Keenan-Lindsay: Leifer’s Introduction to Maternity and Pediatric Nursing in Canada, 1st Edition
MULTIPLE CHOICE
1. A nurse discusses child-proofing the home for safety with the mother of a 9-month-old
infant. Which statement made by the mother would indicate an unsafe behaviour?
a. “I put covers on all of the electrical outlets.”
b. “In the car, she rides in a front-facing car seat.”
c. “There are locks on all of the cabinets in the house.”
d. “I have a gate at the top and bottom of the stairs.”
ANS: B
A rear-facing infant car seat should be used for infants who weighs less than 10 kg
(usually about 1 year of age or more).
DIF: Cognitive Level: Analysis REF: 368 OBJ: 15
TOP: Infant Safety KEY: Nursing Process Step: Evaluation
2. A nurse observes a 10-month-old infant using the index finger and thumb to pick up
pieces of cereal. What does this behaviour indicate the infant has developed?
a. The pincer grasp
b. A grasp reflex
c. Prehension ability
d. The parachute reflex
ANS: A
By 1 year, the pincer-grasp coordination of index finger and thumb is well
established.
DIF: Cognitive Level: Comprehension REF: 359 OBJ: 4
TOP: General Characteristics KEY: Nursing Process Step: Data
Collection
, 3. A mother is concerned because her infant has a diaper rash. What is the best action a
nurse would advise the parent to implement?
a. Use commercial diaper wipes to clean the area.
b. Expose the diaper area to air frequently.
c. Change the infant’s diaper less frequently.
d. Keep the diaper area covered all of the time.
ANS: B
Exposing the skin to air can help dry the area and decrease diaper rash symptoms.
DIF: Cognitive Level: Application REF: 361 OBJ: 6
TOP: Diaper Rash KEY: Nursing Process Step: Implementation
4. A mother of an infant born prematurely tells a nurse, “The baby is irritable. She cries
during diaper changes and feedings. Can you make some suggestions about what I should
do to soothe her?” What is the most appropriate recommendation to help this parent?
a. Play the radio or TV while you feed the infant.
b. Put the infant in a room with sunlight.
c. Wrap the infant snugly when you hold them.
d. Change the infant’s position quickly.
ANS: C
A strategy that may be helpful is to swaddle the infant snugly in a light blanket with
extremities flexed and hands near the face.
DIF: Cognitive Level: Application REF: 361 OBJ: 7
TOP: Infant Care KEY: Nursing Process Step: Implementation
5. What is the most appropriate activity to recommend to parents to promote sensorimotor
stimulation for a 1-year-old infant?
a. Ride a tricycle.
b. Spend time in an infant swing.
c. Play with push-pull toys.
d. Read large picture books.
ANS: C
MULTIPLE CHOICE
1. A nurse discusses child-proofing the home for safety with the mother of a 9-month-old
infant. Which statement made by the mother would indicate an unsafe behaviour?
a. “I put covers on all of the electrical outlets.”
b. “In the car, she rides in a front-facing car seat.”
c. “There are locks on all of the cabinets in the house.”
d. “I have a gate at the top and bottom of the stairs.”
ANS: B
A rear-facing infant car seat should be used for infants who weighs less than 10 kg
(usually about 1 year of age or more).
DIF: Cognitive Level: Analysis REF: 368 OBJ: 15
TOP: Infant Safety KEY: Nursing Process Step: Evaluation
2. A nurse observes a 10-month-old infant using the index finger and thumb to pick up
pieces of cereal. What does this behaviour indicate the infant has developed?
a. The pincer grasp
b. A grasp reflex
c. Prehension ability
d. The parachute reflex
ANS: A
By 1 year, the pincer-grasp coordination of index finger and thumb is well
established.
DIF: Cognitive Level: Comprehension REF: 359 OBJ: 4
TOP: General Characteristics KEY: Nursing Process Step: Data
Collection
, 3. A mother is concerned because her infant has a diaper rash. What is the best action a
nurse would advise the parent to implement?
a. Use commercial diaper wipes to clean the area.
b. Expose the diaper area to air frequently.
c. Change the infant’s diaper less frequently.
d. Keep the diaper area covered all of the time.
ANS: B
Exposing the skin to air can help dry the area and decrease diaper rash symptoms.
DIF: Cognitive Level: Application REF: 361 OBJ: 6
TOP: Diaper Rash KEY: Nursing Process Step: Implementation
4. A mother of an infant born prematurely tells a nurse, “The baby is irritable. She cries
during diaper changes and feedings. Can you make some suggestions about what I should
do to soothe her?” What is the most appropriate recommendation to help this parent?
a. Play the radio or TV while you feed the infant.
b. Put the infant in a room with sunlight.
c. Wrap the infant snugly when you hold them.
d. Change the infant’s position quickly.
ANS: C
A strategy that may be helpful is to swaddle the infant snugly in a light blanket with
extremities flexed and hands near the face.
DIF: Cognitive Level: Application REF: 361 OBJ: 7
TOP: Infant Care KEY: Nursing Process Step: Implementation
5. What is the most appropriate activity to recommend to parents to promote sensorimotor
stimulation for a 1-year-old infant?
a. Ride a tricycle.
b. Spend time in an infant swing.
c. Play with push-pull toys.
d. Read large picture books.
ANS: C
