Chapter 7: The Infant Test
Bank
MULTIPLE CHOICE
1. The 5-month-old should demonstrate:
a. hand-to-mouth coordination.
b. neat pincer grasp.
c. building a tower of two cubes.
d. ability to grasp an object voluntarily.
ANS: D
By 5 months, newborn reflexes have disappeared and the infant is able to shape the hand to
voluntarily grasp an object.
DIF: Cognitive Level: Knowledge REF: p. 102, Table 7-2
OBJ: 4 TOP: Motor development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. According to Erikson, infancy is concerned with acquiring a sense of: a. trust.
b. industry.
c. initiative.
d. autonomy.
ANS: A
Trust develops when infants learn their basic needs will be met, providing the foundation for
all succeeding phases of development. Trust assists infants in experiencing unknown or
unfamiliar situations with minimal fear.
DIF: Cognitive Level: Knowledge REF: p. 96 OBJ: 7
TOP: Trust versus mistrust KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
3. Object permanence is:
a. recognizing a familiar face, such as mother.
b. recognizing a familiar object, such as bottle.
c. actively searching for a hidden object.
d. securing objects by pulling on a string.
ANS: C
, By 9-10 months, infants have achieved the concept of object permanence, or the realization
that objects that leave the visual field can still exist.
DIF: Cognitive Level: Comprehension REF: p. 96 OBJ: 2
TOP: Object performance KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
4. A parent of an 8-month-old infant says that the baby cries and screams whenever she is left with
her grandparents. The reply should be based on the fact that the:
a. infant is most likely spoiled.
b. infant is experiencing separation anxiety.
c. infant should be left with another caretaker.
d. grandparents’ home may be a frightening environment.
ANS: B
At around 6 months of age, the infant begins to have an awareness of self and parent as
separate beings. This, coupled with the development of object permanence, causes the infant
to become distressed at the absence of the parent.
DIF: Cognitive Level: Application REF: p. 98 OBJ: 7
TOP: Separation anxiety KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
5. The parents of a 2-month-old boy are concerned about spoiling their son by picking him up
when he cries. The most informative response would be:
a. “Allow him to cry for no longer than 15 minutes, then pick him up.”
b. “Babies need comforting and cuddling. Meeting these needs will not spoil him.”
c. “Babies this young cry when they are hungry. Try feeding him when he cries.”
d. “If he isn’t soiled or wet, leave him and he’ll cry himself to sleep.”
ANS: B
Prompt attention to an infant’s crying promotes attachment and development of trust.
DIF: Cognitive Level: Application REF: p. 97 OBJ: 9
TOP: Attachment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
6. The parents of a 6-month-old infant say that they are worried about their baby’s thumb-sucking.
The reply that is most informative would be: a. “A pacifier should be substituted for the thumb.”
b. “Nonnutritive sucking may indicate unsatisfied hunger.”
c. “Sucking should be interrupted by diverting the baby’s attention.”
d. “Nonnutritive sucking during infancy is normal.”
, ANS: D
Nonnutritive sucking in infancy is of benefit by providing a self-regulating source of comfort.
DIF: Cognitive Level: Application REF: p. 106 OBJ: 3
TOP: Sucking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
7. The health-care worker instructs the parents of an infant that they can expect the first tooth
eruption at the age of: a. 2 months.
b. 6 months.
c. 8 months.
d. 10 months.
ANS: B
Normal tooth eruption occurs between 5 to 7 months with the appearance of the central
incisors.
DIF: Cognitive Level: Comprehension REF: p. 108 OBJ: 2
TOP: Tooth eruption KEY: Nursing Process Step: Implementation MSC: NCLEX:
Health Promotion and Maintenance: growth and development
8. The parent of a 12-month-old says, “He pushes the spoon right out of my hand and screams
when I feed him. I can’t let him feed himself, he makes too much of a mess.” The best response
is:
a. “It’s important not to give in to this kind of temper tantrum at this age.”
b. “Maybe you need to try a different type of spoon, one designed for children.”
c. “He is old enough to try to feed himself. Let’s think of ways to limit the mess.”
d. “You should continue to feed him. Self-feeding may interfere with adequate nutrition.”
ANS: C
Self-feeding is a developmental task that is part of the first year of life and the infant’s
growing need for independence.
DIF: Cognitive Level: Application REF: p. 96 OBJ: 2
TOP: Nutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
9. A 4-month-old infant is brought to the clinic by her parents for a well-baby checkup. Because 4-
month-old infants are developing very fast, the health-care worker reminds parents that they can
help prevent an accident by:
a. using a tray on highchair as restraint rather than the restraining strap.
b. placing adjustable gates at the head of the stairs.
c. placing the child on the stomach to sleep at night or at nap time.
Bank
MULTIPLE CHOICE
1. The 5-month-old should demonstrate:
a. hand-to-mouth coordination.
b. neat pincer grasp.
c. building a tower of two cubes.
d. ability to grasp an object voluntarily.
ANS: D
By 5 months, newborn reflexes have disappeared and the infant is able to shape the hand to
voluntarily grasp an object.
DIF: Cognitive Level: Knowledge REF: p. 102, Table 7-2
OBJ: 4 TOP: Motor development
KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
2. According to Erikson, infancy is concerned with acquiring a sense of: a. trust.
b. industry.
c. initiative.
d. autonomy.
ANS: A
Trust develops when infants learn their basic needs will be met, providing the foundation for
all succeeding phases of development. Trust assists infants in experiencing unknown or
unfamiliar situations with minimal fear.
DIF: Cognitive Level: Knowledge REF: p. 96 OBJ: 7
TOP: Trust versus mistrust KEY: Nursing Process Step: NA
MSC: NCLEX: Health Promotion and Maintenance: growth and development
3. Object permanence is:
a. recognizing a familiar face, such as mother.
b. recognizing a familiar object, such as bottle.
c. actively searching for a hidden object.
d. securing objects by pulling on a string.
ANS: C
, By 9-10 months, infants have achieved the concept of object permanence, or the realization
that objects that leave the visual field can still exist.
DIF: Cognitive Level: Comprehension REF: p. 96 OBJ: 2
TOP: Object performance KEY: Nursing Process Step: Assessment
MSC: NCLEX: Health Promotion and Maintenance: growth and development
4. A parent of an 8-month-old infant says that the baby cries and screams whenever she is left with
her grandparents. The reply should be based on the fact that the:
a. infant is most likely spoiled.
b. infant is experiencing separation anxiety.
c. infant should be left with another caretaker.
d. grandparents’ home may be a frightening environment.
ANS: B
At around 6 months of age, the infant begins to have an awareness of self and parent as
separate beings. This, coupled with the development of object permanence, causes the infant
to become distressed at the absence of the parent.
DIF: Cognitive Level: Application REF: p. 98 OBJ: 7
TOP: Separation anxiety KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
5. The parents of a 2-month-old boy are concerned about spoiling their son by picking him up
when he cries. The most informative response would be:
a. “Allow him to cry for no longer than 15 minutes, then pick him up.”
b. “Babies need comforting and cuddling. Meeting these needs will not spoil him.”
c. “Babies this young cry when they are hungry. Try feeding him when he cries.”
d. “If he isn’t soiled or wet, leave him and he’ll cry himself to sleep.”
ANS: B
Prompt attention to an infant’s crying promotes attachment and development of trust.
DIF: Cognitive Level: Application REF: p. 97 OBJ: 9
TOP: Attachment KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
6. The parents of a 6-month-old infant say that they are worried about their baby’s thumb-sucking.
The reply that is most informative would be: a. “A pacifier should be substituted for the thumb.”
b. “Nonnutritive sucking may indicate unsatisfied hunger.”
c. “Sucking should be interrupted by diverting the baby’s attention.”
d. “Nonnutritive sucking during infancy is normal.”
, ANS: D
Nonnutritive sucking in infancy is of benefit by providing a self-regulating source of comfort.
DIF: Cognitive Level: Application REF: p. 106 OBJ: 3
TOP: Sucking KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
7. The health-care worker instructs the parents of an infant that they can expect the first tooth
eruption at the age of: a. 2 months.
b. 6 months.
c. 8 months.
d. 10 months.
ANS: B
Normal tooth eruption occurs between 5 to 7 months with the appearance of the central
incisors.
DIF: Cognitive Level: Comprehension REF: p. 108 OBJ: 2
TOP: Tooth eruption KEY: Nursing Process Step: Implementation MSC: NCLEX:
Health Promotion and Maintenance: growth and development
8. The parent of a 12-month-old says, “He pushes the spoon right out of my hand and screams
when I feed him. I can’t let him feed himself, he makes too much of a mess.” The best response
is:
a. “It’s important not to give in to this kind of temper tantrum at this age.”
b. “Maybe you need to try a different type of spoon, one designed for children.”
c. “He is old enough to try to feed himself. Let’s think of ways to limit the mess.”
d. “You should continue to feed him. Self-feeding may interfere with adequate nutrition.”
ANS: C
Self-feeding is a developmental task that is part of the first year of life and the infant’s
growing need for independence.
DIF: Cognitive Level: Application REF: p. 96 OBJ: 2
TOP: Nutrition KEY: Nursing Process Step: Implementation
MSC: NCLEX: Health Promotion and Maintenance: growth and development
9. A 4-month-old infant is brought to the clinic by her parents for a well-baby checkup. Because 4-
month-old infants are developing very fast, the health-care worker reminds parents that they can
help prevent an accident by:
a. using a tray on highchair as restraint rather than the restraining strap.
b. placing adjustable gates at the head of the stairs.
c. placing the child on the stomach to sleep at night or at nap time.
