Deck 23: Home Care of the Infant

Question 1

The nurse is calling a new mother to schedule a routine home visit planned for 48 to 72 hours after discharge. What is the nurse's priority question to help determine the best time for the visit?

A) "When will the baby's father be home?"
B) "Do you plan on having any visitors in the day or two?"
C) "At approximately what time do you think you will be nursing your baby?"
D) "When will your home be presentable enough for me to come and visit?"

Answer 1

"At approximately what time do you think you will be nursing your baby?"

Question 2

Which should be included in the home care of a high-risk infant?

A) Feeding the infant on a strict schedule
B) Keeping the infant in the supine or prone position
C) Providing continued respiratory support and oxygen
D) Cleaning the umbilical cord several times daily with alcohol

Answer 2

Providing continued respiratory support and oxygen

Question 3

Which statement made by a parent indicates a need for the nurse to teach safety and accident prevention?

A) "I always take the phone off the hook when I give my baby a bath so I won't be disturbed."
B) "I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy."
C) "I've been reading about what new things my baby will be learning to do in the next month or two, so I'll know what to expect."
D) "I make sure I always raise the side of the crib when I put my baby to sleep, even though newborns don't move around as much as older infants."

Answer 3

"I'm going to buy a backpack for my 2-week-old baby so I can carry her in it whenever she gets fussy."

Question 4

A client is being prepared for discharge with her newborn. She tells you about the antique crib she inherited from her grandmother and how excited she is about using it for her newborn. Which information should be cause for concern?

A)The crib slats are 3 1/2 inches apart.
B) The crib has been stripped and repainted with a lead-free paint.
C) The mattress fits snugly in the crib with ½-inch space around the sides.
D) The side rail hardware has been replaced so that the latches remain fastened.

Question 5

As the nurse assists a newly discharged client and her infant to the waiting car, the nurse notes that the infant seat is in the front seat of the car facing the front and secured by the seat belt. The nurse should explain to the parents that the car seat should be placed:

A) in an upright position.
B) at a 30-degree angle.
C) not secured by the seat belt.
D) in the back seat facing the rear of the car.

Question 6

Which infant should be seen immediately by a health care provider?

A) A 1-week-old infant with a diaper rash
B) A 1-month-old infant with an axillary temperature of 99.8° F (37.7° C)
C) A 3-week-old breast-fed infant who has had two loose stools
D) A 2-week-old infant with nasal congestion and respirations of 64 breaths/min

Question 7

Which statement by the parents indicates the need for further education with regard to pacifier use?

A) "We will discard the pacifier if it becomes torn."
B) "We will replace the pacifier every 1 to 2 months."
C) "We will be sure to cleanse the pacifier frequently."
D) "We will keep track of the pacifier by tying it to a string around the baby's neck."

Question 8

Which is a sign of illness in the newborn?

A) A yellow scaly lesion on the scalp
B) More than two soft stools per day
C) Regurgitating a small amount of feeding
D) An axillary temperature greater than 100.4° F (38° C)

Question 9

A new client asks what she can do to help her infant sleep through the night. Which should the nurse instruct?

A) Bring the infant into a well-lit room for the feeding.
B) Avoid talking to the infant and keep the room quiet during night feedings.
C) Play with the infant after the feeding before putting the infant back into the crib.
D) Change the infant's diaper after the feeding to prevent waking the infant later in the night.

Question 10

During the first 6 months of life, the infant should have well-baby checkups at which interval?

A) 1 to 2 weeks
B) 2 to 4 weeks
C) 1 to 2 months
D) 3 to 4 months

Question 11

An infant who eats very rapidly may experience problems with swallowing excessive air. What should the mother be instructed to do?

A) Use a nipple with a smaller hole.
B) Place the infant on the left side after feeding.
C) Provide the infant with water between feedings.
D) Begin the feeding before the infant becomes too hungry.

Question 12

A new mother asks, "Why should I bring my baby in for a checkup? He isn't sick." Which is the nurse's best response?

A) "Please ask your pediatrician to explain this to you."
B) "He may have a problem that you haven't identified."
C) "These visits are required by law to identify communicable diseases."
D) "Well-baby visits allow the doctor to determine whether your baby is growing and developing normally."

Question 13

Infant immunizations should begin at which age?

A) Birth
B) 2 months
C) 3 months
D) 4 months

Question 14

Which is the treatment for miliaria?

A) Application of oil
B) Removal of wet clothing
C) Removal of excess clothing
D) Application of soothing lotion

Question 15

A new mother is preparing for discharge from the birthing center and relays to the nurse her concerns about how she will handle her baby's episodes of crying. What is the nurse's best response?

A) "I hear your concern. Is there someone in the household who cannot tolerate hearing a baby cry?"
B) "It is okay to just let the baby cry from time to time. You don't want to risk spoiling the baby too soon."
C) "Infants only cry when they are hungry or if they have gas. If you don't eat any gas-producing food, your baby will cry less."
D) "Crying is the way your baby communicates with you. It is important for you to meet your baby's needs consistently and promptly."

Question 16

Which is the priority rationale for doing a car seat trial for a preterm neonate being discharged soon?

A) To assess the car seat's size
B) To assess the parents' knowledge about car seat use
C) To determine if the neonate cries while in the car seat
D) To assess for any neonate apnea or bradycardia while in the car seat

Question 17

Which statement by a parent indicates a need for the nurse to intervene with teaching?

A) "I put my newborn baby on her back when she goes to sleep. I understand this is the best position."
B) "Jennifer's eyes sometimes cross, but I know that this is normal in 1-month-old babies."
C) "My 5-month-old infant has been drooling, biting, and running a fever for the past few days. I think he's teething."
D) "My neighbor has been giving her baby solids since he was 8 weeks old. I think I'll wait until my baby is about 5 months old."

Question 18

Which statement is true about growth and development during the first 6 months?

A) The infant will grow 1 cm in length per month.
B) The infant will gain about 2 pounds per month.
C) The infant will regain weight lost after birth within 1 week.
D) The infant will have a 1-inch increase in head circumference per month.

Question 19

Which intervention will be most helpful to parents in identifying problems with an infant car seat?

A) Questioning the parents about the instructions
B) Providing the parents with current laws on infant and child safety
C) Asking the parents to demonstrate how to secure the infant in the car seat
D) Allowing the parents to ask questions and express feelings about infant restraint

Question 20

Which statement made by a new mother should be a cause of concern to the nurse?

A) "I will start my baby on solid foods at 5 months."
B) "I usually keep the temperature in my house at 72° F."
C) "I plan to position my infant on his back when sleeping."
D) "I don't intend to spoil my baby by picking him up every time he cries."

Question 21

During a prenatal education class about infant home care, the nurse is reviewing the simulated setting created by new mothers for putting the baby to bed. Which observation indicates to the nurse that the new mothers understood the nurse's teaching about infant safety?

A) The crib is lined with a bumper pad.
B) Stuffed animals are placed in the crib.
C) The baby mannequin is in the supine position.
D) The baby mannequin is covered with a handmade quilt.

Question 22

Parents ask the nurse, "How many wet diapers a day should we expect and how will we know the baby's stools are normal?" Which response should the nurse make if the infant is being formula fed? (Select all that apply.)

A) The stools should be watery.
B) The stools should be dry and hard.
C) The infant should have at least one stool a day.
D) The infant should have at least six wet diapers a day.

Question 23

The nurse is teaching new parents strategies to help with newborn colic. Which should the nurse suggest? (Select all that apply.)

A) Increase the number of feedings.
B) Feed the infant in an upright position.
C) Burp the infant frequently during feedings.
D) Allow the infant to cry for a period of time.
E) Increase carrying time by use of a front carrier pack.

Question 24

The nurse is teaching new parents how to avoid and treat newborn diaper rash. Which should the nurse include in the teaching session? (Select all that apply.)

A) Keep the diaper area clean and dry.
B) Do not use talc-based powders in the diaper area.
C) Cleanse the diaper area with a scrubbing motion.
D) Apply a thick layer of zinc oxide to prevent further outbreaks.
E) Remove the diaper and expose the perineum to warm air if a rash develops.