OBJ: Nursing Process: Planning MSC: Client Needs: Health Promotion and Maintenance
Chapter 6: Health Promotion for the Infant
Test Bank
MULTIPLE CHOICE
1. Which milestone is developmentally appropriate for a 2-month-old infant?
a. Pulled to a sitting position, head lag is absent.
b. Pulled to a sitting position, the infant is able to support the head when the trunk is
lifted.
c. The infant can lift his or her head from the prone position and briefly hold the
head erect.
d. In the prone position, the infant is fully able to support and hold the head in a
straight line.
ANS: C
Feedback
A A 2-month-old infant’s neck muscles are stronger than those of a newborn;
however, head lag is present when pulled to a sitting position.
B A 2-month-old infant continues to have some head lag when pulled to a sitting
position.
C A 2-month-old infant is able to briefly hold the head erect when in a prone
position. If a parent were holding the infant against the parent’s shoulder, the
infant would be able to lift his or her head briefly.
D It is not until 4 months of age that the infant can easily lift his or her head and
hold it steadily erect when in the prone position.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 93 | Table 6-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at
1 year of age?
a. 14 3/4 lb
b. 22 1/8 lb
c. 29 1/2 lb
d. Unable to estimate weigh at 1 year
ANS: B
Feedback
A An infant doubles birth weight by 6 months of age.
B An infant triples birth weight by 1 year of age.
C An infant quadruples birth weight by 2 years of age.
D Weight at 6 months, 1 year, and 2 years of age can be estimated from the birth
weight.
, PTS: 1 DIF: Cognitive Level: Application REF: p. 94 | Table 6-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which statement made by a mother is consistent with a developmental delay?
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.”
ANS: B
Feedback
A An infant who responds to his name at 9 months of age is demonstrating abilities
to both hear and interpret sound.
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.
C A social smile is present by 2 months of age.
D Rolling over in both directions is not a critical milestone for gross motor
development until the child reaches 6 months of age.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 94 | Table 6-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. The nurse is performing a routine assessment on a 14-month-old infant and notes that the
anterior fontanel is closed. This should be interpreted as a(n)
a. Normal finding
b. Questionable finding—infant should be rechecked in 1 month
c. Abnormal finding—indicates need for immediate referral to practitioner
d. Abnormal finding—indicates need for developmental assessment
ANS: A
Feedback
A This is a normal finding. The anterior fontanel closes between ages 12 and 18
months. The posterior fontanel closes between 2 and 3 months of age.
B Because the anterior fontanel normally closes between ages 12 and 18 months,
this is a normal finding, and no further intervention is required.
C Because the anterior fontanel normally closes between ages 12 and 18 months,
this is a normal finding, and no further intervention is required.
D Because the anterior fontanel normally closes between ages 12 and 18 months,
this is a normal finding, and no further intervention is required.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 94
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
Chapter 6: Health Promotion for the Infant
Test Bank
MULTIPLE CHOICE
1. Which milestone is developmentally appropriate for a 2-month-old infant?
a. Pulled to a sitting position, head lag is absent.
b. Pulled to a sitting position, the infant is able to support the head when the trunk is
lifted.
c. The infant can lift his or her head from the prone position and briefly hold the
head erect.
d. In the prone position, the infant is fully able to support and hold the head in a
straight line.
ANS: C
Feedback
A A 2-month-old infant’s neck muscles are stronger than those of a newborn;
however, head lag is present when pulled to a sitting position.
B A 2-month-old infant continues to have some head lag when pulled to a sitting
position.
C A 2-month-old infant is able to briefly hold the head erect when in a prone
position. If a parent were holding the infant against the parent’s shoulder, the
infant would be able to lift his or her head briefly.
D It is not until 4 months of age that the infant can easily lift his or her head and
hold it steadily erect when in the prone position.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 93 | Table 6-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. Approximately how much would a newborn who weighed 7 pounds 6 ounces at birth weigh at
1 year of age?
a. 14 3/4 lb
b. 22 1/8 lb
c. 29 1/2 lb
d. Unable to estimate weigh at 1 year
ANS: B
Feedback
A An infant doubles birth weight by 6 months of age.
B An infant triples birth weight by 1 year of age.
C An infant quadruples birth weight by 2 years of age.
D Weight at 6 months, 1 year, and 2 years of age can be estimated from the birth
weight.
, PTS: 1 DIF: Cognitive Level: Application REF: p. 94 | Table 6-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which statement made by a mother is consistent with a developmental delay?
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.”
ANS: B
Feedback
A An infant who responds to his name at 9 months of age is demonstrating abilities
to both hear and interpret sound.
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.
C A social smile is present by 2 months of age.
D Rolling over in both directions is not a critical milestone for gross motor
development until the child reaches 6 months of age.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 94 | Table 6-1
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
4. The nurse is performing a routine assessment on a 14-month-old infant and notes that the
anterior fontanel is closed. This should be interpreted as a(n)
a. Normal finding
b. Questionable finding—infant should be rechecked in 1 month
c. Abnormal finding—indicates need for immediate referral to practitioner
d. Abnormal finding—indicates need for developmental assessment
ANS: A
Feedback
A This is a normal finding. The anterior fontanel closes between ages 12 and 18
months. The posterior fontanel closes between 2 and 3 months of age.
B Because the anterior fontanel normally closes between ages 12 and 18 months,
this is a normal finding, and no further intervention is required.
C Because the anterior fontanel normally closes between ages 12 and 18 months,
this is a normal finding, and no further intervention is required.
D Because the anterior fontanel normally closes between ages 12 and 18 months,
this is a normal finding, and no further intervention is required.
PTS: 1 DIF: Cognitive Level: Analysis REF: p. 94
OBJ: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
