Treatment Pediatrics, 27th Edition (Current
Pediatric Diagnosis & Treatment) by Maya
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,Chapter 1: The Newborn Infant Multiple Choice
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1. Which milestone is developmentally appropriate for a 2-month-
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old infant when the nurse pulls the infant to a sitting position?
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a. Head lag is present when the infants trunk is lifted.
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b. The infant is able to support the head when the trunk is lifted.
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c. The infant is briefly able to hold the head erect.
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d. The infant is fully able to support and hold the head in a straight line.
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e. CORRECT ANSWER: C
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A 2-month-
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old infant is able to hold the head erect only briefly and continues to have some head lag. It is not un
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til 4 months of age that the infant can keep his or her head in a straight line when pulled to a sitting
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position.
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth weight w
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as 7 pounds 6 ounces?
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a. 14 3/4 pounds Q Q
b. 22 1/8 pounds Q Q
c. 29 1/2 pounds Q Q
d. Unable to estimate weight at 1 year CORRECT ANSWER: B
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An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6
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months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1 year,
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and 2 years of age can be estimated from the birth weight.
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3. Which statement made by a parent would be consistent with a developmental delay?
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a. I have noticed that my 9-month-old infant responds consistently to the sound of his name.
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b. I have noticed that my 12-month-
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old child does not get herself to a sitting position or pull to stand.
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,c. I am so happy when my 1 1/2-month-old infant smiles at me.
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d. My 5-month- Q
old infant is not rolling over in both directions yet. CORRECT ANSWER: B Critical developm
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ental milestones for gross motor development in a 12 month old include
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standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month-
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Qold child does not perform these activities, it may be indicative of a developmental delay. An infan
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t who responds to his name at 9 months of age is demonstrating abilities to both hear and interpret s
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ound. A social smile is present by 2 months of age. Rolling over in both directions is not a critical m
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ilestone for gross motor development until the child reaches 6 months of age.
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4. At a healthy 2-month-old infants well-
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child clinic visit, the nurse should give which immunizations?
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a. DTaP, IPV, HepB, Hib, PCV, rotavirus
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b. MMR, DTaP, PVC, and IPV Q Q Q Q
c. Hib, DTaP, rotavirus, and OPV
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d. Hib and MMR, IPV, and rotavirus
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CORRECT ANSWER: A Q Q
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a he
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althy 2-month- Q
old infant. MMR is given at or after 12 months of age. Oral polio vaccine (OPV) is no longer admin
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istered in the U.S. Q Q Q
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
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a. start giving the infant a vitamin D supplement.
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b. start using an infant feeder and add rice cereal to the formula.
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c. start feeding the infant rice cereal with a spoon at the evening feeding.
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d. continue breast-feeding without any supplements. CORRECT ANSWER: A
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Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are
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exclusively breast- Q
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, fed need vitamin D supplements to prevent rickets. An infant feeder is an inappropriate method of provi
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ding the infant with caloric intake. Solid foods and rice cereal are
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