D. Able to grasp object voluntarily - correct answer The nurse expects which
characteristic of fine motor skills in a 5-month-old infant?
A. Strong grasp reflex
B. Neat pincer grasp
C. Able to build a tower of two cubes
D. Able to grasp object voluntarily
C. developmental/neurologic evaluation is needed. - correct answer The nurse is
assessing a 6-month-old infant who smiles, coos, and has a strong head lag. The nurse
should recognize that:
A. this assessment is normal.
B. the child is probably cognitively impaired.
C. developmental/neurologic evaluation is needed.
D. the parent needs to work with the infant to stop head lag.
A. trust. - correct answer The nurse educator instructs a nursing student that according
to Erikson, infancy is concerned with acquiring a sense of:
A. trust.
B. industry.
C. initiative.
D. separation.
B. this is a normal reaction for this age. - correct answer A parent of an 8-month-old
infant tells the nurse that the baby cries and screams whenever he or she is left with the
grandparents. The nurse's reply should be based on knowledge that:
A. the infant is most likely spoiled.
B. this is a normal reaction for this age.
C. this is an abnormal reaction for this age.
D. grandparents are not responsive to that infant.
C. 10 months - correct answer At what age would the nurse advise parents to expect
their infant to be able to say "mama" and "dada" with meaning?
A. 4 months
B. 6 months
C. 10 months
D. 14 months
, D. There is no need to restrain nonnutritive sucking during infancy. - correct answer The
parents of a 9-month-old infant tell the nurse that they are worried about their baby's
thumb-sucking. What is the nurse's BEST reply?
A. A pacifier should be substituted for the thumb.
B. Thumb-sucking should be discouraged by age 12 months.
C. Thumb-sucking should be discouraged when the teeth begin to erupt.
D. There is no need to restrain nonnutritive sucking during infancy.
C. give child a frozen teething ring to relieve inflammation. - correct answer The MOST
appropriate recommendation for relief of teething pain is to instruct the parents to:
A. rub gums with aspirin to relieve inflammation.
B. apply hydrogen peroxide to gums to relieve irritation.
C. give child a frozen teething ring to relieve inflammation.
D. have child chew on a warm teething ring to encourage tooth eruption.
A. fluids in addition to breast milk are not needed. - correct answer The mother of a 3-
month-old breastfed infant asks about giving her baby water since it is summer and very
warm. The nurse should recommend that:
A. fluids in addition to breast milk are not needed.
B. water should be given if the infant seems to nurse longer than usual.
C. water once or twice a day will make up for losses caused by environmental
temperature.
D. clear juices would be better than water to promote adequate fluid intake.
D. "Feeding himself will help foster his growth and development. Perhaps we can
discuss ways to make the messes more tolerable." - correct answer The parent of a 12-
month-old infant says to the nurse, "He pushes the teaspoon right out of my hand when
I feed him. I can't let him feed himself; he makes too much of a mess." The nurse's
BEST response is:
A. "It's important not to give in to this kind of temper tantrum at this age. Simply ignore
the behavior and the mess."
B. "You need to try different types of utensils, bowls, and plates. Some are specifically
designed for young children."
C. "It's important to let him make a mess. Just try not to worry about it so much."
D. "Feeding himself will help foster his growth and development. Perhaps we can
discuss ways to make the messes more tolerable."
B. Beginning to put her to bed while still awake - correct answer The parents of a 5-
month-old girl complain to the nurse that they are exhausted because she still wakes up
as often as every 1 to 2 hours during the night. When she awakens, they change her
diaper, and her mother nurses her back to sleep. What should the nurse suggest to help
them deal with this problem?
A. Putting her in parents' bed to cuddle
B. Beginning to put her to bed while still awake
C. Letting her cry herself back to sleep
D. Giving her a bottle of formula instead of breastfeeding her so often at night