Chapter 06 Health Promotion for the Infant

Chapter 06  Health Promotion for the Infant

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. A nurse assessing a 2-month-old infant notes that the child can briefly hold the head erect

when held against the shoulder. What action by the nurse is best?
a. Document the findings in the child’s chart.
b. Notify the provider immediately.
c. Conduct a lead-exposure assessment.
d. Prepare the parents for genetic testing.

ANS: A
A 2-month-old infant is able to briefly hold the head erect. If a parent were holding the infant
against the parent’s shoulder, the infant would be able to lift his or her head briefly. Since this
is normal behavior, all that is required of the nurse is documentation. There is no need to
notify the provider immediately, conduct a lead-exposure assessment, or prepare the parents
for genetic testing.

PTS: 1 DIF: Cognitive Level: Application/Applying
REF: Table 6.1 OBJ: Nursing Process: Implementation
MSC: Client Needs: Health Promotion and Maintenance

2. Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at

1 year of age?
a. 14 3/4 lb
b. 22 1/8 lb
c. 29 1/2 lb
d. Unable to estimate weigh at 1 year

ANS: B
An infant triples birth weight by 1 year of age. The other calculations are incorrect.

PTS: 1 DIF: Cognitive Level: Application/Applying
REF: p. 83 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

3. Which statement made by a mother is consistent with a developmental delay?

a. “I notice my 9-month-old infant responds consistently to his name.”
b. “My 12-month-old child does not get herself to a sitting position or pull to stand.”
c. “I am so happy when my 1 1/2-month-old infant smiles at me.”
d. “My 5-month-old infant is not rolling over in both directions yet.”

ANS: B

Critical developmental milestones for gross motor development in a 12-month-old include
standing briefly without support, getting to a sitting position, and pulling to stand. If a
12-month-old child does not perform these activities, it may be indicative of a developmental
delay. An infant who responds to his name at 9 months of age is demonstrating abilities to
both hear and interpret sound. A social smile is present by 2 months of age. Rolling over in
both directions is not a critical milestone for gross motor development until the child reaches
6 months of age.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: Table 6.1 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

4. The nurse is performing a routine assessment on a 14-month-old infant and notes that the

anterior fontanel is closed. This should be interpreted as a(n)
a. normal finding—nurse should document finding in chart.
b. questionable finding—infant should be rechecked in 1 month.
c. abnormal finding—indicates need for immediate referral to practitioner.
d. abnormal finding—indicates need for developmental assessment.

ANS: A
This is a normal finding. The anterior fontanel closes between ages 12 and 18 months. The
posterior fontanel closes between 2 and 3 months of age. There is no need for a recheck, a
referral, or a developmental assessment.

PTS: 1 DIF: Cognitive Level: Analysis/Analyzing
REF: p. 93 | Table 6.1 OBJ: Nursing Process: Assessment
MSC: Client Needs: Health Promotion and Maintenance

5. The nurse advises the mother of a 3-month-old exclusively breastfed infant to

a. start giving the infant a vitamin D supplement.
b. start using an infant feeder and add rice cereal to the formula.
c. start feeding the infant rice cereal with a spoon at the evening feeding.
d. continue breastfeeding without any supplements.

ANS: A
Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are
exclusively breastfed need vitamin D supplements to prevent rickets. An infant feeder is an
inappropriate method of providing the infant with caloric intake. Solid foods are not
recommended for a 3-month-old infant. Rice cereal and other solid foods are contraindicated
in a 3-month-old infant. Solid feedings do not typically begin before 4 to 6 months of age.

PTS: 1 DIF: Cognitive Level: Comprehension/Understanding
REF: p. 93 | Table 6.1 OBJ: Integrated Process: Teaching-Learning
MSC: Client Needs: Health Promotion and Maintenance