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Chapter 17 Practice Test
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Questions in this quiz (36)
1An infant is lying in a crib watching and listening to a colorful mobile. Which of the following statements is correct concerning a mobile for an infant?
- AProvides stimulation necessary for continued growth and development for the infant
- BProvides too much stimulation for the infant, making it difficult for the infant to focus
- CServes as inadequate stimulation for the infant because it is an inanimate object
- DServes as a distractor for the infant, making it easier to fall asleep
2The nurse performs a home visit for a new mother and infant. The nurse observes that the infant lacks a regular feeding schedule, has diapers that are not changed promptly, and cries for long periods of time before being consoled. Which of the following problems is the infant most at risk for encountering in the future?
- ADeveloping enuresis as a toddler
- BHaving difficulty forming relationships
- CBecoming a picky eater
- DTaking longer to toilet train
3By what age is an infant’s retina fully developed?
- ABirth
- B2 months
- C4 months
- D6 months
4A nurse is completing a well-child assessment of a 6-month-old infant. Which of the following guidelines should be used when assessing the infant’s height and weight?
- ACDC growth charts
- BCDC body mass index (BMI) charts
- CWHO growth standards
- DDenver Developmental Screening height and weight standards
5A delivery room nurse senses disappointment when a mother is told she just delivered a baby girl. Which of the following would be the most therapeutic response by the nurse?
- A“Yes, you just delivered a healthy, beautiful baby girl.”
- B“This is your first baby. You can always try again for a boy.”
- C“Don’t worry, many parents often feel the same way you do.”
- D“You are tired. I think you should get some rest.”
6A nurse is working with a family of an infant to improve their health perception and health management pattern. Which of the following interventions would be most appropriate for the nurse to implement?
- AAssess the home for safety hazards.
- BTeach parents appropriate coping mechanisms
- CDemonstrate effective parenting skills
- DEncourage appropriate stimulation of the infant
7The mother of an 8-month-old asks what the minimum recommended amount of fat intake is for her infant. Which of the following would be the minimum recommended fat intake?
- A18g/day
- B25g/day
- C30g/day
- D48g/day
8Which of the following statements concerning infant nutrition is correct?
- ADuring hot and especially dry weather, infants should have supplemental water
- B50% of an infant’s intake should come from protein to insure adequate growth
- CBreast milk and formulas contain 50% of their calories from fat
- DSkim milk started during infancy will help prevent later childhood obesity
9A nurse is completing a home visit of a new mother who is breastfeeding her infant. Which of the following instructions should the nurse provide during this visit?
- AConsume 500 kcal/day above pre-pregnancy energy intake to avoid excessive weight loss
- BDrink 1 quart of fluids daily to produce sufficient quantity of breast milk
- CBe sure to wipe off all breast milk on the nipples between feedings to avoid infection
- DAll of the above statements are correct
10A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?
- A“It is recommended that solid foods are introduced no earlier than 3 months of age.”
- B“It is recommended that solid foods are introduced no earlier than 6 months of age.”
- C“You should wait until your child is 9 months old to start solid foods.”
- D“You should wait until your child is 1 year old to start solid foods.”
11A new mother has decided to breastfeed her infant after having bottle-fed her other two children. Which of the following information about having a breast-fed infant should the nurse discuss with the mother?
- ABreast-fed infants have darker bowel movements than bottle-fed babies
- BBreast-fed infants have smellier bowel movements than bottle-fed babies
- CBreast-fed infants have more frequent bowel movements than bottle-fed babies
- DBreast-fed infants have harder bowel movements than bottle-fed babies
12During a home visit, the nurse finds a 9-month-old in a playpen with a couple of toys. Which of the following instructions would be most appropriate for the nurse to provide to the parent to encourage growth and development of the child?
- AFor safety, suggest removing all toys except soft stuffed animals from the playpen
- BSuggest keeping the infant in the playpen as much as possible to promote safe play
- CEncourage providing the infant with supervised time outside of the playpen.
- DAll of the above.
13A new young mother asks the nurse what she should do to play with her 3-month-old infant. Which of the following suggestions should the nurse provide?
- ATake the infant for a walk outside
- BPlace several toys around the infant when lying on the floor
- CRock the infant in a rocking chair.
- DSearch the Internet for toys highly recommended for infants
14The mother of a 4-month-old infant is concerned about the possibility of SIDS because her neighbor’s daughter passed away last year as a result of SIDS. The mother reports she is so nervous that she has taken up smoking again. The mother informs you that the 4-month-old sleeps supine and takes a pacifier to help her fall asleep. Which of the following statements would be the best response from the nurse?
- A“You should place the infant in the bed with you until 6 months of age.”
- B“You should never give the infant a pacifier while she is sleeping.”
- C“You should try to stop smoking.”
- D“You should place the infant on her stomach.”
15A nurse is developing an educational program about SIDS for a new mothers’ support group in the community. Which of the following information would be included in this presentation?
- AParents are encouraged to place their infants in the supine sleeping position
- BSIDS is the leading cause of death among infants aged 6 months to 1 year old
- CSIDS is associated with infants who have had difficulty sleeping at night
- DParents are encouraged to limit the amount of “tummy time” of their infant
16A nurse is assessing the language development of a 6-month-old infant. Which of the following findings would the nurse anticipate?
- AThe infant forms two-syllable sounds
- BThe infant coos and makes vowel sounds
- CThe infant babbles
- DThe infant says “ma-ma” and “bye-bye.”
17Which of the following infants is most at risk to experience child abuse?
- AThe father has experienced paternal engrossment
- BThe infant responds to parental touch
- CThe infant’s parents have low self-esteem
- DThe infant has been adopted
18A nurse is assessing a 4-month-old infant during a well-child visit. Which of the following findings will require the nurse to collect additional information?
- AThe infant’s shirt is wet from drooling
- BThe infant has gained one pound since her 2-month well-child visit
- CThe infant holds his or her head steady when in a sitting position
- DThe infant grasps objects with two hands
19A nurse visits a 3-month-old infant of a single mother for a weight check. She finds two older children running around the home, the infant is crying, the mother yelling at the two children and a half-lit cigarette is in an ashtray. The mother tells the nurse the visit needs to be cut short today because she has to pick up her other children from the bus stop. Which of the following would be the most beneficial intervention this nurse can provide during this visit?
- AAdvise the mother that the nurse will wait in the home until mom returns from the bus stop.
- BAdvise the mother that if she does not reschedule the visit within 1 week, the nurse will notify child protective services
- CWeigh the infant and offer community resources to the mother
- DOffer to go pick up the other children at the bus stop
20Where do most accidents occur?
- AIn the home
- BIn the car
- CAt day care
- DOn the playground
21Which of the following is an example of passive immunity?
- AAn attenuated (weakened) but live vaccine—measles, mumps, rubella (MMR)
- BA toxin of the disease organism, which fosters immunity
- CDiphtheria, tetanus, and acellular pertussis (DTaP) killed vaccine
- DProtection from drinking breast milk
22Which of the following is the most common poison ingested by infants?
- AHouseplants
- BLead
- CCleaning agents
- DAspirin
23A new father is installing a car seat for an infant in the car. Which of the following information should be given to the father by the nurse?
- AThe infant should be in a rear-facing car seat in the front seat
- BThe infant should be in a rear-facing car seat in the back seat
- CThe infant should be in a front-facing car seat in the front seat
- DThe infant should be in a front-facing car seat in the back seat
24A 15-month-old infant has been brought into the office by his Spanish-speaking mother for symptoms of an upper respiratory infection. Which of the following should be the initial action taken by the nurse?
- AAsk the mother if she would like an interpreter
- BAsk the mother what home remedies have been used.
- CAsk the mother how long the child has had these symptoms
- DAsk the mother about any allergies the child may have
25A nurse would like to be involved in promoting change in health care policies. Which of the following statements would be accurate as applied to this goal?
- ABecoming a member of a health planning counsel or joining an advisory group to a legislator would be a good first start.
- BNurses must have a minimum of a master’s degree to directly advise legislators on a one-to-one basis regarding healthcare
- CEngaging in political lobbying activities is unprofessional and inappropriate to the nursing role.
- DAll of the above statements are correct
26A mother asks a nurse what the best toy would be for her 2-month-old. Based on the growth and development of the infant, which of the following recommendations should be made by the nurse?
- AColorful mobile with music
- BRattle
- CStuffed teddy bear
- DPlay telephone
27A 5-month-old boy was born at 6 pounds, 7 ounces. He is being seen in the office for a well-child visit. The nurse would expect him to weigh approximately
- A10 pounds, 14 ounces
- B11 pounds, 7 ounces.
- C12 pounds, 14 ounces
- D13 pounds, 7 ounces
28A 9-month-old has mastered the pincer grasp. Which of the following tasks would the nurse anticipate that the infant can do by himself?
- APlay with a rattle
- BEat Cheerios off a hard surface
- CHold a spoon to feed himself
- DDrink from a cup
29A nurse makes a home visit to a 15-month-old following a hospitalization for a fall. Which finding would be concerning to the nurse?
- ARadiator heating system in the home
- BThe child drinking from a cup
- CThe child experiencing a temper tantrum
- DA decorative bowl filled with colorful marbles on the coffee table
30Which of the following represents a developmental task(s) normally accomplished in infancy?
- ADevelops a feeling of affection for others
- BAble to run
- CUse short sentences
- DDevelops a feeling of affection for others & Use short sentences
31An infant is going through the toys in his toy box. He looks at each one before dropping it to the floor and picking the next toy out of the box. Using a growth and development perspective, which of the following conclusions can the nurse draw by assessing this behavior?
- AThe infant is testing his limits
- BThe infant is exploring his environment
- CThe infant is expressing his emotions
- DThe infant is developing fine motor skills
32The mother of a 16-month-old infant asks a nurse her opinion about holiday decorating. Which of the following recommendations should the nurse provide to the mother?
- AAvoid hanging a wreath with holly and berries on the front door
- BAvoid hanging decorative pictures of a bearded Santa Claus on the window
- CAvoid placing poinsettia plants around the home
- DAvoid hanging stockings on the fireplace mantle
33Which of the following statements is correct concerning weaning?
- AWeaning should not be started until the infant can sit only slightly supported
- BWeaning can not be started until the extrusion reflex is fully developed
- COnce the child has learned to use as cup, he or she should no longer have a bottle or breast
- DAAP recommends weaning begin at 8 to 9 months and be completed by age 1 year
34A 2-month-old infant is in for a well-baby visit. Which of the following immunizations should the nurse administer to the infant?
- ADTaP-1
- BMMR
- CVaricella
- DInfluenza
35Which of the following statements are correct concerning language development? (SELECT ALL THAT APPLY)
- AInfants initially make vowel sounds using the front part of their mouth
- BCooing sounds begin at 2 to 3 months
- CBabbling begins at approximately 9 to 12 months
- DBy one year words such as “ma-ma” or “bye-bye” begin to emerge
36A nurse is completing an initial genetic counseling interview with a couple. Which of the following data would be collected during the interview? (SELECT ALL THAT APPLY)
- APaternal age
- BMaternal Age
- CFamily history
- DReligious affiliation
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