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What is the earliest age at which an infant is able to sit steadily alone?
- A. 4 months
- B. 5 months
- C. 8 months
- D. 15 months
Correct Answer: C
Rationale: An infant can sit alone without support at about 8 months of age, indicating sufficient muscle strength and coordination.
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What is the best action the nurse can advise this mother to implement?
- A. Keep the infant's room well lit.
- B. Rub the infant's soles vigorously.
- C. Offer the infant a pacifier.
- D. Handle the infant slowly and gently.
Correct Answer: D
Rationale: Handling the infant slowly and gently helps prevent overstimulation, which can cause lethargy in some infants.
What is the most appropriate recommendation to help this parent?
- A. Play the radio or TV while you feed the infant.
- B. Put the infant in a room with sunlight.
- C. Wrap the infant snugly when you hold them.
- D. Change the infant's position quickly.
Correct Answer: C
Rationale: Swaddling the infant snugly with extremities flexed and hands near the face helps soothe an irritable premature infant.
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.
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.
The nurse is preparing to outline principles of discipline for parents of an infant. What information should the nurse include?
- A. Firmly say 'No.'
- B. Distract the child to another activity.
- C. Bribe the child with a sweet treat.
- D. Remain consistent.
- E. Ignore the child until behavior improves.
Correct Answer: A,B,D
Rationale: Effective discipline for infants includes firmly saying 'No,' distracting to another activity, and maintaining consistency to set limits.