Chapter 14 The Infant Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition

MULTIPLE CHOICE 1. A mother calls the pediatric health care provider’s office because her infant is “colicky.” What is the most helpful measure a nurse can suggest to the mother?. a. Sing songs to the infant in a soft voice b. Place the infant in a well-lit room. c. Hold supporting the abdomen. d. Rock the fussy infant quickly. ANS: C One technique the nurse can offer parents of a fussy infant is to hold using the “colic carry”. Holding the infant face down and close to the body while supporting the abdomen and providing a gentle slow rocking motion of the pelvis, often soothes the colicky infant. DIF: Cognitive Level: Application REF: 361 OBJ: 7 TOP: Colic KEY: Nursing Process Step: Implementation 2. When does the posterior fontanelle close? a. 3 months b. 6 months c. 9 months d. 12 months ANS: A The posterior fontanelle closes by 3 months of age. DIF: Cognitive Level: Knowledge REF: 369 OBJ: 5 TOP: Fontanelles KEY: Nursing Process Step: Data Collection 3. At what age does an infant’s birth weight triple? a. 9 months b. 1 year c. 18 months d. 2 years ANS: B The infant usually triples his or her birth weight by about 12 months of age. DIF: Cognitive Level: Knowledge REF: 369 OBJ: 5 TOP: Development and Care KEY: Nursing Process Step: Data Collection 4. What is the earliest age at which an infant is able to sit steadily alone? a. 4 months b. 5 months c. 8 months d. 15 months ANS: C The infant can sit alone without support at about 8 months of age. DIF: Cognitive Level: Knowledge REF: 358 OBJ: 5 TOP: Sitting Alone KEY: Nursing Process Step: Data Collection 5. What is the earliest age at which the infant is usually able to walk independently? a. 8 to 10 months b. 12 to 15 months c. 15 to 18 months d. 18 to 21 months ANS: B For the majority of children, the milestone of walking alone is achieved between 12 and 15 months. DIF: Cognitive Level: Knowledge REF: 360 OBJ: 4 TOP: Walk Independently KEY: Nursing Process Step: Data Collection 6. The parent of a 3-month-old infant asks a nurse, “At what age do infants usually begin drinking from a cup?” What is the nurse’s most accurate response? a. 6 months b. 9 months c. 1 year d. 2 years ANS: A The infant can usually drink from a cup when it is offered at about 6 months. DIF: Cognitive Level: Comprehension REF: 357 OBJ: 9 | 14 TOP: Drink from Cup KEY: Nursing Process Step: Implementation 7. What would a nurse expect a 4-month-old infant to be able to accomplish? a. Hold a cup. b. Stand with assistance. c. Lift head and shoulders. d. Sit with back straight. ANS: C Because development is cephalocaudal; of these choices, lifting the head and shoulders is the one that the infant learns to do first. The infant can usually sit with support at about 5 months of age and can sit alone at about 8 months. DIF: Cognitive Level: Comprehension REF: 357 | 358 OBJ: 4 TOP: Development and Care KEY: Nursing Process Step: Data Collection 8. What is an abnormal finding in an evaluation of growth and development for a 6-month-old infant? a. Weight gain of 120 to 200 g per week