PEDI Exam 1, Developing Clinical Judgment
with Pure & Solid Answers
1. The mother of a 3-month-old boy asks the nurse about starting solid foods.
What is the most appropriate response by the nurse?
A) "It's okay to start puréed solids at this age if fed via the bottle."
B) "Infants don't require solid food until 12 months of age."
C) "Solid foods should be delayed until age 6 months, when the infant
can handle a spoon on his own."
D) "The tongue extrusion reflex disappears at age 4 to 6 months,
making it a good time to start solid foods." - Correct answer D
2. The father of a 2-month-old girl is expressing concern that his infant may
be getting spoiled. What is the nurse's best response?
A) "She just needs love & attention. Don't worry; she's too young to
spoil."
B) "Consistently meeting the infant's needs helps promote a sense of
trust."
C) "Infants need to be fed & cleaned; if you are sure those needs are
met, just let her cry."
D) "Consistency in meeting needs is important, but you are right,
holding her too much will spoil her." - Correct answer B
3. Parents of an 8-month-old girl express concern that she cries when left
with the babysitter. How does the nurse best explain this behavior?
A) Crying when left with the sitter may indicate difficulty with building
trust.
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, B) Stranger anxiety should not occur until toddlerhood; this concern
should be investigated.
C) Separation anxiety is normal at this age; the infant recognizes
parents as separate beings.
D) Perhaps the sitter doesn't meet the infant's needs; choose a different
sitter. - Correct answer C
4. The nurse is providing anticipatory guidance to the mother of a 6-month-
old infant. What is the best instruction by the nurse in relation to the
infant's oral health?
A) "Start brushing her teeth after all the baby teeth come in."
B) "Use a washcloth with toothpaste to clean her mouth."
C) "Clean your baby's gums, then new teeth, with a washcloth."
D) "Rinse your baby's mouth with water after every feeding." - Correct
answer C
5. A 9-month-old infant's mother is questioning why cow's milk is not
recommended in the first year of life as it is much cheaper than formula.
What rationale does the nurse include in her response?
A) It is permissible to substitute cow's milk for formula at this age as he
is so close to 1 year old.
B) Cow's milk is poor in iron and does not provide the proper balance of
nutrients for the infant.
C) As long as the mother provides whole milk, rather than skim, she can
start cow's milk in infancy.
D) If the mother cannot afford the infant formula, she should dilute it to
make it last longer. - Correct answer B
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