Ch 9 Wong: Infant & Family Health Promotion
Questions with Verified Correct Answers
A nurse is assessing a 12-month-old infant. Which statement best describes the infant's
physical development a nurse should expect to find?
a. Anterior fontanel closes by age 6 to 10 months.
b. Binocularity is well established by age 8 months.
c. Birth weight doubles by age 5 months and triples by age 1 year.
d. Maternal iron stores persist during the first 12 months of life.
ANS: C
Growth is very rapid during the first year of life. The birth weight has approximately doubled
by age 5 to 6 months and triples by age 1 year. The anterior fontanel closes at age 12 to 18
months. Binocularity is not established until age 15 months. Maternal iron stores are usually
depleted by age 6 months.
At which age does an infant start to recognize familiar faces and objects, such as his or
her own hand?
a. 1 month
b. 2 months
c. 3 months
,d. 4 months
ANS: C
The child can recognize familiar objects at approximately age 3 months. For the first 2
months of life, infants watch and observe their surroundings. The 4-month-old infant is
beginning to develop handeye coordination.
The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The
nurse should expect the infant to now weigh approximately how many pounds?
a. 10
b. 15
c. 20
d. 25
ANS: B
Birth weight doubles at about age 5 to 6 months. At 6 months, a child who weighed 7 pounds
at birth would weigh approximately 15 pounds; 10 pounds is too little. The infant would have
gone from the 50th percentile at birth to below the 5th percentile; 20 to 25 pounds is too
much. The infant would have tripled the birth weight at 6 months.
The nurse is doing a routine assessment on a 14-month-old infant and notes that the
anterior fontanel is closed. How should the nurse interpret this finding?
a. Normal finding
,b. Finding requiring a referral
c. Abnormal finding
d. Normal finding, but requires rechecking in 1 month
ANS: A
This is a normal finding. The anterior fontanel closes between ages 12 and 18 months. No
further intervention is required.
A nurse is assessing a 6-month-old infant. The nurse recognizes the posterior fontanel
usually closes at which age?
a. 6 to 8 weeks
b. 10 to 12 weeks
c. 4 to 6 months
d. 8 to 10 months
ANS: A
The bones surrounding the posterior fontanel fuse and close by age 6 to 8 weeks; 10 to 12
weeks, 4 to 6 months, and 8 to 10 months are too late. The posterior fontanel is usually closed
by age 8 weeks.
During the 2-month well-child checkup, the nurse expects the infant to respond to
sound in which manner?
a. Respond to name.
, b. React to loud noise with Moro reflex.
c. Turn his or her head to side when sound is at ear level.
d. Locate sound by turning his or her head in a curving arc.
ANS: C
At 2 months of age, an infant should turn his or her head to the side when a noise is made at
ear level. At birth, infants respond to sound with a startle or Moro reflex. An infant responds
to his or her name and locates sounds by turning his or her head in a curving arc at age 6 to 9
months.
Which characteristic best describes the fine motor skills of an infant at age 5 months?
a. Neat pincer grasp
b. Strong grasp reflex
c. Builds a tower of two cubes
d. Able to grasp object voluntarily
ANS: D
At age 5 months, the infant should be able to voluntarily grasp an object. The grasp reflex is
present in the first 2 to 3 months of life. Gradually, the reflex becomes voluntary. The neat
Questions with Verified Correct Answers
A nurse is assessing a 12-month-old infant. Which statement best describes the infant's
physical development a nurse should expect to find?
a. Anterior fontanel closes by age 6 to 10 months.
b. Binocularity is well established by age 8 months.
c. Birth weight doubles by age 5 months and triples by age 1 year.
d. Maternal iron stores persist during the first 12 months of life.
ANS: C
Growth is very rapid during the first year of life. The birth weight has approximately doubled
by age 5 to 6 months and triples by age 1 year. The anterior fontanel closes at age 12 to 18
months. Binocularity is not established until age 15 months. Maternal iron stores are usually
depleted by age 6 months.
At which age does an infant start to recognize familiar faces and objects, such as his or
her own hand?
a. 1 month
b. 2 months
c. 3 months
,d. 4 months
ANS: C
The child can recognize familiar objects at approximately age 3 months. For the first 2
months of life, infants watch and observe their surroundings. The 4-month-old infant is
beginning to develop handeye coordination.
The nurse is assessing a 6-month-old healthy infant who weighed 7 pounds at birth. The
nurse should expect the infant to now weigh approximately how many pounds?
a. 10
b. 15
c. 20
d. 25
ANS: B
Birth weight doubles at about age 5 to 6 months. At 6 months, a child who weighed 7 pounds
at birth would weigh approximately 15 pounds; 10 pounds is too little. The infant would have
gone from the 50th percentile at birth to below the 5th percentile; 20 to 25 pounds is too
much. The infant would have tripled the birth weight at 6 months.
The nurse is doing a routine assessment on a 14-month-old infant and notes that the
anterior fontanel is closed. How should the nurse interpret this finding?
a. Normal finding
,b. Finding requiring a referral
c. Abnormal finding
d. Normal finding, but requires rechecking in 1 month
ANS: A
This is a normal finding. The anterior fontanel closes between ages 12 and 18 months. No
further intervention is required.
A nurse is assessing a 6-month-old infant. The nurse recognizes the posterior fontanel
usually closes at which age?
a. 6 to 8 weeks
b. 10 to 12 weeks
c. 4 to 6 months
d. 8 to 10 months
ANS: A
The bones surrounding the posterior fontanel fuse and close by age 6 to 8 weeks; 10 to 12
weeks, 4 to 6 months, and 8 to 10 months are too late. The posterior fontanel is usually closed
by age 8 weeks.
During the 2-month well-child checkup, the nurse expects the infant to respond to
sound in which manner?
a. Respond to name.
, b. React to loud noise with Moro reflex.
c. Turn his or her head to side when sound is at ear level.
d. Locate sound by turning his or her head in a curving arc.
ANS: C
At 2 months of age, an infant should turn his or her head to the side when a noise is made at
ear level. At birth, infants respond to sound with a startle or Moro reflex. An infant responds
to his or her name and locates sounds by turning his or her head in a curving arc at age 6 to 9
months.
Which characteristic best describes the fine motor skills of an infant at age 5 months?
a. Neat pincer grasp
b. Strong grasp reflex
c. Builds a tower of two cubes
d. Able to grasp object voluntarily
ANS: D
At age 5 months, the infant should be able to voluntarily grasp an object. The grasp reflex is
present in the first 2 to 3 months of life. Gradually, the reflex becomes voluntary. The neat
