Deck 7: Health Promotion and Maintenance for the Newborn and Infant

Question 1

A mother asks which developmental milestones she can expect when her baby is 6 months old. Which response by the nurse is the most appropriate?
1) Lifts head momentarily when prone
2) Has well-developed pincer grasp
3) Transfers objects from one hand to the other
4) Rolls from front to back

Answer 1

3

Question 2

A nurse assesses the height and weight measurements on an infant and documents these measurements at the 75th percentile. The nurse notes that the previous measurements two months ago were at the 25th percentile. Which interpretation by the nurse is the most accurate?
1) The infant is not gaining enough weight.
2) The infant has gained a significant amount of weight.
3) The previous measurements were most likely inaccurate.
4) These measurements are most likely inaccurate.

Answer 2

2

Question 3

The nurse is planning care for clients seen in a newborn clinic. Which is the priority for a newborn client during the first clinic visit?
1) Providing pamphlets to reinforce information provided at the visit
2) Assessing the newborn-family interactions
3) Modeling infant-nurturing behaviors
4) Informing the parents of the infant's gains in height and weight

Answer 3

2

Question 4

A follow-up visit for a newborn client is scheduled with the pediatric nurse practitioner 3 days after discharge. What will the nurse include in the assessment during the scheduled visit for this newborn? Select all that apply.
1) Feeding pattern
2) Jaundice
3) Length
4) Vision screen
5) Sleep pattern

Question 5

The nurse is teaching the mothers of three-month-olds about oral health. Which of the following should the nurse include? Select all that apply.
1) Include iron vitamins once a day.
2) Avoid breastfeeding or drinking from a bottle when sleeping.
3) Allow to drink from a bottle at will during the day.
4) Cleanse gums 1 to 2 times a day.
5) Put baby to bed with a bottle of 2 percent milk only.

Question 6

The nurse is assessing an infant client and parents during a routine health supervision visit at 2 months of age. Which items will the nurse assess to determine if the infant's mental health needs are being addressed? Select all that apply.
1) Immunization record
2) Newborn screen results
3) Temperament during the visit
4) Feeding schedule
5) Sleep-wake patterns

Question 7

The nurse working with a family has observed that the older children have a large number of dental caries and plans to provide the mother with information to prevent the development of dental caries in her new infant. Which interventions will prevent the development of dental caries in the infant? Select all that apply.
1) Avoiding nursing or giving the infant a bottle at bedtime
2) Giving foods high in sugar only at breakfast time
3) Using a soft moist gauze for cleaning
4) Using a topical anesthetic daily beginning as soon as the first tooth begins to erupt

Question 8

A mother who is bottle feeding her newborn asks to be discharged 24 hours post-delivery, because she also has twin 2-year-old children at home. When should the nurse schedule the first office visit for this newborn?
1) Within 48 hours of discharge
2) Within 1 week of discharge
3) Within 2 weeks of discharge
4) When the infant is 1-month old

Question 9

A nursery nurse is planning care for the newborns currently in the newborn nursery. Which activities does the nurse plan for the first 48 hours of life? Select all that apply.
1) Monitor feeding behaviors
2) Perform a hearing screening
3) Perform a heel stick to obtain blood for the newborn screen
4) Monitor the mother as she performs the first newborn bath to remove blood and amniotic fluids
5) Administer folic-acid injection to the infant to prevent bleeding

Question 10

A nurse asks the mother of a 4-month-old infant to undress the infant. The nurse observes the mother taking off several layers of clothing and knows that the outdoor temperature is 70 degrees Fahrenheit. Which statement by the nurse is most appropriate in this situation?
1) "My, you are dressing your infant warmly today."
2) "Did you think it was cold when you left your home this morning?"
3) "I see that you have many layers of clothing on your baby. This may cause your baby's temperature to rise."
4) "When you leave the office, only put one layer of clothing on your baby."

Question 11

The nurse in the newborn nursery is admitting a neonate. To determine the health and development of the newborn, what will the nurse include in the assessment? Select all that apply.
1) Head circumference
2) Body length
3) Weight
4) Length of pregnancy
5) Hearing screens

Question 12

The nurse is providing anticipatory guidance instructions to the parents of a newborn. Which instruction should the nurse give as a strategy for illness/disease prevention?
1) Don't allow visitors for the first month
2) Smoke outside only
3) Take the newborn to weekly child-stimulation classes
4) SIDS risk-reduction measures

Question 13

The nurse is teaching a mother of a 2-month-old that she will begin to introduce certain foods to the diet between 4 and 6 months. The nurse should recommend what foods? Select all that apply.
1) Vegetables
2) Pasta
3) Rice cereal
4) Fruits
5) Soups

Question 14

The nurse is teaching a new mother developmental expectations. Which activity should the nurse expect a newborn to do within the first month of life?
1) Bring hands to eyes and mouth
2) Push up with hands, moving chest up
3) Keep hands in a relaxed position
4) Roll over from back to abdomen

Question 15

An infant weighs 9 pounds 3 ounces at birth. The nurse plans to make a home visit to the mother and infant when the infant is 7 days old. What is the lowest acceptable weight the infant should be at this age?
1) 7 pounds 12 ounces
2) 8 pounds 2 ounces
3) 8 pounds 12 ounces
4) 9 pounds

Question 16

Injury prevention is an important aspect of parent teaching. Which injury prevention strategy would reduce the risk of suffocation?
1) Measure crib slat spacing at 2-3/8 inches or less.
2) Never leave an infant alone in a bath.
3) Position the infant on her back to sleep.
4) Use only approved restraint systems.

Question 17

While teaching parents of a newborn about normal growth and development, which statement is most appropriate for the nurse to include in the session?
1) Weight should triple by 6 months of age.
2) Weight should double by 1 year of age.
3) Weight should double by 4 months of age.
4) Weight should triple by 1 year of age.

Question 18

A nurse is assessing an 11-month-old infant and notes that the infant's height and weight are at the 5th percentile on the growth chart. Family history reveals that the infant's two siblings are at the 50th percentile for height and at the 75th percentile for weight. Psychosocial history reveals that the parents are separated and are planning to divorce. Which of these nursing diagnoses takes priority?
1) Alteration in Growth Pattern Related to Parental Anxiety
2) Alteration in Growth Pattern Secondary to Familial Short Stature
3) Nutritional Intake: Excessive Secondary to Maternal Feeding Patterns
4) At Risk for Constitutional Growth Delay Related to Decreased Appetite