INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 145

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Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) The Infant

MULTIPLE CHOICE

• A mother calls the pediatricians office because her infant is colicky. What is

the most helpful measure the nurse can suggest to the mother?

• Sing songs to the infant in a soft voice.
• Place the infant in a well-lit room.
• Walk around and massage the infants back.
• Rock the fussy infant slowly and gently.

ANS: D

One technique the nurse can offer parents of a fussy infant is to rock the infant gently and slowly while being careful to avoid sudden movements.

DIF: Cognitive Level: Application REF: Page 400 OBJ: 7 TOP: Colic KEY: Nursing Process Step: Implementation MSC: NCLEX: Physiological

Integrity: Basic Care and Comfort

• When does the posterior fontanelle close?
• 2 to 3 months
• 3 to 6 months
• 6 to 9 months
• 9 to 12 months

ANS: A

The posterior fontanelle closes between 2 and 3 months of age.

DIF: Cognitive Level: Knowledge REF: Page 396 OBJ: 5 TOP: Fontanelle KEY: Nursing ProcesNsUSRteSpIN: DGaTtBa .CCoOlMlection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

• At what age does an infants birth weight triple?
• 9 months
• 1 year
• 18 months
• 2 years

ANS: B

The infant usually triples his or her birth weight by about 12 months of age.

DIF: Cognitive Level: Knowledge REF: Page 400 OBJ: 3 TOP: Development and Care KEY: Nursing Process Step: Data Collection

INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 146

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MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

• What is the earliest age at which an infant is able to sit steadily alone?
• 4 months
• 5 months
• 8 months
• 15 months

ANS: C

The infant can sit alone without support at about 8 months of age.

DIF: Cognitive Level: Knowledge REF: Page 398 OBJ: 5 TOP: Sitting Alone KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 147

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• What is the earliest age at which the infant should be able to walk independently?
• 8 to 10 months
• 12 to 15 months
• 15 to 18 months
• 18 to 21 months

ANS: B

For the majority of children, the milestone of walking alone is achieved between 12 and 15 months.

DIF: Cognitive Level: Knowledge REF: Page 400 OBJ: 5 TOP: Walk Independently KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

• The parent of a 3-month-old infant asks the nurse, At what age do infants

usually begin drinking from a cup? What is the nurses most accurate response?

• 5 months
• 9 months
• 1 year
• 2 years

ANS: A

The infant can usually drink from a cup when it is offered at about 5 months.

DIF: Cognitive Level: Comprehension REF: Page 397 TOP: Drink from Cup KEY: Nursing Process Step: Implementation MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

• What would the nurse expect a 4-month-old to be able to accomplish?
• Hold a cup.
• Stand with

assistance.

• Lift head and

shoulders.

• Sit with back

straight.

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ANS: C

Because development is cephalocaudal, of these choices, lifting the head and shoulders is the one that the infant learns to do first. The infant can usually sit with support at about 5 months of age and can sit alone at about 8 months.

DIF: Cognitive Level: Comprehension REF: Page 397 OBJ: 3 TOP:

INTRODUCTION TO MATERNITY AND PEDIATRIC NURSING 8TH EDITION LEIFER TEST BANK

Test Bank - Introduction to Maternity and Pediatric Nursing 8e (by Leifer) 148

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Development and Care KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development

• What is an abnormal finding in an evaluation of growth and development for a 6-

month-old infant?

• Weight gain of 4 to 7 ounces per week
• Length increase of 1 inch in 2 months
• Head lag present
• Can sit alone for a few seconds

ANS: C

The infant should be holding the head up well by 5 months of age. If head lag is present at 6 months, the child should undergo further evaluation.

DIF: Cognitive Level: Analysis REF: Page 397 OBJ: 3 TOP: Head Control KEY: Nursing Process Step: Data Collection MSC: NCLEX: Health Promotion and Maintenance: Growth and Development