Ch5 Health Promotion Of The Infant.

Front 1

Which of the following characteristics best describes the fine motor skills of 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

Back 1

D. Able to grasp object voluntarily
This is appropriate for a 5-month-old infant.

Front 2

A parent of an 8-month-old infant tells the nurse that the baby cries and screams whenever the infant is left with the grandparents. The nurse's reply should be based on which of the following?
A. 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 infant.

Back 2

B. This is a normal reaction for this age.
The infant is feeling stranger anxiety, which is expected for this age.

Front 3

Which of the following is the earliest age that the nurse should expect an infant to be able to say "mama" and "dada" with meaning?
A. 4 months
B. 6 months
C. 10 months
D. 14 months

Back 3

C. 10 months
At this age, babbling resembles one-syllable sounds.

Front 4

The parents of a 9-month-old infant tell the nurse that they are worried about their baby's thumb-sucking. The nurse's reply should be based on which of the following?
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.

Back 4

D. There is no need to restrain nonnutritive sucking during infancy.
Nonnutritive sucking reaches its peak at about 18 to 20 months of age.

Front 5

Which of the following is the most appropriate recommendation for relief of teething pain?
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.

Back 5

C. Give child a frozen teething ring to relieve inflammation.
Cold reduces inflammation and should be used for relief of teething irritation.

Front 6

The mother of a 3-month-old breast-fed infant asks about giving her baby water because 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 infant seems to nurse longer than usual.
C. Water once or twice a day will make up for losses resulting from environmental temperature.
D. Clear juices would be better than water to promote adequate fluid intake.

Back 6

A. Fluids in addition to breast milk are not needed.
The child will nurse according to needs. Additional fluids are not necessary for the breast-fed baby.

Front 7

The parent of 12-month-old Chris 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 mess." The nurse's best response is which of the following?
A. "It's important not to give in to this kind of temper tantrum at this age."
B. "Maybe you need to try a different type of spoon, one designed for children."
C. "It's important to let him make a mess. Just don't worry about it so much."
D. "He is old enough to feed himself. Let's think of ways to make the mess more tolerable."

Back 7

D. "He is old enough to feed himself. Let's think of ways to make the mess more tolerable."
At 12 months the child should be self-feeding. Because children this age eat primarily finger foods, it is useful to offer the parent suggestions for keeping mess to a minimum.

Front 8

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. Which of the following should the nurse suggest to help them deal with this problem?
A. Put her in parents' bed to cuddle.
B. Start putting her to bed while still awake.
C. Let her cry herself back to sleep.
D. Give her a bottle of formula instead of breast-feeding her so often at night.

Back 8

B. Start putting her to bed while still awake.
Providing formula at night will contribute to bottle-mouth caries.

Front 9

Michael, age 4 months, is brought to the clinic by his parents for a well-baby checkup. Which of the following should the nurse include at this time concerning injury prevention?
A. "Never shake baby powder directly on Michael because it can be aspirated into his lungs."
B. "Do not permit Michael to chew paint from window ledges because he might absorb too much lead."
C. "When Michael learns to roll over, you must supervise him whenever he is on a surface from which he might fall."
D. "Keep doors of appliances closed at all times."

Back 9

C. "When Michael learns to roll over, you must supervise him whenever he is on a surface from which he might fall."
Rolling over from abdomen to back occurs between 4 and 7 months. This is the appropriate anticipatory guidance for this age.

Front 10

Which of the following best describes colic?
A. Periods of abdominal pain that result in weight loss
B. Periods of abdominal pain and crying that occur in infants over age 6 months
C. A paroxysmal abdominal pain or cramping manifested by episodes of loud crying
D. Usually the result of poor or inadequate mothering

Back 10

C. A paroxysmal abdominal pain or cramping manifested by episodes of loud crying
This is the correct definition of colic.

Front 11

Which of the following interventions lowers the risk of sudden infant death syndrome?
A. Smoking near infant
B. Putting infant to sleep in the supine position
C. Having infant sleep with parents instead of alone in crib
D. Making sure infant is kept very warm while sleeping

Back 11

B. Putting infant to sleep in the supine position
The "Back to Sleep" campaign is given credit for reducing the rate of SIDS in the United States.

Front 12

Why are infants particularly vulnerable to acceleration-deceleration head injuries?
A. Anterior fontanel is not yet closed.
B. Nervous tissue is not well developed.
C. Scalp has extensive vascularity.
D. Musculoskeletal support of head is insufficient.

Back 12

D. Musculoskeletal support of head is insufficient.
The relatively large head size coupled with insufficient musculoskeletal support increases the risk to infants.