Nokea
How might the nurse demonstrate the parachute reflex with an infant?
- A. Lifting the infant high in the air above her head
- B. Holding the infant in a football hold, cradling the head
- C. Seating the infant in a stroller in an upright position
- D. Placing the infant downward into the crib
Correct Answer: D
Rationale: The parachute reflex is demonstrated by placing the infant downward in a prone position, prompting protective arm extension.
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What should the teaching plan include about infant fall precautions?
- A. Remove all unsteady furniture.
- B. Keep crib rails up and in locked position.
- C. Steady infant with hand when on changing table.
- D. Use tray attachment on high chair as restraint.
- E. Keep infant seat on the floor while indoors.
Correct Answer: A,B,C,E
Rationale: Removing unsteady furniture, keeping crib rails up, steadying the infant on the changing table, and placing the infant seat on the floor are effective fall precautions; the high chair tray is not a sufficient restraint.
What will the nurse weighing the infant today expect her weight to be?
- A. At least 12 pounds
- B. At least 16 pounds
- C. At least 20 pounds
- D. At least 24 pounds
Correct Answer: B
Rationale: Birth weight is usually doubled by 6 months, so an infant with a birth weight of 8 pounds, 2 ounces should weigh at least 16 pounds.
What is the best action the nurse would advise the parent to implement?
- A. Use commercial diaper wipes to clean the area.
- B. Apply a protective ointment on the area.
- C. Change the infant's diaper less frequently.
- D. Keep the diaper area covered all of the time.
Correct Answer: B
Rationale: Applying a protective ointment on pink, irritated skin helps treat diaper rash effectively.
What would the nurse expect a 4-month-old infant to be able to accomplish?
- A. Hold a cup.
- B. Stand with assistance.
- C. Lift head and shoulders.
- D. Sit with back straight.
Correct Answer: C
Rationale: Due to cephalocaudal development, a 4-month-old infant can lift their head and shoulders, mastering this skill before others listed.
Which statement made by the mother would indicate an unsafe behavior?
- A. I put covers on all of the electrical outlets.'
- B. In the car, she rides in a front-facing car seat.'
- C. There are locks on all of the cabinets in the house.'
- D. I have a gate at the top and bottom of the stairs.'
Correct Answer: B
Rationale: Infants younger than 1 year should use a rear-facing car seat for safety, making a front-facing car seat an unsafe choice.