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What will the nurse advise a parent to do when introducing solid foods?
- A. Begin with one tablespoon of food.
- B. Mix foods together.
- C. Eliminate a refused food from the diet.
- D. Introduce each new food 4 to 7 days apart.
Correct Answer: D
Rationale: Introducing one new food every 4 to 7 days allows time to monitor for tolerance and potential allergies.
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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.
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.
What is an abnormal finding in an evaluation of growth and development for a 6-month-old infant?
- A. Weight gain of 4 to 7 ounces per week
- B. Length increase of 1 inch in 2 months
- C. Head lag present
- D. Can sit alone for a few seconds
Correct Answer: C
Rationale: Head lag at 6 months is abnormal as infants should hold their head up well by 5 months, warranting further evaluation.
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 to observe?
- A. Speaking in 2-word sentences
- B. Grasping objects with palmar grasp
- C. Creeping along the floor
- D. Beginning to use a spoon rather sloppily
Correct Answer: C
Rationale: A 9-month-old infant typically creeps along the floor, has developed a pincer grasp, and can hold a spoon without keeping food on it.