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GROWTH AND DEVELOPMENT OF THE NEWBORN AND INFANT WITH VERIFIED ANSWERS
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GROWTH AND DEVELOPMENT OF THE NEWBORN AND INFANT WITH VERIFIED ANSWERS
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PEDS EXAM CHAPTER 3GROWTH AND DEVELOPMENT OF THE NEWBORN AND INFANT
WITH VERIFIED ANSWERS 2024/ ALL ANSWERS CORRECT
1. The best way for an infant's father to help his child complete the developmental task of
the first year is to:: respond to her consistently.
A sense of trust is difficult to learn if things are constantly changing. Consistently
responding to an infant's needs helps to build a sense of trust.
2. An infant is breastfed. When assessing her stools, which findings would be typical?:
Breastfed infants are less likely to be constipated than bottle-fed infants.
The stools of breastfed infants tend to be yellow and looser than those of bottle-fed babies.
3. The mother of an infant asks you when to begin brushing her son's teeth. Your best
response would be:: as soon as the first tooth erupts.
Toothbrushing should begin with the eruption of the first tooth.
4. A nurse is preparing discharge teaching for a client being discharged with her
newborn baby. What is the highest priority item that must be included in the teaching
plan?: Restrain the baby in a car seat.
The client should restrain the baby in a car seat when driving. Infants are especially
vulnerable to injuries resulting from falling off changing tables or being unrestrained in
automobiles. Locking the cabinets and giving warm bottles of formula to the baby are
secondary teachings.
5. The nurse is assessing the sleeping practices of the parents of a 4-month-old girl
who wakes repeatedly during the night. Which parent comment might reveal a cause for
the night waking?: They put her to bed when she falls asleep.
If the parents are keeping the child up until she falls asleep, they are not creating a
bedtime routine for her. Infants need a transition to sleep at this age. If the parents are
singing to her before she goes to bed, if she has a regular, scheduled bedtime, and if they
check on her safety when she wakes at night, then lie her down and leave, they are using
good sleep practices.
,6. The nurse is making a home visit and observes the 7-month-old pulling the family
dog's hair and ears. Which parenting skill does the nurse determine is most effective?:
The parent tells the child "no" with a stern voice and pulls the child's hand away from the
dog
Providing a safe environment, redirection away from undesirable behaviors, and saying
"no" in appropriate instances are effective forms of discipline for an infant's
developmental level. Infants are at an increased risk for injury from spanking and do not
understand the reason for the spanking. Infants do not understand time-outs or the
reason for this type of discipline.
7. During the first visit to the pediatrician's practice the nurse is performing an
admission interview and assessment of a 4-week-old infant. The mother states, "I am
sure my baby girl knows my smell because she is much more settled in my arms rather
than my mother's arms when she is upset." What is an appropriate response by the
nurse?: "You may be right since infants can sense their mother's smell as early as 7 days
old.
The sense of smell develops rapidly: the 7-day-old infant can differentiate the smell of his
or her mother's breast milk from that of another woman and will preferentially turn
toward the mother's smell.
8. The nurse is assessing the oral cavity of a 6-month-old child. When palpating the
location in which the first primary teeth erupt, which location is being assessed?: Lower
central gumline
The lower central incisors are usually the first to appear, followed by the upper central
incisors.
9. The mother of a 6-week-old infant reports she doesn't know if her child recognizes
her face yet. What response by the nurse is most appropriate?: "Since about 4 weeks of
age your child has been able to recognize those who are around him often."
At 1 month of age the infant can recognize by sight the people he or she knows best.
Telling the child's mother that this will come with time is not correct as this
developmental milestone has already occurred. Telling her not to worry minimizes her
questions and concerns.
10. The mother of a newborn reports she does not think her baby likes his formula
since he spits up after only taking a small amount. Which response by the nurse is most
, appropriate?: "Your baby's stomach is small and can only hold about 1/2 to 1 ounce at
birth."
At the time of birth an infant's stomach can only hold 1/2 to 1 ounce. This will gradually
increase. While it is true that the infant does not eat much this does not meet the
educational needs of the mother and is not the best response. Burping is a part of normal
newborn feeding practices but is not the best response. There is no indication there is a
milk intolerance from the information reported.
11. The nurse comes into an infant's room on the pediatric floor. The nurse wants to try
to feed the infant for the first time since her surgery. How does the nurse know what
infant state the child is in by what the mother says and that it is okay to try and feed the
infant?: "She has been a chatterbox and smiles just like her brother."
The best time to feed an infant is when the child is in the active alert state. This infant is
talking and smiling, which shows she is calm and actively awake. In the active alert state
the infant has normal respirations, limited movement, and eyes that are bright and shiny
and attentive. The other choices put the infant in a crying state, quiet alert or deep sleep,
or drowsing. These stages are not optimal for interacting with the child.
12. The infant weighs 7 lbs. 4 oz. (3.3 kg) at birth. If the infant is following a normal
pattern of growth, what would be the expected weight for this child at the age of 12
months?: 21 lbs. 12 oz. (9.9 kg)
By one year of age, the infant has tripled his or her birth weight and has grown 10 to 12
inches.
13. The caregiver of an infant tells the nurse that her dentist told her not to let the child
go to bed with a bottle of milk. The caregiver states she doesn't understand the reason
for this since her baby seems to enjoy the bottle. The most appropriate response to this
caregiver would be:: "Bottles given at bedtime can cause erosion of the enamel on the
teeth."
The sugar from formula or sweetened juice coats the infant's teeth for long periods and
causes erosion of the enamel on the deciduous teeth. While giving water in a bottle at
bedtime is acceptable and a pacifier will satisfy the sucking need, the most appropriate
response is to warn of possible enamel erosion. Giving a bottle at bedtime is not a factor
that leads to obesity
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