Mother-Baby Exam 3 Study Guide Questions with
Correct Detailed Answers 2025
What pain assessment tools are used for children?
FLACC, FACES, OUCHER
What does FLACC stand for?
face, legs, activity, cry, consolability
What age is the FLACC tool typically used for?
infants to 2 yrs
What age is the FACES tool typically used for?
3 yrs & up
What age is the OUCHER tool typically used for?
7 yrs & up
What are some non-pharmacologic pain management tools?
distraction, relaxation, guided imagery, nonnutritive sucking, containment & swaddling
What non-pharmacologic pain management tools is typically used for toddlers & school-
age children?
distraction
What non-pharmacologic pain management tools is typically used for infants?
nonnutritive sucking, containment & swaddling
Which of the following is an important factor for consideration in understanding the pain
experience in children?
children's sensitivity to pain is less that of adults
When adjusting a newborn to extrauterine life, what should the nurse help assess &
establish?
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establishing respiratory function, establishing feeding, closure of fetal cardiac shunts,
newborn reflexes
What is the average weight of a newborn?
2500-4000g
What is the average head circumference of a newborn?
33-35 cm
What is the average length of a newborn?
48-53 cm
What age is considered infancy?
2 days to 1 year
When should the posterior fontanel close on an infant?
3 months
What should happen to the infants weight by 5 months?
weight should double
What should happen to the infants weight by 12 months?
weight should triple
What should happen to the infants height by 12 months?
height increases by 50%
How does head circumference growth occur over the first year of life?
increases 2 cm/month -> 1 cm/month -> 0.5 cm/month
- first months have faster growth
When does teething begin to ocurr?
6-10 months
When should the infant have their first tooth?
by 1 year
What tasks take place during the Piaget Sensorimotor Stage of an infant?
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separation, object permanence, mental representation
What does the infant being to learn during the Erikson Trust vs Mistrust stage?
infants begin to learn caregivers
What type of body awareness happens during the infancy stage?
mouth exploration, reciprocal smiling, hand/feet play
What motor skills should a 1 month baby have?
grasp reflex
What is an age appropriate toy for a 1 month old?
rattles
What motor skills should a 2-3 month old have?
head control
What is an age appropriate toy for a 2-3 month old?
teething toys
What motor skills should a 4-5 month old have?
rolls back to side or front to back
What is an age appropriate toy for a 4-5 month old?
balls or mirrors
What motor skills should a 6 month old have?
rolls back to front, holds objects well, transfers between hands
What is an age appropriate toy for a 6 month old?
bright colored toys, blocks
What motor skills should a 8 month old have?
sits unsupported
What is an age appropriate toy for a 8 month old?
stuffies
What motor skills should a 9 month old have?
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crawls
What is an age appropriate toy for a 9 month old?
reading books
What motor skills should a 12 month old have?
cruising/walking, knows a few words
What is an age appropriate toy for a 12 month old?
pat-a-cake
What type of nutrition should a infant have?
breast milk or formula
When does solids start for infants?
6 months
How many hours of sleep should a newborn have?
14-15 hrs/day
How many hours of sleep by 4 months?
9-11 hrs/day
How many hours a day by 12 months?
sleep through the night with 1-2 naps/day
When does a sleep pattern typically establish for an infant?
3 months
What are some injury concerns for an infant?
aspiration, burns, drowning, falls, poisoning, suffocation
What age is considered toddlerhood?
1-3 years
When does the anterior fontanel close for toddlers?
by 18 months
What happens to birth weight by 30 months?
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