Ch18 Full Test Bank Health Promotion Of The Infant Birth To - Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack by Luanne Linnard Palmer. DOCX document preview.
Chapter 18: Health Promotion of the Infant: Birth to One Year
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. Which of the following will the nurse document in the medical record as an infant anthropometric measurement?
1) | Blood pressure |
2) | Body temperature |
3) | Respirations |
4) | Head circumference |
____ 2. A nurse is providing guidelines to new parents about maintaining safety for their newborn. Which response by the parents indicates a need for additional teaching?
1) | “We will provide head support while handling the newborn.” |
2) | “We will reuse a toddler car seat that was loaned to us.” |
3) | “We will use a bulb syringe to clear secretions to prevent choking.” |
4) | “We will lay our newborn on the back to sleep.” |
____ 3. Which of the following assessment data increases the risk for newborn airway compromise?
1) | Long torso |
2) | Long neck |
3) | Large tongue |
4) | Large mandible |
____ 4. Which statement regarding infant physical growth patterns should the nurse share with the parents of an infant?
1) | “Your baby will double his birth weight by 3 months of age.” |
2) | “Your baby should double his birth weight by 9 months of age.” |
3) | “Your baby should triple his birth weight by 12 months of age.” |
4) | “Your baby will lose 15% of his body weight by 1 month of age.” |
____ 5. At which age should the nurse suggest introducing rice cereal to the infant’s diet?
1) | 3 months |
2) | 6 months |
3) | 9 months |
4) | 12 months |
____ 6. Which parental statement about newborn and infant stooling patterns indicates the need for further education?
1) | “A formula stool has a soft consistency.” |
2) | “A transitional stool is less thick and sticky.” |
3) | “A breastfed baby will stool only once per day.” |
4) | “A meconium stool is the first stool my baby will have.” |
____ 7. Which parental statement regarding the sleep needs of a younger infant is accurate?
1) | “My baby requires 22 to 23 hours of sleep each day.” |
2) | “My baby requires a 1- to 2-hour nap in the afternoon.” |
3) | “My baby requires a 1- to 2-hour nap in the morning.” |
4) | “My baby requires 16 hours of sleep each day, including two naps.” |
____ 8. Which immunization should the nurse plan to give prior to newborn discharge from the hospital?
1) | Rotavirus |
2) | Hepatitis B |
3) | Inactivated poliovirus (IPV) |
4) | Measles, mumps, rubella (MMR) |
____ 9. Which of these data causes the nurse to provide the parents of an infant with education regarding colic?
1) | Abdominal pain accompanied by crying 3 days per week |
2) | No weight gain since the last well-child visit |
3) | Muscle mass that has decreased |
4) | Frequent emesis |
____ 10. Which nursing action is appropriate when assessing an infant for respiratory distress?
1) | Palpating for masses |
2) | Inspecting for head bobbing |
3) | Documenting the frequency of stools |
4) | Monitoring for visible loops of bowel |
____ 11. Which data obtained during an infant’s health history interview causes the nurse to provide specific information about SIDS?
1) | Sleeping on the back |
2) | Smoking in the home |
3) | Attending day care each day |
4) | Being behind on current vaccinations |
____ 12. Which intervention might the nurse encourage for a breastfeeding mother whose infant is experiencing colic?
1) | Avoid processed foods. |
2) | Avoid spicy foods. |
3) | Avoid fruit juice. |
4) | Avoid milk products. |
____ 13. A nurse is teaching new parents about their full-term infant’s respiratory system. Which statement should the nurse share with parents that provides an explanation of an infant’s respiratory system?
1) | “The infant has immature lungs.” |
2) | “The infant has a compliant rib cage.” |
3) | “The infant may have slow breathing.” |
4) | “The infant may have wheezing.” |
____ 14. Which of these data causes the nurse to report to the charge nurse that an infant is experiencing moderate dehydration?
1) | A 5% weight loss |
2) | A 15% weight loss |
3) | A decrease in urine output |
4) | A delayed capillary refill time |
____ 15. Which statement should the nurse share with parents regarding the newborn’s immature vision?
1) | “Your baby can only see in black and white.” |
2) | “Hold your newborn close to your face.” |
3) | “Your baby’s sensory organs are not present.” |
4) | “Hold your baby far from your face.” |
____ 16. The nurse is obtaining an infant’s chest circumference. Where should the nurse place the measuring tape to obtain the correct measurement?
1) | Above the nipple line |
2) | Below the nipple line |
3) | At the level of the nipples |
4) | At the axillary line |
____ 17. A nurse is providing health teaching on teething care to parents of an infant. Which statement made by the parents indicates a need for further teaching?
1) | “We will use a wet washcloth to clean the teeth.” |
2) | “We will be sure to clean the teeth and the gum line.” |
3) | “We will use fluoridated toothpaste.” |
4) | “We understand that teething can cause discomfort.” |
____ 18. Which of the following is the MOST important topic to cover with parents of an infant?
1) | Immunizations |
2) | Well-child checkups |
3) | Sun safety |
4) | Toy safety |
____ 19. Which statement regarding using bottles made by the parent indicates a need for further teaching?
1) | “We will try to wean our baby from the bottle by his first birthday.” |
2) | “We will try a bottle with water at bedtime.” |
3) | “We put him to bed with milk to help him fall asleep.” |
4) | “We remove the bottle before he falls asleep.” |
____ 20. A nurse is teaching parents on foods to introduce first to their infant’s diet. Which food should the nurse offer?
1) | Pureed fruits |
2) | Iron-fortified infant cereal |
3) | Egg yolks |
4) | Pureed vegetables |
____ 21. A nurse notices that a newborn is having an increased work of breathing (WOB) due to nasal mucus. What action should the nurse take FIRST?
1) | Bulb suction the nasal passages. |
2) | Administer oxygen. |
3) | Place in the sniffing position. |
4) | Elevate the head of the crib. |
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 22. A nurse is teaching new parents about thermoregulation. What should the nurse include in the teaching to encourage the importance of maintaining core body temperature for the newborn? (Select all that apply.)
1) | Swaddling or wrapping |
2) | Dry blankets |
3) | Soft hat |
4) | Dress in a onesie |
5) | Waterbed |
____ 23. An infant’s head circumference is measured at each well-child examination. What steps should the nurse take to obtain a head circumference? (Select all that apply.)
1) | Uses a clean, reusable measuring tape |
2) | Places the measuring tape at the level of the largest part of the head |
3) | Measures right above the brow line |
4) | Places the measuring tape at the temporal line |
5) | Plots the measurement on the growth chart |
____ 24. A nurse is obtaining vital signs for a newborn infant. The nurse understands which of the following vital signs are normal for a newborn infant? (Select all that apply.)
1) | Heart rate 120 bpm |
2) | Respiratory rate 40 breaths/minute |
3) | Axillary temperature 37°C |
4) | Blood pressure 75/45 mm Hg |
5) | Head circumference 43.18 cm |
____ 25. Which immunizations should the nurse prepare for an infant for during the 4-month well-child visit? (Select all that apply.)
1) | Rotavirus |
2) | Hib |
3) | IPV |
4) | Varicella |
5) | Diphtheria, tetanus, pertussis (DTP) |
Chapter 18: Health Promotion of the Infant: Birth to One Year
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Safe Maternity Nursing Care 2nd Ed - Exam Resource Pack
By Luanne Linnard Palmer