Test Bank for Introduction to
Maternity and Pediatric
Nursing 9th Edition by Gloria
Leifer
Chapter 16-20
Chapter 16: The Infant
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. The 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 behavior?
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 younger than 1 year of age.
DIF: Cognitive Level: Analysis REF: p. 412 OBJ: 16
TOP: Infant Safety KEY: Nursing Process Step: Evaluation
, MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of
cereal. What does this behavior 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: p. 396 OBJ: 4
TOP: General Characteristics KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. A parent is concerned because her infant has a diaper rash. What is the best action the nurse
would advise the parent to implement?
a. Use commercial diaper wipes to clean the area.
b. Apply a protective ointment on the area.
c. Change the infant‘s diaper less frequently.
d. Keep the diaper area covered all of the time.
ANS: B
A protective ointment can be applied when the skin in the diaper area appears pink and
irritated.
DIF: Cognitive Level: Application REF: p. 405 OBJ: 6
TOP: Diaper Rash KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. The mother of an infant born prematurely tells the 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: p. 404 OBJ: 7
TOP: Infant Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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
Push-pull toys are appropriate to promote sensorimotor stimulation for a 1-year-old infant.
DIF: Cognitive Level: Analysis REF: p. 413 | Table 16.3
OBJ: 17 TOP: Infant Safety
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. Which statement indicates the mother of an 8-month-old infant understands infant sleep patterns?
a. “I put the baby in my bed until she falls asleep, then I put her in her crib.”
b. “I let the baby skip an afternoon nap so that she will fall asleep earlier.”
c. “I put the pacifier in the crib so that she can find it when she wakes up.”
d. “I rock the baby back to sleep if she wakes up at night.”
ANS: C
The parent should assist the infant to develop self-soothing behaviors so that the infant can
get back to sleep on her own.
DIF: Cognitive Level: Analysis REF: p. 404 OBJ: 8
, TOP: Sleep Patterns KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. How might the nurse demonstrate the parachute reflex with an infant?
a. Lifting the infant high in the air above her head
b. Holding the infant in a football hold, cradling the head
c. Seating the infant in a stroller in an upright position
d. Placing the infant downward into the crib
ANS: D
The infant, when placed downward in a prone position, will protectively extend the arms.
DIF: Cognitive Level: Comprehension REF: p. 396 OBJ: 4
TOP: Parachute Reflex KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to
their child. What is the correct response?
a. “The infant has limited ability to produce red blood cells.”
b. “The infant has ineffective digestive enzymes.”
c. “The infant has exhausted maternal iron stores.”
d. “The infant has need of the iron to support dentition.”
ANS: C
It is necessary to offer iron-rich formula to the children when they exhausted maternal iron
stores.
DIF: Cognitive Level: Comprehension REF: p. 407 OBJ: 12
TOP: Iron Supplement KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. A mother calls the pediatrician‘s office because her infant is “colicky.” What is the most helpful
measure the 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. Walk around and massage the infant‘s back.
Maternity and Pediatric
Nursing 9th Edition by Gloria
Leifer
Chapter 16-20
Chapter 16: The Infant
Leifer: Introduction to Maternity and Pediatric Nursing, 9th Edition
MULTIPLE CHOICE
1. The 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 behavior?
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 younger than 1 year of age.
DIF: Cognitive Level: Analysis REF: p. 412 OBJ: 16
TOP: Infant Safety KEY: Nursing Process Step: Evaluation
, MSC: NCLEX: Safe, Effective Care Environment: Safety and Infection Control
2. The nurse observes a 10-month-old infant using her index finger and thumb to pick up pieces of
cereal. What does this behavior 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: p. 396 OBJ: 4
TOP: General Characteristics KEY: Nursing Process Step: Data Collection
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
3. A parent is concerned because her infant has a diaper rash. What is the best action the nurse
would advise the parent to implement?
a. Use commercial diaper wipes to clean the area.
b. Apply a protective ointment on the area.
c. Change the infant‘s diaper less frequently.
d. Keep the diaper area covered all of the time.
ANS: B
A protective ointment can be applied when the skin in the diaper area appears pink and
irritated.
DIF: Cognitive Level: Application REF: p. 405 OBJ: 6
TOP: Diaper Rash KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
4. The mother of an infant born prematurely tells the 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: p. 404 OBJ: 7
TOP: Infant Care KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
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
Push-pull toys are appropriate to promote sensorimotor stimulation for a 1-year-old infant.
DIF: Cognitive Level: Analysis REF: p. 413 | Table 16.3
OBJ: 17 TOP: Infant Safety
KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
6. Which statement indicates the mother of an 8-month-old infant understands infant sleep patterns?
a. “I put the baby in my bed until she falls asleep, then I put her in her crib.”
b. “I let the baby skip an afternoon nap so that she will fall asleep earlier.”
c. “I put the pacifier in the crib so that she can find it when she wakes up.”
d. “I rock the baby back to sleep if she wakes up at night.”
ANS: C
The parent should assist the infant to develop self-soothing behaviors so that the infant can
get back to sleep on her own.
DIF: Cognitive Level: Analysis REF: p. 404 OBJ: 8
, TOP: Sleep Patterns KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
7. How might the nurse demonstrate the parachute reflex with an infant?
a. Lifting the infant high in the air above her head
b. Holding the infant in a football hold, cradling the head
c. Seating the infant in a stroller in an upright position
d. Placing the infant downward into the crib
ANS: D
The infant, when placed downward in a prone position, will protectively extend the arms.
DIF: Cognitive Level: Comprehension REF: p. 396 OBJ: 4
TOP: Parachute Reflex KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
8. Parents of a 6-month-old infant ask the nurse why it is necessary to offer iron-rich formula to
their child. What is the correct response?
a. “The infant has limited ability to produce red blood cells.”
b. “The infant has ineffective digestive enzymes.”
c. “The infant has exhausted maternal iron stores.”
d. “The infant has need of the iron to support dentition.”
ANS: C
It is necessary to offer iron-rich formula to the children when they exhausted maternal iron
stores.
DIF: Cognitive Level: Comprehension REF: p. 407 OBJ: 12
TOP: Iron Supplement KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: Growth and Development
9. A mother calls the pediatrician‘s office because her infant is “colicky.” What is the most helpful
measure the 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. Walk around and massage the infant‘s back.
