, L. Explain to the parent that developmental delays often do not manifest atfirst.
M. Perform a developmental assessment and tell the parent which delays areevident.
N. Point out the tasks that the infant can perform while conductingthe
assessment. Correct
D. Refer the infant to a developmental specialist for a complete evaluation.
7. The primary care pediatric nurse practitioner sees a developmentallydelayed
toddler for an initial visit. The family has just moved to the area and asks thenurse
S
practitioner aboutcommunity services and resources for their child.
What should the nurse practitioner do initially?
L. Ask the parents if they have an individualized family service plan
E
(IFSP). Correct
M. Consult with a physician to ensure the child gets appropriate care.
N. Inform the family that services are provided when the child beginsschool.
D
O. Refer the family to a social worker for assistance with referrals andservices.
8. The primary care pediatric nurse practitioner has a cohort of patients whohave
special health care needs. Which is an important role of the nurse practitioner when
I
caring for these children?
U
A. Care coordination and collaboration Correct
O. Developing protocols for parents to follow
P. Monitoring individual education plans (IEPs)
G
Q. Providing lists of resources for families
9. The primary care pediatric nurse practitioner performs a physical
examination
H
on a 9montholdinfant and notes two central incisors on the lower gums. Theparent
states that
the infant nurses, takes solid foods three times daily, and occasionally takeswater from a
C
cup.
What will the pediatric nurse practitioner counsel the parent to promoteoptimum
dental
T
health?
I. To begin brushing the infant’s teeth with toothpaste
J. To consider weaning the infant from breastfeeding
O
K. To discontinue giving fluoride supplements
D. To make an appointment for an initial dental examination Correct
10. The primary care pediatric nurse practitioner enters an exam room andfinds
N
a 2monthold
infant in a car seat on the exam table. The infant’s mother is playing a gameon her
smart phone. The nurse practitioner interprets this behavior as
P
H. a sign that the mother has postpartum depression.
I. extremely concerning for potential parental neglect.
J. of moderate concern for parenting problems. Correct
O
K. within the normal range of behavior in early parenthood.
Chapter 9. Developmental Management of NewbornsMultiple
Choice
, 1. 1. A mother brings her 9 month infant in for a routine visit. What milestonewould be
appropriate
for the doctor to ask if the infant is meeting?
1. Walking
2. Speaking in two word phrases
3. Rolls back to stomach and stomach to back
4. All of the above
ANS: 3
S
2. A 5 day old infant comes in for a newborn checkup. On assessment of the newborn,
you note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per
E
mom, the infant has only had 2 diapers today. The infantis strictly breastfed and this is
moms first child. She states baby is having trouble latching on. A bilirubin level is sent
and comes back at 18. You identify this newborn to be dehydrated and is most likely to
D
have breast milkjaundice. Which nursing intervention(s) will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
I
4. All of the above
U
ANS 4
4. A mother on the postpartum unit asked to have her infant back from thenursery so
C
that she can breastfeed. The nurse brings the newborn to the room and hands the baby
to the mother. She asks the mother to let her knowhow long the baby feeds. What vital
step did the nurse forget to take before giving the baby to the mother?
1. 1. The nurse should have made sure that the baby was latching correctly
T
2. 2. The nurse should have identified the babys ID band with the mothers
3. 3. The nurse should have the mother speak with a lactation consultant
O
4. 4. The nurse should have asked the mother how long she planned to feedANS: 2
5. Excessive heat loss results in which of these?
1. RDS
N
2. Depletion of glucose levels
3. Jaundice
4. Increase in surfactant levels
P
ANS: 2
6. A mother has just delivered her new baby a few hours ago. She asks thenurse if she
O
can bathe the baby
because he has blood on him. The best response from the nurse would be.
1. Sure, let me get you some soap and washcloths
2. Why dont you get some rest, there will be lots of time for bathing
3. Its important that we not bathe the baby too soon after birth. Lets wait tilllater in the
day.
4. Sure, but why dont you feed the baby
ANS: 3
7. A 4 week old infant is brought to the ED. Mom states that the baby hasntbeen eating
, decreased diapers for 2 days. The baby has been sleeping more and hasbeen hard to
wake up. On
assessment, you find that the baby is difficult to arouse, is hypotonic andtemperature is
35.4 rectally. What
is an important lab value to check? Choose the best answer.
1. Complete metabolic panel
2. Liver panel
3. Blood glucose
S
4. PTT
ANS:
3
E
8. A pregnant woman with a history of a clotting disorder is required to self-administer
heparin during her
D
pregnancy. After delivery, the infant will be at greater risk for:
1. Low blood sugar
2. Decrease Vitamin K
3. Increased Vitamin K
I
4. High blood sugar
U
ANS: 2
G
.
9. A part of injury prevention is making and keeping infant appointments.
H
The required checkups and
vaccinations are at:
1. 3 months, 6 months, 9 months
2. 2 months, 4 months, 6 months and 1 year
C
3. 2 months, 4 months, 6 month, 9 months and 1 year
4. 2 months, 4 months, 9 months and 1 year
ANS: 3
T
10. You are taking care of an infant who was admitted with dehydration. Hisweight is
6kg. You have been
O
watching his I & Os. What would you expect the infants urinary output to bein order to
maintain adequate
hydration?
N
1. 0.52 ml/kg/hr 2.
0.52.5 ml/kg/hr
3. 13 ml/kg/hr
4. As long as he is having wet diapers it doesnt matterANS:
P
3
11. A mother brings her newborn daughter to the ER with concerns that sheis having
O
vaginal bleeding. You
know this is normal and called what?
1. Pseudomenstruation
2. Milia
3. Vernix caseosa
4. Toxicum
ANS: 1
12. While interviewing the mother of an infant, you note that the mother getsfrustrated as
she explains that
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