Infant Exam Questions with Verified Correct
Answers
An infant requires tracheal suctioning after the nurse assesses airway congestion.
Which is the priority initial action when performing the procedure?
oxygenation prior to the procedure
instilling saline solution
inserting a suction catheter to the appropriate length
donning clean gloves
oxygenation prior to the procedure
The mother of an infant with myelomeningocele asks if her baby is likely to have any
other defects. The nurse responds based on the understanding that myelomeningocele is
commonly associated with which disorder?
excessive cerebrospinal fluid within the cranial cavity
abnormally small head
congenital absence of the cranial vault
overriding of the cranial sutures
excessive cerebrospinal fluid within the cranial cavity
The nurse judges that the mother has understood the teaching about care of an infant
with colic when the nurse observes the mother doing which action?
holding the infant prone while feeding
holding the infant in her lap to burp
placing the infant prone after the feeding
burping the infant during and after the feeding
burping the infant during and after the feeding
,The nurse has a prescription to administer an IM injection to a neonate. Which
injection site should the nurse select?
deltoid
dorsogluteal
ventrogluteal
vastus lateralis
vastus lateralis
Which food would be appropriate for a 12-month-old child with celiac disease?
oatmeal
pancakes
rice cereal
waffles
rice cereal
When preparing to admit an infant diagnosed with diarrhea to the pediatric unit, the
nurse should assign the infant to which room?
a single negative pressure room
a two-bed room with an infant with respiratory disease
a private room
a room with other infants younger than age 1 year
a private room
When assessing a 2-month-old infant, the nurse feels a "click" when abducting the
infant's left hip. What should the nurse do next?
Document the finding as normal for a 2-month-old.
Check the lengths of the femurs to determine if they are equal.
, Instruct the mother to keep the leg in an adducted position.
Reschedule the child for a follow-up assessment in 3 weeks.
Check the lengths of the femurs to determine if they are equal.
The nurse needs to assess an infant's height to determine if the infant is meeting
appropriate growth and development parameters. To obtain the most accurate
measurement of an infant's height (length), the nurse measures the:
recumbent height with the infant lying on the side.
recumbent height with the infant supine.
recumbent height with the infant prone.
standing height with the infant held upright.
recumbent height with the infant supine.
A 6-month-old infant is brought to the clinic. The mother reports the infant has been
lethargic and not eating well. The infant's anterior fontanel is sunken. Which additional
information is a priority for the nurse to assess?
Number of feeds in the last 24 hours
Number of hours infant has slept in the last 24 hours
Skin color and cap refill
Number of wet diapers the in the last 24 hours
Number of wet diapers the in the last 24 hours
The mother of an infant with hemophilia tells the nurse that she is planning to do home
teaching when the child reaches school age. She does not want her child in school
because the teacher will not watch the child as well as she would. The mother's
comments represent what common parental reaction to a child's chronic illness?
overprotection
Answers
An infant requires tracheal suctioning after the nurse assesses airway congestion.
Which is the priority initial action when performing the procedure?
oxygenation prior to the procedure
instilling saline solution
inserting a suction catheter to the appropriate length
donning clean gloves
oxygenation prior to the procedure
The mother of an infant with myelomeningocele asks if her baby is likely to have any
other defects. The nurse responds based on the understanding that myelomeningocele is
commonly associated with which disorder?
excessive cerebrospinal fluid within the cranial cavity
abnormally small head
congenital absence of the cranial vault
overriding of the cranial sutures
excessive cerebrospinal fluid within the cranial cavity
The nurse judges that the mother has understood the teaching about care of an infant
with colic when the nurse observes the mother doing which action?
holding the infant prone while feeding
holding the infant in her lap to burp
placing the infant prone after the feeding
burping the infant during and after the feeding
burping the infant during and after the feeding
,The nurse has a prescription to administer an IM injection to a neonate. Which
injection site should the nurse select?
deltoid
dorsogluteal
ventrogluteal
vastus lateralis
vastus lateralis
Which food would be appropriate for a 12-month-old child with celiac disease?
oatmeal
pancakes
rice cereal
waffles
rice cereal
When preparing to admit an infant diagnosed with diarrhea to the pediatric unit, the
nurse should assign the infant to which room?
a single negative pressure room
a two-bed room with an infant with respiratory disease
a private room
a room with other infants younger than age 1 year
a private room
When assessing a 2-month-old infant, the nurse feels a "click" when abducting the
infant's left hip. What should the nurse do next?
Document the finding as normal for a 2-month-old.
Check the lengths of the femurs to determine if they are equal.
, Instruct the mother to keep the leg in an adducted position.
Reschedule the child for a follow-up assessment in 3 weeks.
Check the lengths of the femurs to determine if they are equal.
The nurse needs to assess an infant's height to determine if the infant is meeting
appropriate growth and development parameters. To obtain the most accurate
measurement of an infant's height (length), the nurse measures the:
recumbent height with the infant lying on the side.
recumbent height with the infant supine.
recumbent height with the infant prone.
standing height with the infant held upright.
recumbent height with the infant supine.
A 6-month-old infant is brought to the clinic. The mother reports the infant has been
lethargic and not eating well. The infant's anterior fontanel is sunken. Which additional
information is a priority for the nurse to assess?
Number of feeds in the last 24 hours
Number of hours infant has slept in the last 24 hours
Skin color and cap refill
Number of wet diapers the in the last 24 hours
Number of wet diapers the in the last 24 hours
The mother of an infant with hemophilia tells the nurse that she is planning to do home
teaching when the child reaches school age. She does not want her child in school
because the teacher will not watch the child as well as she would. The mother's
comments represent what common parental reaction to a child's chronic illness?
overprotection
