ATI LPN
Wong's Essentials of Pediatric Nursing 11th Edition Test Bank
Chapter 9 : Health Promotion of the Infant and Family Questions
Question 1 of 5
At which age should the nurse expect an infant to begin smiling in response to pleasurable stimuli?
Correct Answer: B
Rationale: At age 2 months, the infant has a social, responsive smile. A reflex smile is usually present at age 1 month. A 3-month-old infant can recognize familiar faces. At age 4 months, infants can enjoy social interactions.
Question 2 of 5
The nurse is discussing development and play activities with the parent of a 2-month-old boy. Which statement by the parent would indicate a correct understanding of the teaching?
Correct Answer: B
Rationale: Music boxes and soft mobiles are appropriate play activities for a 2-month-old infant. A ball of yarn to pull apart or different textured fabrics are appropriate for an infant at 6 to 9 months. A cup and spoon or push-pull toys are appropriate for an older infant. Infants of all ages should be exposed to appropriate types of stimulation.
Question 3 of 5
What is an appropriate play activity for a 7-month-old infant to encourage visual stimulation?
Correct Answer: A
Rationale: Because object permanence is a new achievement, peek-a-boo is an excellent activity to practice this new skill for visual stimulation. Playing pat-a-cake and showing how to clap hands help with kinetic stimulation. Imitating animal sounds helps with auditory stimulation.
Question 4 of 5
What information should be given to the parents of a 12-month-old child regarding appropriate play activities for this age?
Correct Answer: A
Rationale: A 12-month-old child is able to pull to a stand and walk holding on or independently. Appropriate toys for this age child include large push-pull toys for kinetic stimulation. A cradle gym should not be placed across the crib. Finger paints are appropriate for older children. A 12-month-old child does not have the stability to use a stick horse.
Question 5 of 5
The parents of a 2-month-old boy are concerned about spoiling their son by picking him up when he cries. What is the nurses best response?
Correct Answer: B
Rationale: Parents need to learn that a spoiled child is a response to inconsistent discipline and limit setting. It is important to meet the infants developmental needs, including comforting and cuddling. The data suggest that responding to a childs crying can actually decrease the overall crying time. Allowing him to cry for no longer than 15 minutes and then picking him up will reinforce prolonged crying. Infants at this age have other needs besides feeding. The parents should be taught to identify their infants cues. Counseling parents on letting the baby cry himself to sleep when not soiled or wet refers to sleep issues, not general infant behavior.