Question 1 pts
A nurse is providing information to a group of pregnant clients
and their partners about the psychosocial development of an
infant. Using Erikson’s theory of psychosocial development, the
nurse tells the group that infants have which developmental
need?
Co
orrrec
ct! Need to rely on the fact that their needs will be met
Must have needs ignored for short periods to develop a healthy
personality
Need to tolerate a great deal of frustration and discomfort to
develop a healthy personality
Need to experience frustration, so it is best to allow an infant to
cry for a while before meeting his or her needs
, Rationale: According to Erikson’s theory of psychosocial
development, infants struggle to establish a sense of basic
trust rather than a sense of basic mistrust in their world,
their caregivers, and themselves. If provided with
consistent satisfying experiences that are delivered in a
timely manner, infants come to rely on the fact that their
needs are met and that, in turn, they will be able to
tolerate some degree of frustration and discomfort until
those needs are met. This sense of confidence is an early
form of trust and provides the foundation for a healthy
personality. Therefore the other options are incorrect.
Test-Taking Strategy: Use the process of elimination.
Eliminate the option that contains the closed-ended word
“must.” Eliminate the comparable or alike options and
indicate that experiencing frustration is necessary. Review
Erikson’s theory of psychosocial development as it relates
to the infant if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Question 2 pts
A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician’s office for a scheduled visit. The
infant’s weight at birth was 6 lb 8 oz. The nurse notes that the
infant now weighs 13 lb. The nurse should take which action?
Co
orrrec
ct!
Tell the mother that the infant’s weight is increasing as expected.
Tell the mother to decrease the daily number of feedings because
the weight gain is excessive.
Tell the mother that semisolid foods should not be introduced
until the infant’s weight stabilizes.
, Tell the mother that the infant should be switched from breast
milk to formula because the weight gain is inadequate.
Rationale: Infants usually double their birth weight by 6
months and triple it by 1 year of age. If the infant is 6 lb 8
oz, at birth, a weight of 13 lb at 6 months of age is to be
expected. Semisolid foods are usually introduced between
4 and 6 months of age.
Test-Taking Strategy: Use the process of elimination and
focus on the data in the question. Recalling that infants
double their weight by 6 months of age will direct you to
the correct option. Review the growth rate of an infant if
you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Question 3 pts
The nurse is assisting with data collection on a well-baby
examination. The nurse measures the head circumference, and it
is the same as the chest circumference. On the basis of this
measurement, the nurse should take which action?
Report the presence of hydrocephalus to the health care
provider.
Suggest to the health care provider that a skull x-ray be
performed.
Tell the mother that the infant is growing faster than expected.
, Co
orrrec
ct!
Document these measurements in the infant’s health care record.
Rationale: The head circumference growth rate during the
first year is approximately 0.4 inch (1 cm) per month. By
10 to 12 months of age, the infant’s head and chest
circumferences are equal. Therefore, suspecting the
presence of hydrocephalus, telling the mother that the
infant is growing faster than expected, and suggesting that
a skull x-ray be performed are incorrect.
Test-Taking Strategy: Use the process of elimination.
Eliminate the comparable or alike options that indicate that
the infant has a physiological problem. Review the
expected growth rate of an infant if you had difficulty with
this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Developmental Stages
Question 4 pts
A new mother asks the nurse, “I was told that my infant received
my antibodies during pregnancy. Does that mean that my infant is
protected against infections?” Which statement should the nurse
make in response to the mother?
“Yes, your infant is protected from all infections.”
"If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the
infant is 12 months old."
A nurse is providing information to a group of pregnant clients
and their partners about the psychosocial development of an
infant. Using Erikson’s theory of psychosocial development, the
nurse tells the group that infants have which developmental
need?
Co
orrrec
ct! Need to rely on the fact that their needs will be met
Must have needs ignored for short periods to develop a healthy
personality
Need to tolerate a great deal of frustration and discomfort to
develop a healthy personality
Need to experience frustration, so it is best to allow an infant to
cry for a while before meeting his or her needs
, Rationale: According to Erikson’s theory of psychosocial
development, infants struggle to establish a sense of basic
trust rather than a sense of basic mistrust in their world,
their caregivers, and themselves. If provided with
consistent satisfying experiences that are delivered in a
timely manner, infants come to rely on the fact that their
needs are met and that, in turn, they will be able to
tolerate some degree of frustration and discomfort until
those needs are met. This sense of confidence is an early
form of trust and provides the foundation for a healthy
personality. Therefore the other options are incorrect.
Test-Taking Strategy: Use the process of elimination.
Eliminate the option that contains the closed-ended word
“must.” Eliminate the comparable or alike options and
indicate that experiencing frustration is necessary. Review
Erikson’s theory of psychosocial development as it relates
to the infant if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Question 2 pts
A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician’s office for a scheduled visit. The
infant’s weight at birth was 6 lb 8 oz. The nurse notes that the
infant now weighs 13 lb. The nurse should take which action?
Co
orrrec
ct!
Tell the mother that the infant’s weight is increasing as expected.
Tell the mother to decrease the daily number of feedings because
the weight gain is excessive.
Tell the mother that semisolid foods should not be introduced
until the infant’s weight stabilizes.
, Tell the mother that the infant should be switched from breast
milk to formula because the weight gain is inadequate.
Rationale: Infants usually double their birth weight by 6
months and triple it by 1 year of age. If the infant is 6 lb 8
oz, at birth, a weight of 13 lb at 6 months of age is to be
expected. Semisolid foods are usually introduced between
4 and 6 months of age.
Test-Taking Strategy: Use the process of elimination and
focus on the data in the question. Recalling that infants
double their weight by 6 months of age will direct you to
the correct option. Review the growth rate of an infant if
you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Question 3 pts
The nurse is assisting with data collection on a well-baby
examination. The nurse measures the head circumference, and it
is the same as the chest circumference. On the basis of this
measurement, the nurse should take which action?
Report the presence of hydrocephalus to the health care
provider.
Suggest to the health care provider that a skull x-ray be
performed.
Tell the mother that the infant is growing faster than expected.
, Co
orrrec
ct!
Document these measurements in the infant’s health care record.
Rationale: The head circumference growth rate during the
first year is approximately 0.4 inch (1 cm) per month. By
10 to 12 months of age, the infant’s head and chest
circumferences are equal. Therefore, suspecting the
presence of hydrocephalus, telling the mother that the
infant is growing faster than expected, and suggesting that
a skull x-ray be performed are incorrect.
Test-Taking Strategy: Use the process of elimination.
Eliminate the comparable or alike options that indicate that
the infant has a physiological problem. Review the
expected growth rate of an infant if you had difficulty with
this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Developmental Stages
Question 4 pts
A new mother asks the nurse, “I was told that my infant received
my antibodies during pregnancy. Does that mean that my infant is
protected against infections?” Which statement should the nurse
make in response to the mother?
“Yes, your infant is protected from all infections.”
"If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the
infant is 12 months old."
