The nurse cautions that children who have unmet hunger needs will likely display which characteristic(s)?
- A. Irritability
- B. Ineffective feeding patterns
- C. No predictable sleep-wake cycle
- D. Distrust
- E. Effective parent bonding
Correct Answer: A,B,C,D
Rationale: Unmet hunger needs can lead to irritability, ineffective feeding patterns, unpredictable sleep-wake cycles, and distrust, but not effective parent bonding.
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What will the nurse take into consideration when educating parents regarding infant nutrition?
- A. Cultural practices
- B. Sex of the infant
- C. Parental knowledge
- D. Infant's developmental level
- E. Parent-child interaction
Correct Answer: A,C,D,E
Rationale: Nutrition education should consider cultural practices, parental knowledge, infant developmental level, and parent-child interaction; the infant's sex is irrelevant.
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.
What does this behavior indicate the infant has developed?
- A. The pincer grasp
- B. A grasp reflex
- C. Prehension ability
- D. The parachute reflex
Correct Answer: A
Rationale: The ability to pick up cereal with the index finger and thumb at 10 months indicates the development of the pincer grasp.
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.
The nurse is educating parents of a 2-month-old infant about immunizations. What immunizations against illness should their child receive?
- A. Pertussis (whooping cough)
- B. Influenza
- C. Diphtheria
- D. Tetanus
- E. Polio
Correct Answer: A,B,C,D,E
Rationale: At 2 months, infants receive their first DPT (diphtheria, tetanus, pertussis), polio, and influenza immunizations to protect against these illnesses.
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