Chapter 05: Health Promotion for the Infant

Chapter 05: Health Promotion for the Infant

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

1. Which of the following milestones is developmentally appropriate for a 2-month-old infant?

a.	Pulled to a sitting position, head lag is present when the infant’s trunk is lifted.
b.	Pulled to a sitting position, the infant is able to support the head when the trunk is lifted.
c.	Pulled to a sitting position, the infant is briefly able to hold the head erect.
d.	Pulled to a sitting position, the infant is fully able to support and hold the head in a straight line.

 

 

ANS:   C

 

	Feedback
A	A 2-month-old infant’s neck muscles are stronger; however, head lag is present when pulled to a sitting position.
B	A 2-month-old infant continues to have some head lag when pulled to a sitting position.
C	A 2-month-old infant is able to only briefly hold the head erect when pulled to a sitting position.
D	It is not until 4 months of age that the infant can keep his head in a straight line when pulled to a sitting position.

 

 

DIF:    Cognitive Level: Comprehension      REF:    Text Reference: pg 100

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

2. Approximately what would a newborn who weighed 7 pounds 6 ounces at birth weigh at 1 year of age?

a.	pounds
b.	pounds
c.	pounds
d.	Unable to estimate weight at 1 year

 

 

ANS:   B

 

	Feedback
A	An infant doubles the birth weight by 6 months of age.
B	An infant triples the birth weight by 1 year of age.
C	An infant quadruples the birth weight by 2 years of age.
D	Weight at 6 months, 1 year, and 2 years of age can be estimated from the birth weight.

 

 

DIF:    Cognitive Level: Application             REF:    Text Reference: pg 129

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

3. Which of the following statements made by a mother would be 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 1½-month-old infant smiles at me.”
d.	“My 5-month-old infant is not rolling over in both directions yet.”

 

 

ANS:   B

 

	Feedback
A	An infant who responds to his name at 9 months of age is demonstrating abilities to both hear and interpret sound.
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.
C	A social smile is present by 2 months of age.
D	Rolling over in both directions is not a critical milestone for gross motor development until the child reaches 6 months of age.

 

 

DIF:    Cognitive Level: Analysis                  REF:    Text Reference: pg 129

OBJ:    Nursing Process Step: Assessment

MSC:   NCLEX: Health Promotion and Maintenance

 

4. At a healthy 2-month-old infant’s well-child clinic visit, the nurse will give which of the following immunization sequences?

a.	DTaP, IPV, HepB, Hib, PCV
b.	MMR, DTaP and IPV
c.	Hib, DTaP, and IPV
d.	Hib and MMR

 

 

ANS:   A

 

	Feedback
A	DTaP, IPV, HepB, Hib, and PCV are the appropriate immunizations for a healthy 2-month-old infant.
B	MMR is given at or after 12 months of age.
C	This is an incomplete sequence; PCV and HepB are also given at 2 months of age.
D	MMR is given to the infant at or after 12 months of age. DTaP, PCV, IPV, and HepB are also given to a healthy infant at 2 months of age.

 

 

DIF:    Cognitive Level: Knowledge             REF:    Text Reference: pg 118

OBJ:    Nursing Process Step: Implementation

MSC:   NCLEX: Health Promotion and Maintenance