C pain from teething expressed by the infants cries

C Pain from teething expressed by the infant’s cries would not occur only when the
mother left the room.
D
The nurse can reassure parents that healthy attachment is manifested by stranger
anxiety in late infancy.
PTS: 1 DIF: Cognitive Level: Application REF: p. 99
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
9.
Which statement concerning physiologic factors is true?
a. The infant has a slower metabolic rate than an adult.
b. An infant has an inability to digest protein and lactase.
c. Infants have a slower circulatory response than adults do.
d. The kidneys of an infant are less efficient in concentrating urine than an adult’s
kidneys.
ANS: D

Feedback
A
The infant’s metabolic rate is faster, not slower, than an adult’s.
B Although the newborn infant’s 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.
C Circulation is faster in infants than in adults.
D The infant’s kidneys are not as effective at concentrating urine compared with an
adult’s because of immaturity of the renal system and slower glomerular
filtration rates. This puts the infant at greater risk for fluid and electrolyte
imbalance.
PTS: 1 DIF: Cognitive Level: Comprehension REF: p. 95
OBJ: Nursing Process: Implementation MSC: Client Needs: Physiologic Integrity
10.
Which is a priority in counseling parents of a 6-month-old infant?
a. Increased appetite from secondary growth spurt
b. Encouraging the infant to smile
c. Securing a developmentally safe environment for the infant
d. Strategies to teach infants to sit up
ANS: C
Feedback
A The infant’s appetite and growth velocity decrease in the second half of infancy.
B Although a social smile should be present by 6 months of age, encouraging this
is not of higher priority than ensuring environmental safety.
C Safety is a primary concern as an infant becomes increasingly mobile.
D Unless the infant has a neuromuscular deficit, strategies for teaching a normally
developing infant to sit up are not necessary.
PTS: 1 DIF: Cognitive Level: Comprehension REF: pp. 95-96
OBJ: Nursing Process: Implementation MSC: Client Needs: Health Promotion and Maintenance
11.
A mother of a 2-month-old infant tells the nurse, “My child doesn’t sleep as much as his older brother did at the
same age.” What is the best response for the nurse?
a. “Have you tried to feed the baby more often?”
b. “Infant sleep patterns vary widely, with some infants sleeping only 2 to 3 hours at a
time.”
c. “It is helpful to keep a record of your baby’s eating, waking, sleeping, and
elimination patterns and to come back in a week to discuss them.”
d. “This infant is difficult. It is important for you to identify what is bothering the
baby.”
ANS: B
Feedback
A Infants typically do not need more caloric intake to improve sleep behaviors.