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Which statement by a mother indicates that her 5-month-old infant is ready for solid food?


A) "When I give my baby solid foods, she has difficulty getting it to the back of her throat to swallow."
B) "She has just started to sit up without any support."
C) "I am surprised that she weighs only 11 pounds. I expected her to have gained some weight."
D) "I find that she really has to be encouraged to eat."

E) B) and C)
F) All of the above

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B

The mother of a 10-month-old infant asks the nurse about beginning to wean her child from his bottle.Which statement by the mother suggests that the child is not ready to be weaned?


A) "My son is frequently throwing his bottle down."
B) "The baby takes a few ounces of formula from the bottle."
C) "He is constantly chewing on the nipple. It concerns me."
D) "He consistently is sucking."

E) A) and B)
F) A) and C)

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D

Which statement concerning physiologic factors is true?


A) The infant has a slower metabolic rate than an adult.
B) An infant has an inability to digest protein and lactase.
C) Infants have a slower circulatory response than adults do.
D) The kidneys of an infant are less efficient in concentrating urine than an adult's kidneys.

E) None of the above
F) B) and C)

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The rate of Sudden Infant Death Syndrome (SIDS),now the third leading cause of death in infants,has increased despite international efforts and the Back to Sleep campaign.Is this statement true or false?

A) True
B) False

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In terms of fine motor development,what should the 7-month-old infant be able to do?


A) Transfer objects from one hand to the other.
B) Use thumb and index finger in crude pincer grasp.
C) Hold crayon and make a mark on paper.
D) Release cubes into a cup.

E) B) and C)
F) B) and D)

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The mother of a 10-month-old infant tells the nurse that her infant "really likes cow's milk." What is the nurse's best response to this mother?


A) "Milk is good for him."
B) "It is best to wait until he is a year old before giving him cow's milk."
C) "Limit cow's milk to his bedtime bottle."
D) "Mix his cereal with cow's milk and give him formula in a bottle."

E) A) and D)
F) All of the above

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B

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
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

E) C) and D)
F) B) and D)

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The nurse has just assisted in the delivery of a female infant to first-time parents. The infant is suctioned,dried,and placed skin-to-skin on her mother's chest.This allows for significant interaction between mother and baby and is known as _____________.

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attachment
Parent-infant attachment is o...

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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

E) B) and C)
F) None of the above

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In terms of gross motor development,what would the nurse expect a 5-month-old infant to do?


A) Roll from abdomen to back.
B) Roll from back to abdomen.
C) Sit erect without support.
D) Move from prone to sitting position.

E) B) and C)
F) A) and B)

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The mother of a 9-month-old infant is concerned because the infant cries when approached by an unknown shopper at the grocery store.What is the best response for the nurse to make to the mother?


A) "You could consider leaving the infant more often with other people so he can adjust."
B) "You might consider taking him to the doctor because he may be ill."
C) "Have you noticed whether the baby is teething?"
D) "This is a sign of stranger anxiety and demonstrates healthy attachment."

E) A) and B)
F) A) and C)

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Which milestone is developmentally appropriate for a 2-month-old infant?


A) Pulled to a sitting position, head lag is absent.
B) Pulled to a sitting position, the infant is able to support the head when the trunk is lifted.
C) The infant can lift his or her head from the prone position and briefly hold the head erect.
D) In the prone position, the infant is fully able to support and hold the head in a straight line.

E) A) and B)
F) A) and C)

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According to Piaget,the 6-month-old infant is in what stage of the sensorimotor phase?


A) Use of reflexes
B) Primary circular reactions
C) Secondary circular reactions
D) Coordination of secondary schemata

E) A) and C)
F) B) and C)

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A nurse has completed a teaching session for parents about "baby-proofing" the home.Which statements made by the parents indicate an understanding of the teaching? Select all that apply.


A) "We will put plastic fillers in all electrical plugs."
B) "We will place poisonous substances in a high cupboard."
C) "We will place a gate at the top and bottom of stairways."
D) "We will keep our household hot water heater at 130 degrees."
E) "We will remove front knobs from the stove."

F) A) and B)
G) All of the above

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The parent of 2-week-old Sarah asks the nurse whether Sarah needs fluoride supplements,because she is exclusively breastfed.The nurse's best response is


A) "She needs to begin taking them now."
B) "They are not needed if you drink fluoridated water."
C) "She may need to begin taking them at age 6 months."
D) "She can have infant cereal mixed with fluoridated water instead of supplements."

E) All of the above
F) None of the above

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Which is a priority in counseling parents of a 6-month-old infant?


A) Increased appetite from secondary growth spurt
B) Encouraging the infant to smile
C) Securing a developmentally safe environment for the infant
D) Strategies to teach infants to sit up

E) A) and C)
F) None of the above

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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.

E) None of the above
F) A) and B)

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A 3-month-old infant born at 38 weeks of gestation will hold a rattle if it is put in her hands,but she will not voluntarily grasp it.The nurse should interpret this as


A) Normal development
B) Significant developmental lag
C) Slightly delayed development as a result of prematurity
D) Suggestive of a neurologic disorder such as cerebral palsy

E) B) and C)
F) None of the above

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


A) "I have noticed that my 9-month-old infant responds consistently to the sound of his name."
B) "I have noticed that 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."

E) A) and D)
F) A) and C)

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At what age is an infant first expected to locate an object hidden from view?


A) 4 months of age
B) 6 months of age
C) 9 months of age
D) 20 months of age

E) A) and B)
F) None of the above

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