Chapter 1 The Newborn Infant
1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse pulls
the infant to a sitting position?
a. Head lag is present when the infants trunk is lifted.
b. The infant is able to support the head when the trunk is lifted.
c. The infant is briefly able to hold the head erect.
d. The infant is fully able to support and hold the head in a straight line.
ANS: C
A 2-month-old infant is able to hold the head erect only briefly and continues to have some head
lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when
pulled to a sitting position.
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth weight
was 7 pounds 6 ounces?
a. 14 3/4 pounds
b. 22 1/8 pounds
c. 29 1/2 pounds
d. Unable to estimate weight at 1 year
ANS: B
An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6
months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1
year, and 2 years of age can be estimated from the birth weight.
, 3. Which statement made by a parent would be consistent with a developmental delay?
a. I have noticed that my 9-month-old infant responds consistently to the sound of
his name.
b. I have noticed that my 12-month-old child does not get herself to a sitting
position or pull to stand.
c. I am so happy when my 1 1/2-month-old infant smiles at me.
d. My 5-month-old infant is not rolling over in both directions yet.
ANS: B
Critical developmental milestones for gross motor development in a 12 month old include
standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month-
old child does not perform these activities, it may be indicative of a developmental delay. An
infant who responds to his name at 9 months of age is demonstrating abilities to both hear and
interpret sound. A social smile is present by 2 months of age. Rolling over in both directions is
not a critical milestone for gross motor development until the child reaches 6 months of age.
4. At a healthy 2-month-old infants well-child clinic visit, the nurse should give which
immunizations?
a. DTaP, IPV, HepB, Hib, PCV, rotavirus
b. MMR, DTaP, PVC, and IPV
c. Hib, DTaP, rotavirus, and OPV
d. Hib and MMR, IPV, and rotavirus
ANS: A
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a
healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine
(OPV) is no longer administered in the U.S.
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
a. start giving the infant a vitamin D supplement.
1. Which milestone is developmentally appropriate for a 2-month-old infant when the nurse pulls
the infant to a sitting position?
a. Head lag is present when the infants trunk is lifted.
b. The infant is able to support the head when the trunk is lifted.
c. The infant is briefly able to hold the head erect.
d. The infant is fully able to support and hold the head in a straight line.
ANS: C
A 2-month-old infant is able to hold the head erect only briefly and continues to have some head
lag. It is not until 4 months of age that the infant can keep his or her head in a straight line when
pulled to a sitting position.
2. Approximately what should a newborn weigh at 1 year of age if the newborns birth weight
was 7 pounds 6 ounces?
a. 14 3/4 pounds
b. 22 1/8 pounds
c. 29 1/2 pounds
d. Unable to estimate weight at 1 year
ANS: B
An infant triples the birth weight by 1 year of age. An infant doubles the birth weight by 6
months of age. An infant quadruples the birth weight by 2 years of age. Weight at 6 months, 1
year, and 2 years of age can be estimated from the birth weight.
, 3. Which statement made by a parent would be consistent with a developmental delay?
a. I have noticed that my 9-month-old infant responds consistently to the sound of
his name.
b. I have noticed that my 12-month-old child does not get herself to a sitting
position or pull to stand.
c. I am so happy when my 1 1/2-month-old infant smiles at me.
d. My 5-month-old infant is not rolling over in both directions yet.
ANS: B
Critical developmental milestones for gross motor development in a 12 month old include
standing briefly without support, getting to a sitting position, and pulling to stand. If a 12-month-
old child does not perform these activities, it may be indicative of a developmental delay. An
infant who responds to his name at 9 months of age is demonstrating abilities to both hear and
interpret sound. A social smile is present by 2 months of age. Rolling over in both directions is
not a critical milestone for gross motor development until the child reaches 6 months of age.
4. At a healthy 2-month-old infants well-child clinic visit, the nurse should give which
immunizations?
a. DTaP, IPV, HepB, Hib, PCV, rotavirus
b. MMR, DTaP, PVC, and IPV
c. Hib, DTaP, rotavirus, and OPV
d. Hib and MMR, IPV, and rotavirus
ANS: A
DTaP, IPV, HepB, Hib, PCV, and rotavirus are the appropriate sequence of immunizations for a
healthy 2-month-old infant. MMR is given at or after 12 months of age. Oral polio vaccine
(OPV) is no longer administered in the U.S.
5. The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
a. start giving the infant a vitamin D supplement.
