 cm) per month. By 10 to 12
months of age, the infant’s head and chest circumferences are
equal. Therefore, suspecting the presence of hydrocephalus,
telling the mother that the infant is growing faster than
expected, and suggesting thata skull x-ray be performed are
incorrect.
Test-Taking Strategy: Use the process of elimination. Eliminate
the comparable or alike options that indicate thatthe infant has a
physiological problem. Review the expected growth rate of an
infant if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Developmental Stages
Question 4 pts
A new mother asks the nurse, “I was told that my infant received
my antibodies during pregnancy. Does that mean that my infant is
protected against infections?” Which statement should the nurse
make in response to the mother?
“Yes, your infant is protected from all infections.”
"If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the
infant is 12 months old."
4/105
Question 1 pts
A nurse is providing information to a group of pregnant clients and
their partners about the psychosocial development of an infant. Using
Erikson’s theory of psychosocial development, thenurse tells the
group that infants have which developmental need?
Co
orrrecct! Need to rely on the fact that their needs will be met
Must have needs ignored for short periods to develop a healthy
personality
Need to tolerate a great deal of frustration and discomfort to
develop a healthy personality
Need to experience frustration, so it is best to allow an infant tocry
for a while before meeting his or her needs
1/105
,2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Rationale: According to Erikson’s theory of psychosocial
development, infants struggle to establish a sense of basictrust
rather than a sense of basic mistrust in their world, their
caregivers, and themselves. If provided with consistent
satisfying experiences that are delivered in a timely manner,
infants come to rely on the fact that their needs are met and that,
in turn, they will be able to tolerate some degree of frustration
and discomfort until those needs are met. This sense of
confidence is an early form of trust and provides the foundation
for a healthy personality. Therefore the other options are
incorrect.
Test-Taking Strategy: Use the process of elimination. Eliminate
the option that contains the closed-ended word ―must.‖
Eliminate the comparable or alike options and indicate that
experiencing frustration is necessary. ReviewErikson’s theory
of psychosocial development as it relatesto the infant if you had
difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Question 2 pts
A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician’s office for a scheduled visit. The
infant’s weight at birth was 6 lb 8 oz. The nurse notes that the
infant now weighs 13 lb. The nurse should take which action?
Co
orrrec
ct!
Tell the mother that the infant’s weight is increasing as expected.
Tell the mother to decrease the daily number of feedings because
the weight gain is excessive.
Tell the mother that semisolid foods should not be introduced
until the infant’s weight stabilizes.
2/105
,2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Tell the mother that the infant should be switched from breastmilk
to formula because the weight gain is inadequate.
Rationale: Infants usually double their birth weight by 6 months
and triple it by 1 year of age. If the infant is 6 lb 8 oz, at birth, a
weight of 13 lb at 6 months of age is to be expected. Semisolid
foods are usually introduced between4 and 6 months of age.
Test-Taking Strategy: Use the process of elimination andfocus
on the data in the question. Recalling that infants double their
weight by 6 months of age will direct you to the correct
option. Review the growth rate of an infant if you had
difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Question 3 pts
The nurse is assisting with data collection on a well-baby
examination. The nurse measures the head circumference, and it
is the same as the chest circumference. On the basis of this
measurement, the nurse should take which action?
Report the presence of hydrocephalus to the health care
provider.
Suggest to the health care provider that a skull x-ray be
performed.
Tell the mother that the infant is growing faster than expected.
3/105
, 2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
Co
orrrecct!
Document these measurements in the infant’s health care record.
Rationale: The head circumference growth rate during the first
year is approximately 0.4 inch (1 cm) per month. By 10 to 12
months of age, the infant’s head and chest circumferences are
equal. Therefore, suspecting the presence of hydrocephalus,
telling the mother that the infant is growing faster than
expected, and suggesting thata skull x-ray be performed are
incorrect.
Test-Taking Strategy: Use the process of elimination. Eliminate
the comparable or alike options that indicate thatthe infant has a
physiological problem. Review the expected growth rate of an
infant if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Developmental Stages
Question 4 pts
A new mother asks the nurse, “I was told that my infant received
my antibodies during pregnancy. Does that mean that my infant is
protected against infections?” Which statement should the nurse
make in response to the mother?
“Yes, your infant is protected from all infections.”
"If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the
infant is 12 months old."
4/105
