Neinstein’s Adolescent and Young Adult Health Care A Practical Guide 6th
Edition Questions and 100% Verified Answers by Debra K. Katzman Chapter 1-
53 Complete Guide.
QUESTION: 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. ✓✓Correct Answer:
ANSWER: 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.
QUESTION: 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 ✓✓Correct Answer: ANSWER: 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.
QUESTION: Which statement made by a parent would be consistent with a developmental delay?
1|Page
,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 ✓✓Correct Answer: ANSWER: 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.
QUESTION: 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 ✓✓Correct Answer: ANSWER: 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.
QUESTION: The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
a. start giving the infant a vitamin D supplement.
b. start using an infant feeder and add rice cereal to the formula.
c. start feeding the infant rice cereal with a spoon at the evening feeding.
d. continue breast-feeding without any supplements. ✓✓Correct Answer: ANSWER: A
2|Page
,Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are exclusively
breast-fed need vitamin D supplements to prevent rickets. An infant feeder is an inappropriate
method of providing the infant with caloric intake. Solid foods and rice cereal are not recommended
for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6 months of age. Because
breast milk is not an adequate source of fluoride, infants need to be given a fluoride supplement.
QUESTION: At months of age, an infant should first be expected to locate an object hidden from
view.
a. 4 b. 6 c. 9 d. 20 ✓✓Correct Answer: ANSWER: C
By 9 months of age an infant will actively search for an object that is out of sight. Four-month- old
infants are not cognitively capable ofsearching out objects hidden from their view. Infants at this
developmental level do not pursue hidden objects. Six-month-old infants have not developed the
ability to perceive objects as permanent and do not search out objects hidden from their view.
Twenty-month-old infants actively pursue objects not in their view and are capable of recalling the
location of an object not in their view. They first look for hidden objects around the age of 9 months.
QUESTION: The mother of a 9-month-old infant is concerned because the infant cries when she
leaves him. Which is the best response for the nurse to make to the mother?
You could consider leaving the infant more often so he can adjust.
You might consider taking him to the doctor because he may be ill.
Have you noticed whether the baby is teething?
This can be a healthy sign of attachment. ✓✓Correct Answer: ANSWER: D
Healthy attachment is manifested by stranger anxiety in late infancy. An infant who manifests
stranger anxiety can be supported by the mother leaving the infant for only short periods of time.
Assessing developmental needs is appropriate before taking an infant to a physician. Pain from
teething expressed by the infants cries would not occur only when the mother left the room
QUESTION: Which statement concerning physiological factors of infancy is true?
The infant has a slower metabolic rate than an adult.
3|Page
, An infant is not able to digest protein and lactase.
Infants have a slower circulatory response than adults.
The kidneys of an infant are less efficient in concentrating urine than an adults kidneys. ✓✓Correct
Answer: ANSWER: D
The infants kidneys are not as effective at concentrating urine compared with an adults kidneys
because of immaturity of the renal system and a slower glomerular filtration rates. The infants
metabolic rate is faster, not slower, than an adults. Although the newborn infants gastrointestinal
system is immature, it is capable of digesting protein and lactase, but the ability to digest and absorb
fat does not reach adult levels until approximately 6 to 9 months of age.
QUESTION: Which is appropriate play for a 6-month-old infant?
a. Pat-a-cake, peek-a-boob. Ball rolling, hide and seek game c. Bright rattles and tactile toys
d. Push and pull toys ✓✓Correct Answer: ANSWER: A
Six-month-old children enjoy playing pat-a-cake and peek-a-boo. Nine-month-old infants enjoy
rolling a ball and playing hide and seek games. Four-month-old infants enjoy bright rattles and tactile
toys. Twelve-month-old infants enjoy playing with push and pull toys.
QUESTION: Which toy is the most developmentally appropriate for an 18- to 24-month-old child?
A push and pull toy
Nesting blocks
A bicycle with training wheels
A computer ✓✓Correct Answer: ANSWER: A
Push and pull toys encourage large muscle activity and are appropriate for the child between 18 and
24 months of age. Nesting blocks are more appropriate for a 12- to 15-month-old child. A bicycle
with training wheels is appropriate for a preschool or young school-age child. A computer can be
appropriate as early as the preschool years.
4|Page
Edition Questions and 100% Verified Answers by Debra K. Katzman Chapter 1-
53 Complete Guide.
QUESTION: 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. ✓✓Correct Answer:
ANSWER: 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.
QUESTION: 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 ✓✓Correct Answer: ANSWER: 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.
QUESTION: Which statement made by a parent would be consistent with a developmental delay?
1|Page
,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 ✓✓Correct Answer: ANSWER: 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.
QUESTION: 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 ✓✓Correct Answer: ANSWER: 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.
QUESTION: The nurse advises the mother of a 3-month-old infant, exclusively breast-fed, to:
a. start giving the infant a vitamin D supplement.
b. start using an infant feeder and add rice cereal to the formula.
c. start feeding the infant rice cereal with a spoon at the evening feeding.
d. continue breast-feeding without any supplements. ✓✓Correct Answer: ANSWER: A
2|Page
,Breast milk does not provide an adequate amount of dietary vitamin D. Infants who are exclusively
breast-fed need vitamin D supplements to prevent rickets. An infant feeder is an inappropriate
method of providing the infant with caloric intake. Solid foods and rice cereal are not recommended
for a 3-month-old infant. Solid feedings do not typically begin before 4 to 6 months of age. Because
breast milk is not an adequate source of fluoride, infants need to be given a fluoride supplement.
QUESTION: At months of age, an infant should first be expected to locate an object hidden from
view.
a. 4 b. 6 c. 9 d. 20 ✓✓Correct Answer: ANSWER: C
By 9 months of age an infant will actively search for an object that is out of sight. Four-month- old
infants are not cognitively capable ofsearching out objects hidden from their view. Infants at this
developmental level do not pursue hidden objects. Six-month-old infants have not developed the
ability to perceive objects as permanent and do not search out objects hidden from their view.
Twenty-month-old infants actively pursue objects not in their view and are capable of recalling the
location of an object not in their view. They first look for hidden objects around the age of 9 months.
QUESTION: The mother of a 9-month-old infant is concerned because the infant cries when she
leaves him. Which is the best response for the nurse to make to the mother?
You could consider leaving the infant more often so he can adjust.
You might consider taking him to the doctor because he may be ill.
Have you noticed whether the baby is teething?
This can be a healthy sign of attachment. ✓✓Correct Answer: ANSWER: D
Healthy attachment is manifested by stranger anxiety in late infancy. An infant who manifests
stranger anxiety can be supported by the mother leaving the infant for only short periods of time.
Assessing developmental needs is appropriate before taking an infant to a physician. Pain from
teething expressed by the infants cries would not occur only when the mother left the room
QUESTION: Which statement concerning physiological factors of infancy is true?
The infant has a slower metabolic rate than an adult.
3|Page
, An infant is not able to digest protein and lactase.
Infants have a slower circulatory response than adults.
The kidneys of an infant are less efficient in concentrating urine than an adults kidneys. ✓✓Correct
Answer: ANSWER: D
The infants kidneys are not as effective at concentrating urine compared with an adults kidneys
because of immaturity of the renal system and a slower glomerular filtration rates. The infants
metabolic rate is faster, not slower, than an adults. Although the newborn infants gastrointestinal
system is immature, it is capable of digesting protein and lactase, but the ability to digest and absorb
fat does not reach adult levels until approximately 6 to 9 months of age.
QUESTION: Which is appropriate play for a 6-month-old infant?
a. Pat-a-cake, peek-a-boob. Ball rolling, hide and seek game c. Bright rattles and tactile toys
d. Push and pull toys ✓✓Correct Answer: ANSWER: A
Six-month-old children enjoy playing pat-a-cake and peek-a-boo. Nine-month-old infants enjoy
rolling a ball and playing hide and seek games. Four-month-old infants enjoy bright rattles and tactile
toys. Twelve-month-old infants enjoy playing with push and pull toys.
QUESTION: Which toy is the most developmentally appropriate for an 18- to 24-month-old child?
A push and pull toy
Nesting blocks
A bicycle with training wheels
A computer ✓✓Correct Answer: ANSWER: A
Push and pull toys encourage large muscle activity and are appropriate for the child between 18 and
24 months of age. Nesting blocks are more appropriate for a 12- to 15-month-old child. A bicycle
with training wheels is appropriate for a preschool or young school-age child. A computer can be
appropriate as early as the preschool years.
4|Page
