Pediatrics Exam with 100% Correct
Solutions
Erikson's Task that applies from 1-12 months (infant) - ANS-Trust vs. Mistrust
In 5/6 months, the birth weight of an infant... - ANS-Doubles
The number of lbs. an infant gains their first 5 months - ANS-1.5 pounds per month
Growth in height during the first year of life - ANS-Roughly 1 foot
Posterior fontanel closes at this age - ANS-2 months of age
anterior fontanel closes at this age - ANS-12-18 months
At this age baby can hold head upright - ANS-4 months
Age baby begins to crawl - ANS-8-10 months
Teeth begin to erupt initially at this time - ANS-5/6 months
Number of teeth child has within 1 year of life - ANS-6-8 teeth
The age (roughly) to begin to introduce solid food - ANS-4-6 months
This food is restricted from the infant in 1st year of life - ANS-honey
This food is restricted for the first 3 years of life - ANS-Peanuts/peanut-products
Denver Developmental Screening Test - ANS-The most widely used developmental
screening test that can detect subtle developmental problems
Colic - ANS-Crying greater than 3 hours per day and more than 3 days per week,
fussiness and drawing legs up, more common in kids less than 3 mo.
Interventions for Colic - ANS--investigate allergies
-anti-gas medications
-keep upright after feeds
-change position freq.
-take on car ride
, Failure to thrive - ANS-inadequate growth below the 5th percentile on growth chart
Eczema (atopic dermatitis) - ANS-causes itchiness of the skin, can come on as a result
of family allergy history, may relate to history of mother rubbing face on sheets
Sudden Infant Death Syndrome (SIDS) - ANS-death of an infant spontaneously due to
cessation of breathing, 3rd leading cause of death 1 mo.-1 year , "back to sleep"
Cradle Cap - ANS-dry scaly condition of the scalp
treatment of cradle cap - ANS-wash hair every other day w/shampoo, soft toothbrush
and petroleum jelly to brush away crusts, no baby powder can cause aspiration
pneumonia
Roseola - ANS-Human herpes virus type 6 occuring 6 months- 3 years. Persistent high
fever (102) for several days, rash on abdomen usually lasts 1-2 days
Fifth's Disease (Erythema Infectiousm) - ANS-"slapped cheek" infant-adolescent.
Caused by human parovirus, transmitted by respiratory secretions, lasts 1-4 days, super
contagious when rash first appears
Which statement by an infant's mother leads the nurse to believe she needs further
education about the nutritional needs of a 6 mo. old? - ANS-"I will start my son on fruits
and gradually introduce veggies" ...This is because the sweetness of fruit may inhibit the
infant from taking vegetables
Which statement accurately describes the best method for assessing a 12- month year
old? - ANS-The nurse should assess the child while she is in her mother's lap. This is
because infants are most secure when in proximity to the parent. Paren't lap is excellent
place
The nurse is instructing a new breastfeeding mother in the need to provide her
premature infant with adequate source of iron in her diet. Which statement reflects a
need for further education of the new mother? - ANS-I will need to add iron supplements
to my baby's diet when she is 2 months old. This is because premature infants can store
from the mother iron for 2 months.
A first time mother brings in her 5 day old baby for a check up. The nurse weighs the
infant and reports a weight of 7 lb. 5 oz. to the mother. The mother looks concerned and
tells the nurse that the baby weighed 7 lb. 10 oz when she was discharged 4 days ago.
The best response from nurse is - ANS-"Al weigh loss of a few ounces is common
among newborns, especially for breast-feeding mothers "
Solutions
Erikson's Task that applies from 1-12 months (infant) - ANS-Trust vs. Mistrust
In 5/6 months, the birth weight of an infant... - ANS-Doubles
The number of lbs. an infant gains their first 5 months - ANS-1.5 pounds per month
Growth in height during the first year of life - ANS-Roughly 1 foot
Posterior fontanel closes at this age - ANS-2 months of age
anterior fontanel closes at this age - ANS-12-18 months
At this age baby can hold head upright - ANS-4 months
Age baby begins to crawl - ANS-8-10 months
Teeth begin to erupt initially at this time - ANS-5/6 months
Number of teeth child has within 1 year of life - ANS-6-8 teeth
The age (roughly) to begin to introduce solid food - ANS-4-6 months
This food is restricted from the infant in 1st year of life - ANS-honey
This food is restricted for the first 3 years of life - ANS-Peanuts/peanut-products
Denver Developmental Screening Test - ANS-The most widely used developmental
screening test that can detect subtle developmental problems
Colic - ANS-Crying greater than 3 hours per day and more than 3 days per week,
fussiness and drawing legs up, more common in kids less than 3 mo.
Interventions for Colic - ANS--investigate allergies
-anti-gas medications
-keep upright after feeds
-change position freq.
-take on car ride
, Failure to thrive - ANS-inadequate growth below the 5th percentile on growth chart
Eczema (atopic dermatitis) - ANS-causes itchiness of the skin, can come on as a result
of family allergy history, may relate to history of mother rubbing face on sheets
Sudden Infant Death Syndrome (SIDS) - ANS-death of an infant spontaneously due to
cessation of breathing, 3rd leading cause of death 1 mo.-1 year , "back to sleep"
Cradle Cap - ANS-dry scaly condition of the scalp
treatment of cradle cap - ANS-wash hair every other day w/shampoo, soft toothbrush
and petroleum jelly to brush away crusts, no baby powder can cause aspiration
pneumonia
Roseola - ANS-Human herpes virus type 6 occuring 6 months- 3 years. Persistent high
fever (102) for several days, rash on abdomen usually lasts 1-2 days
Fifth's Disease (Erythema Infectiousm) - ANS-"slapped cheek" infant-adolescent.
Caused by human parovirus, transmitted by respiratory secretions, lasts 1-4 days, super
contagious when rash first appears
Which statement by an infant's mother leads the nurse to believe she needs further
education about the nutritional needs of a 6 mo. old? - ANS-"I will start my son on fruits
and gradually introduce veggies" ...This is because the sweetness of fruit may inhibit the
infant from taking vegetables
Which statement accurately describes the best method for assessing a 12- month year
old? - ANS-The nurse should assess the child while she is in her mother's lap. This is
because infants are most secure when in proximity to the parent. Paren't lap is excellent
place
The nurse is instructing a new breastfeeding mother in the need to provide her
premature infant with adequate source of iron in her diet. Which statement reflects a
need for further education of the new mother? - ANS-I will need to add iron supplements
to my baby's diet when she is 2 months old. This is because premature infants can store
from the mother iron for 2 months.
A first time mother brings in her 5 day old baby for a check up. The nurse weighs the
infant and reports a weight of 7 lb. 5 oz. to the mother. The mother looks concerned and
tells the nurse that the baby weighed 7 lb. 10 oz when she was discharged 4 days ago.
The best response from nurse is - ANS-"Al weigh loss of a few ounces is common
among newborns, especially for breast-feeding mothers "
