Pediatric Nursing The Critical Components of Nursing Care 1st Edition by Kathryn Rudd – Test Bank

Pediatric Nursing The Critical Components of Nursing Care 1st Edition by Kathryn Rudd – Test Bank

Chapter 7: Newborn and Infants

Multiple Choice

1. A mother brings her 9 month infant in for a routine visit. What milestone would be appropriate for the doctor to ask if the infant is meeting?
1. Walking
2. Speaking in two word phrases
3. Rolls back to stomach and stomach to back
4. All of the above
ANS: 3

Feedback
1. Between 10–12 months of age, an infant can walk
2. Between 14–16 months of age, an infant can speak two word phrases
3. Between 6 and 9 months of age, an infant can roll from back to stomach and stomach to back.
4. Many infants will not be walking at this age. It is too soon for word phrases to be developed. The child should be rolling.
KEY: Content Area: Growth and Development| Integrated Processes: Nursing Process | Client Need: Physiological Integrity | Cognitive Level: Knowledge | REF: Chapter 7 | Type: Multiple Choice

2. A 5 day old infant comes in for a newborn checkup. On assessment of the newborn, you note that the skin is jaundice in color. The anterior fontanel is slightly sunken. Per mom, the infant has only had 2 diapers today. The infant is strictly breastfed and this is mom’s first child. She states baby is having trouble latching on. A bilirubin level is sent and comes back at 18. You identify this newborn to be dehydrated and is most likely to have breast milk jaundice. Which nursing intervention(s) will be required for this baby?
1. Phototherapy
2. Providing support and education for the lactating mother
3. Strict monitoring of intake and output
4. All of the above
ANS 4

Feedback
1. Phototherapy will be required to help decrease the level of bilirubin.
2. It is important to provide the mother with support and education and offer a lactation specialist.
3. This infant is dehydrated so it will be necessary to monitor strict I & O’s.
4. Breast Milk Jaundice occurs in 1–2% of breastfed babies. At early onset there are poor feeding patterns and bilirubin levels may spike to 19. It is important to provide the mother with support and education and offer a lactation specialist. This infant is dehydrated so it will be necessary to monitor strict I & O’s. Phototherapy will be required to help decrease the level of bilirubin.