MODULE 1: DEVELOPMENTAL STAGES
A nurse is teaching the mother of an 11-month-old infant how to
AND TRANSITIONS
7.
clean the infant's teeth. What should the nurse tell the mother to
1. 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, what should the nurse tell the
group about the infants?
Rely on the fact that their needs will be met
Need to tolerate a great deal of frustration and discomfort to
develop a healthy personality
Must have needs ignored for short periods to develop a healthy
personality
Need to experience frustration, so it is best to allow an infant to cry
for a while before meeting his or her needs
2. 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 (2.9 kg). The nurse notes that the infant
now weighs 13 lb (5.9 kg). Which action should the nurse take?
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
Tell the mother that the infant should be switched from breast milk
to formula because the weight gain is inadequate
3. A nurse performing a physical assessment of a 12-month-old
infant notes that the infant's head circumference is the same as the
chest circumference. Based on this finding, what should the nurse
do?
Suspect the presence of hydrocephalus
Suggest to the pediatrician that a skull x-ray be performed
Tell the mother that the infant is growing faster than expected
Document these measurements in the infant's health-care record
4. 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."
"The immune system of an infant is immature, and the infant is at
risk for infection."
5. A nurse is assessing the language development of a 9-month-old
infant. Which developmental milestone does the nurse expect to
note in an infant of this age?
The infant babbles.
The infant says
"Mama."
The infant smiles and coos.
The infant babbles single consonants.
6. The mother of a 9-month-old infant calls the nurse at the
pediatrician's office, tells the nurse that her infant is teething, and
asks what can be done to relieve the infant's discomfort. What
should the nurse instruct the mother to do?
Schedule an appointment with a dentist for a dental evaluation
Rub the infant's gums with baby aspirin that has been dissolved in
, MODULE 1: DEVELOPMENTAL STAGES AND TRANSITIONS
"I need to keep large toys out of the crib."
Use water and a cotton swab and rub the teeth "The drop side needs to be impossible for my infant to release."
Use diluted fluoride and rub the teeth with a soft washcloth "Wood surfaces on the crib need to be free of splinters and cracks."
Use a small amount of toothpaste and a soft-bristle "The distance between the slats needs to be no more than 4 inches
toothbrush (10 cm) wide to prevent entrapment of my infant's head or
Dip the infant's pacifier in maple syrup so that the infant will suck body."
8. A nurse provides information about feeding to the mother of a 11. The mother of a 2-year-old tells the nurse that she is very
6- month-old infant. Which statement by the mother indicates an concerned about her child because he has developed "a will of his
understanding of the information? own" and "acts as if he can control others." The nurse provides
information to the mother to alleviate her concern, recalling that,
according to Erikson, a toddler is confronting which developmental
"I can mix the food in the my infant's bottle if he won't eat it."
task?
"Fluoride supplementation is not necessary until permanent teeth
come in."
"Egg white should not be given to my infant because of the risk Initiative versus guilt
for an allergy." Trust versus mistrust
"Meats are really important for iron, and I should start feeding Industry versus inferiority
meats to my infant right away." Autonomy versus doubt and shame
9. A nurse provides instructions to a mother of a newborn infant 12. A nurse is planning care for a hospitalized toddler. To best
who weighs 7 lb 2 oz (3.2 kg) about car safety. What should the maintain the toddler's sense of control and security and ease
nurse tell the mother? feelings of helplessness and fear, which action should the nurse
take?
To secure the infant in the middle of the back seat in a rear-facing
infant safety seat Spend as much time as possible with the toddler
To place the infant in a booster seat in the front seat of the car with Keep hospital routines as similar as possible to those at home
the shoulder and lap belts secured around the infant Allow the toddler to play with other children in the nursing unit
That it is acceptable to place the infant in the front seat in a rear- playroom
facing infant safety seat as long as the car has passenger-side air Allow the toddler to select toys from the nursing unit playroom that
bags can be brought into the toddler's hospital room
That because of the infant's weight it is acceptable to hold the
infant as long as the mother and infant are sitting in the middle 13. A nurse in a daycare setting is planning play activities for 2- and
of the back seat of the car 3-year-old children. Which toy is most appropriate for these
activities?
10. A nurse provides instructions to a mother about crib safety for
her infant. Which statement by the mother indicates a need for Blocks and push-pull toys
further instructions? Finger paints and card games
Simple board games and puzzles
Videos and cutting-and-pasting toys
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