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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.
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What teeth will the nurse explain are the first deciduous teeth to erupt?
- A. Lower central incisors
- B. Upper central incisors
- C. Lower lateral incisors
- D. Upper lateral incisors
Correct Answer: A
Rationale: The lower central incisors are the first deciduous teeth to erupt, typically around 7 months of age.
Parents of an infant inform the nurse they are planning home preparation of solid foods. What directions should the nurse provide?
- A. Boil foods in a large amount of water.
- B. Do not freeze foods.
- C. Add 1 teaspoon of salt per cup.
- D. Puree food in electric blender.
- E. Add sugar sparingly.
Correct Answer: D,E
Rationale: Home-prepared infant foods should be pureed in a blender and have minimal sugar; boiling in small amounts of water preserves nutrients, and freezing is acceptable.
How often does the nurse instruct this mother she should expect her newborn to feed?
- A. Every 2 to 3 hours
- B. Every 4 to 6 hours
- C. Every 6 to 8 hours
- D. Every 8 to 10 hours
Correct Answer: A
Rationale: Breastfed infants typically feed every 2 to 3 hours due to the rapid digestion of breast milk, requiring a flexible schedule.
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.