NURS 2050 Maternal Child Health EXAM
1 Practice questions
A 3-month-old infant is observed during a clinic visit. Highlight the observations in the
following report that would suggest a follow-up would be indicated:
"The infant appears well-developed and weighs 16 pounds today. The mother initially
placed the infant on his abdomen. The infant made no effort to lift his head or roll
over. The mother then places the infant on his back and engages in animated
speech with him. The infant reaches out toward the mother's face with an open hand
but does not smile responsively. The infant sucks energetically while breastfeeding
and accepts strained baby food offered by the mother - correct answer-ANSWER:
weighs 16 pounds, The infant made no effort to lift his head, does not smile
responsively and accepts strained baby food offered by the mother
Rationale: A 3-month-old is expected to weigh between 12-13 pounds, lift up their
head and chin, and smile spontaneously. First solid foods may be introduced
cautiously at 6 months. Attempts to roll over are generally observed in a
4-month-old.
A 9-month-old infant starts crying when the nurse takes him to sit on the exam table.
The mother seems upset and states, "My baby knows that you will be doing
something that hurts." What is the best response by the nurse?
a)"The injections will be over quickly. I will let you provide comfort then."
b)"Your baby is scared to be away from you. I will let you provide further comfort
when I am done."
c)"Your baby probably has a wet or dirty diaper. This will probably go better if you
change it first."
d)"Your baby will not remember this, and we have to do it so your baby can go to
school when it is time. - correct answer-ANSWER: b)"Your baby is scared to be
away from you. I will let you provide further comfort when I am done."
,Babies exhibit separation anxiety at this age
A group of children are observed playing house. Each child is assigned a specific
role as mommy, daddy, or child. At what age does this type of play typically begin?
a) Between 1 and 2 years old
b) Between 3 and 5 years old
c) Between 7 and 10 years old
d) Between 10 and 13 years old - correct answer-ANSWER: b) between 3 and 5
years old
A mother expresses concern that her 1-year-old infant is overweight. She states that
her family has a tendency to be overweight and wishes to discontinue formula
feedings and start the infant on low-fat milk. The nurse assesses that the present
weight of the infant is 24 lb. The infant's birth weight was 8 lb 2 oz. The best
response of the nurse would be:
a) to place the infant on low-fat milk because the infant is slightly overweight at this
time.
b) to place the infant on regular whole milk because the infant's weight is appropriate
for his age.
c) to indicate that the infant is underweight for his age and needs to have
supplemental formula added to the diet.
d) to note that infancy is a period of rapid growth and weight loss will occur as the
infant becomes more active - correct answer-ANSWER: b) to place the infant on
regular whole milk because the infant's weight is appropriate for his age
Weight doubles by age 6 months and triples by age 1 year. Whole cow's milk can be
introduced after age 1 year, and low-fat milk can be introduced after age 2 years.
, A mother verbalizes concern that her second-born son is reaching milestones but not
as quickly as her first-born child. What would the nurse's best response be?
a)"I will let the physician know right away."
b)"Norms can vary greatly for the individual child."
c)"Milestones should be reached consistently by each child."
d)"A psychology consult should be ordered." - correct answer-ANSWER: b)"Norms
can vary greatly for the individual child."
A newborn infant will typically lose 5-_______ % of his or her birth weight by day 3 or
4. - correct answer-ANSWER: 10%
Approximately 5% to 10% of the birth weight is lost by age 3 or 4 days as the result
of the passage of stools and a limited fluid intake
An infant will experience passive immunity from the mother for approximately which
number of weeks?
a) 4
b) 8
c) 12
d) 24 - correct answer-ANSWER: c) 12
Rationale An infant experiences passive immunity for approximately 3 months, or 12
weeks.
An obese child is at risk for which psychosocial disorder?
a) Mania
b) Dementia
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