C HAPTER 15: C ARE OF THE N EWBORN AND
I NFANT
MULTIPLE CHOICE
1. Which statement concerning physiological factors of infancy is true?
a. The infant has a slower metabolic rate than an adult.
b. An infant is not able to digest protein and lactase.
c. Infants have a slower circulatory response than adults.
d. The kidneys of an infant are less efficient in concentrating urine than an
adults kidneys.
ANS: D
The infants kidneys are not as effective at concentrating urine compared with
an adults kidneys because of immaturity of the renal system and a slower
glomerular filtration rates. The infants metabolic rate is faster, not slower,
than an adults. Although the newborn infants gastrointestinal system is
immature, it is capable of digesting protein and lactase, but the ability to
digest and absorb fat does not reach adult levels until approximately 6 to 9
months of age.
2. Which is a priority in counseling parents of a 6-month-old infant?
a. Increased appetite from secondary growth spurt
b. Allowing the infant to self-feed
c. Securing a developmentally safe environment for the infant
d. Strategies to teach infants to sit up
, ANS: C
Safety is a primary concern as an infant becomes increasingly mobile. The
infants appetite and growth velocity decrease in the second half of infancy.
Fine motor development, which is refined in the second half of infancy, is
necessary before the infant can self-feed. Unless the infant has a
neuromuscular deficit, strategies for teaching a normally developing infant to
sit up are not necessary.
3. A mother of a 2-month-old infant tells the nurse, My child doesnt sleep as much
as his older brother did at the same age. What is the best response for the nurse?
a. Have you tried to feed the baby more often?
b. Infant sleep patterns vary widely, with some infants sleeping only 2 to 3
hours at a time.
c. It is helpful to keep a record of your babys eating, waking, sleeping, and
elimination patterns and to come back in a week to discuss them.
d. This infant is difficult. It is important for you to identify what i s bothering
the baby.
ANS: B
Newborn infants may sleep as much as 17 to 20 hours per day. Sleep patterns
vary widely, with some infants sleeping only 2 to 3 hours at a time. Infants
typically do not need more caloric intake to improve sleep behaviors. K eeping
intake, output, waking, and sleeping data is not typically helpful in discussing
differences among infants behaviors. Identifying an infant as difficult without
identifying helpful actions is not a therapeutic response for a parent
concerned about sleep.
4. The mother of a 10-month-old infant tells the nurse that her infant really likes
I NFANT
MULTIPLE CHOICE
1. Which statement concerning physiological factors of infancy is true?
a. The infant has a slower metabolic rate than an adult.
b. An infant is not able to digest protein and lactase.
c. Infants have a slower circulatory response than adults.
d. The kidneys of an infant are less efficient in concentrating urine than an
adults kidneys.
ANS: D
The infants kidneys are not as effective at concentrating urine compared with
an adults kidneys because of immaturity of the renal system and a slower
glomerular filtration rates. The infants metabolic rate is faster, not slower,
than an adults. Although the newborn infants gastrointestinal system is
immature, it is capable of digesting protein and lactase, but the ability to
digest and absorb fat does not reach adult levels until approximately 6 to 9
months of age.
2. Which is a priority in counseling parents of a 6-month-old infant?
a. Increased appetite from secondary growth spurt
b. Allowing the infant to self-feed
c. Securing a developmentally safe environment for the infant
d. Strategies to teach infants to sit up
, ANS: C
Safety is a primary concern as an infant becomes increasingly mobile. The
infants appetite and growth velocity decrease in the second half of infancy.
Fine motor development, which is refined in the second half of infancy, is
necessary before the infant can self-feed. Unless the infant has a
neuromuscular deficit, strategies for teaching a normally developing infant to
sit up are not necessary.
3. A mother of a 2-month-old infant tells the nurse, My child doesnt sleep as much
as his older brother did at the same age. What is the best response for the nurse?
a. Have you tried to feed the baby more often?
b. Infant sleep patterns vary widely, with some infants sleeping only 2 to 3
hours at a time.
c. It is helpful to keep a record of your babys eating, waking, sleeping, and
elimination patterns and to come back in a week to discuss them.
d. This infant is difficult. It is important for you to identify what i s bothering
the baby.
ANS: B
Newborn infants may sleep as much as 17 to 20 hours per day. Sleep patterns
vary widely, with some infants sleeping only 2 to 3 hours at a time. Infants
typically do not need more caloric intake to improve sleep behaviors. K eeping
intake, output, waking, and sleeping data is not typically helpful in discussing
differences among infants behaviors. Identifying an infant as difficult without
identifying helpful actions is not a therapeutic response for a parent
concerned about sleep.
4. The mother of a 10-month-old infant tells the nurse that her infant really likes
