RN Infants: 1 month to 1 year assessment
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25 Terms
A nurse is completing a health history for an infant who presented to the hospital after being found unresponsive. Which of the following information should the nurse obtain from the caregivers? Select all that apply.
- How and where the infant was found
- If one of the caregivers injured the infant
- What time the infant was last checked on before being found unresponsive
- History of GERD, cardiac defects or other medical conditions
- If the infant is growing and developing as expected
- How and where the infant was found
- What time the infant was last checked on before being found unresponsive
- History of GERD, cardiac defects or other medical conditions
A nurse is discussing ways the caregiver can help their infant with separation anxiety. Which of the following actions should the nurse suggest the caregiver take?
- Start by leaving for 2 to 4 hours at a time, giving plenty of time for the infant to adjust
- Take the infant to the home of a familiar grandparent or relative when they need to leave the infant
- Leave a familiar object such as a toy, blanket or stuffed animal with the infant
- Monitor the infant when gone using a camera system so that they can return home quickly if the child is unable to be consoled.
- Leave a familiar object such as a toy, blanket or stuffed animal with the infant
A nurse is teaching safety promotion with the caregivers of an infant. Which of the following statements by the caregivers indicates an understanding of the teaching?
- we do not need to worry about childproofing the house until the baby starts walking
- The infant car seat should be forward facing in the middle of the back seat
- I should make sure all of the hazardous chemicals in the home are locked away before the infant becomes mobile
- I don't need to lower the mattress in the crib until the infant is walking
- I should make sure all of the hazardous chemicals in the home are locked away before the infant becomes mobile
A nurse is caring for a 7-month-old infant who has been diagnosed with failure to thrive. When assessing the infant, which of the following assessment findings should the nurse anticipate? Select all that apply
- Weight for age less than the 5th percentile on growth charts
- Birth weight doubled by 6 months of age
- Decrease in weight crossing 2 percentile lines on growth charts
- Length for age less than 25% of growth charts
- Less than 80th percentile on weight to length growth charts
- Weight for age less than the 5th percentile on growth charts
- Decrease in weight crossing 2 percentile lines on growth charts
- Less than 80th percentile on weight to length growth charts
A nurse is discussing language development with the caregivers of an infant. Which of the following statements should the nurse make?
- Associating words with objects has a significant impact on language development after the first year of life
- The development of language skills is dependent on the quality of interaction with caregivers
- Labelling objects and helping an infant focus on the word for three seconds helps the infants develop a larger vocabulary
- Socioeconomic status has limited impact on the development of language skills
- Labelling objects and helping an infant focus on the word for three seconds helps the infants develop a larger vocabulary
A nurse is discussing gross motor development milestones with the caregiver of a nine month old infant during a well child visit. Which of the following statements should the nurse make?
- By nine months of age, your baby should be able to walk by themselves.
- Your baby is advanced because they are beginning to crawl at nine months of age
- Your baby is advanced because they are beginning to crawl at nine months of age
- At nine months of age your baby should be calling and beginning to pull up to a standing position
- At nine months of age your baby should be calling and beginning to pull up to a standing position
A nurse is caring for a 5 month old infant weighing 6.92 kilograms (15 lbs 4 oz). Which of the following is the most appropriate daily calorie intake for this client?
- 692 KCAL/ day
- 154 KCAL/ day
- 3355 KC AL/ day
- 277 KCAL/ day
- 692 KCAL/ day
A nurse is planning care for a 10 month old infant who is experiencing separation anxiety from their parents while in the hospital. Which of the following should be the priority for the infants care?
- Ask the parents to bring the infant's favorite toy to the hospital
- Rotate staff members who care for the infants during their parents absence
- Ask the volunteer to spend time in the room with the infant when they give us an absent
- Place the infant in a shared room with another client so that infants can become comfortable with other caregivers
- Ask the parents to bring the infant's favorite toy to the hospital
A nurse is assessing the fine motor development of a 10-month-old infant. The nurse notes that the infant is able to hold an object between the fingers and opposing thumb, bang 2 cubes together, and transfer items from hand to hand. Which of the following statements accurately describes the infants fine motor skills?
- The infant is developing expected fine motor skills
- The infants fine motor skills are delayed and they should receive occupational therapy
- Some of the infants fine motor skills are advanced while others are delayed
- The infants developmental milestones are advanced and they're exceeding expectations
- The infant is developing expected fine motor skills
A nurse is providing discharge teaching to the caregivers of a 2-month-old infant about nutrition. Which of the following statements should the nurse make?
- Most calories in the first six months of life come from cereal and baby food
- Fat intake should be restricted for an infant so that they do not gain too much weight
- Almost half of the energy needed by an infant comes from fat consumption
- Protein in the infant diet is converted to energy maintaining the growth of the infant
- Almost half of the energy needed by an infant comes from fat consumption
A nurse is caring for a 5 month old infant who was born prematurely and is refusing a bottle. Caregivers are concerned. Which of the following statements should the nurse make?
- Food and bottle aversions are twice as likely in premature infants
- Only 5% of healthy infants struggle with feeding complications
- Refusing the bottle is completely normal and is usually overcome as the infant grows
- Food and bottle aversions are related to medical neglect and emotional abuse
- Food and bottle aversions are twice as likely in premature infants
A nurse is caring for a 2-month-old infant in the hospital who is primarily breastfeeding which of the following interventions should the nurse consider in the plan of care?
- Vitamin D supplementation
- Formula supplementation
- Decrease the caloric intake of the breast milk
- Intake and output every 12 hours
- Vitamin D supplementation
A nurse is discussing food sensitivities with the caregivers of a six-month-old infant. Which of the following statements should the nurse make?
- The most common food sensitivity or allergy to food is peanuts
- All foods can be introduced before a year of age including honey
- Every three to five days a new food should be started regardless of the care setting
- There is a higher risk of food allergies if highly reactive foods are introduced after 12 months of age
- There is a higher risk of food allergies if highly reactive foods are introduced after 12 months of age
A nurse is providing discharge teaching for the caregivers of a one-month-old infant on how to decrease the risk for SUID. which of the following statements should the nurse make?
- Since the infant will start rolling over soon there is no need to put them on their back to sleep
- Breastfeeding and formula feeding half the same impact on SUID
- Providing a pacifier for the infant has been shown to decrease the risk for SUID
- Wrapping the infant in a secure blanket and keeping the room warm will decrease the risk for SU ID
- Providing a pacifier for the infant has been shown to decrease the risk for SUID
A nurse is assessing a nine-month-old infant for a well child visit. Which of the following statements by the nurse would indicate an understanding of the assessment findings to document on the WHO growth charts? Select all that apply.
- Measuring the abdominal growth is essential and should be documented on the WHO growth charts
- Head circumference is a vital part of documenting growth on the WHO charts
- Documenting the body surface area on the WHO growth charts is imperative to measuring growth of the infant
- It is important to document the length of the infant and the WHO growth charts to monitor growth
- Documenting the weight on the growth charts helps to verify the expected weight gain
- Head circumference is a vital part of documenting growth on the WHO charts
- It is important to document the length of the infant and the WHO growth charts to monitor growth
- Documenting the weight on the growth charts helps to verify the expected weight gain
Which of the following is the priority topic of education for a nurse when speaking to caregivers of an infant about separation anxiety?
- Establishing a sense of trust
- Effective bonding
- Established routine and separation
- Reassuring developmental milestones
- Establishing a sense of trust
A nurse is caring for a 12-month-old infant in the hospital. Which of the following assessment findings should indicate to the nurse that the infant is experiencing concerning physical manifestations of separation anxiety?
- The infant becomes fussy for a short period of time when the caregivers leave the room
- The infant refuses feedings until the caregiver is returned to the room
- The infant is able to sleep during the day and night without disruption
- The infant is able to be distracted by music and colors for extended periods of time
- The infant refuses feedings until the caregiver is returned to the room
A nurse is caring for a six-month-old infant in the hospital. Which of the following statements by the caregivers indicates an appropriate understanding of the predicted weight gain over the first year of life?
- As long as my baby continues to gain 0.2 KG/0.5lb a month then they are growing like they're supposed to
- My baby has been gaining 1.3 to 1.8 kg/3 to 4lb a month since birth and that is not enough
- My baby has gained 1.8 kg/4lbs since birth when they weighed 3.6 kg/8lbs when born and they are growing like they're supposed to
- My baby weighed 3.2 kg/7lb when born and has been gaining weight. Today they went in at 5.9kg/13lb so they're gaining weight well.
- My baby weighed 3.2 kg/7lb when born and has been gaining weight. Today they went in at 5.9kg/13lb so they're gaining weight well
A nurse is completing an assessment interview on a six-month-old infant when the caregiver states why is my baby so scared of everyone? Every time they see a stranger they start crying. Which of the following responses should the nurse make?
- This is an expected part of development for the six-month-old infant
- Is it someone the infant does not like or does not want to spend time with
- Every infant goes through this and should be kept away from others during this time
- The child is just spoiled and does not want to be left with others
- This is an expected part of development for the six-month-old infant
A nurse is discussing a sleep schedule with the caregivers of a three month old infant during a clinic visit. Which of the following statements by the caregiver indicates an understanding of the teaching?
- My baby should have a regular sleep schedule now
- My baby should be able to sleep 8 to 10 hours continuously at night
- Toys to keep the baby comforted blankets and toys should be available in the crib
- My baby should sleep on their back on a firm mattress
- My baby should sleep on their back on a firm mattress
A nurse is caring for an infant's diagnosed with significant separation anxiety which is interfering in their ability to provide nursing interventions. Which of the following physical assessment findings should the nurse anticipate? Select all that apply.
- Incessant crying
- Excessive sleeping
- Clinginess to the caregiver
- Poor feeding
- Hitting the nursing staff
- Throwing objects
- Incessant crying
- Clinginess to the caregiver
- Poor feeding
A nurse is discussing the benefits of breastfeeding with the caregivers of an infant. Which of the following benefits to the nurse including the teaching? Select all that apply.
- Increased vitamin D absorption
- Decreased risk of ear infections
- Higher IQ scores
- Decreased risk of upper respiratory infections
- Increased bonding between the client who is breastfeeding and the infant
- Increased energy and caloric intake
- Decreased risk of ear infections
- Decreased risk of upper respiratory infections
- Increased bonding between the client who is breastfeeding and the infant
A nurse is caring for a six-month-old infant in a pediatric unit of a hospital. Complete the following sentence by using the list of options.
At 11:00, the client is awake and crying. The nurse should first ??????????? followed by ???????????
address the client's need to eat by feeding the client 6 ounces of formula as tolerated
offering solid food starting with cereal such as rice cereal
A nurse is caring for a five-month-old infant in a pediatric unit of a hospital. Complete the following sentence by using the list of options.
The client is at highest risk for ????????? as evidenced by ?????????
- Failure to thrive
- weight percentile on growth chart
A nurse is caring for a four-month-old infant in a pediatric unit of a hospital.
Click to highlight the findings that require immediate follow-up.
- Weight 5.4kg (11lb 14 oz) (5th percentile)
- Head circumference 40cm (15.75in) (10th percentile)
- Bobs the head while sitting
- 50% of time hands are open and unfisted
- Does not react or startle to sound or voice
-Cries despite caregiver speaking to them
Note 
Flashcards (42)