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
By which age should the nurse expect that an infant will be able to pull to a standing position?
Correct Answer: C
Rationale: Most infants can pull themselves to a standing position at age 9 months. Infants who are not able to pull themselves to standing by age 11 to 12 months should be further evaluated for developmental dysplasia of the hip. At 6 months, infants have just obtained coordination of arms and legs. By age 8 months, infants can bear full weight on their legs.
Question 2 of 5
According to Piaget, a 6-month-old infant should be in which developmental stage?
Correct Answer: C
Rationale: Infants are usually in the secondary circular reaction stage from ages 4 to 8 months. This stage is characterized by a continuation of the primary circular reaction for the response that results. Shaking is performed to hear the noise of the rattle, not just for shaking. The use of reflexes stage is primarily during the first month of life. The primary circular reaction stage marks the replacement of reflexes with voluntary acts. The infant is in this stage from ages 1 to 4 months. The fourth sensorimotor stage is coordination of secondary schemata, which occurs at ages 9 to 12 months. This is a transitional stage in which increasing motor skills enable greater exploration of the environment.
Question 3 of 5
At which age do most infants begin to fear strangers?
Correct Answer: C
Rationale: Between ages 6 and 8 months, fear of strangers and stranger anxiety become prominent and are related to infants ability to discriminate between familiar and unfamiliar people. At 2 months, infants are just beginning to respond differentially to their mothers. The infant at age 4 months is beginning the process of separation-individuation, which involves recognizing the self and mother as separate beings. Twelve months is too late; the infant requires referral for evaluation if he or she does not fear strangers by this age.
Question 4 of 5
At which age should the nurse expect most infants to begin to say mama and dada with meaning?
Correct Answer: C
Rationale: Beginning at about age 10 months, an infant is able to ascribe meaning to the words mama and dada. Four to 6 months is too young for this behavior to develop. At 14 months, the child should be able to attach meaning to these words. By age 1 year, the child can say three to five words with meaning and understand as many as 100 words.
Question 5 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.