Health Promotion and Maintenance: General Concepts, the Newborn, and the Infant Flashcards
The clinic administrator has asked each nurse to classify the nursing activities as a
beginning step of clinic reorganization. Which of these strategies can be classified as health
promotion and health maintenance? Select all that apply.
1. Instructing on how to use dental floss
2. Treating a child with a diagnosis of acute otitis media
3. Administering the flu vaccine to infants 6 to 23 months old
4. Working with new parents to create daily feeding schedules for infants
5. Conducting developmental screening examinations for toddlers
Answer: 1,3,4,5
The mother of a newborn asks the nurse what the purpose of the first scheduled health
maintenance visit will be. Which are appropriate responses by the nurse to this question?
Select all that apply.
1. “To determine if your baby is being abused.”
2. “To determine compatibility between you and the provider.”
3. “To discuss policies related to provision of care.”
4. “To evaluate your understanding of the services offered.”
5. “To determine your baby’s risk for obesity.”
Answer: 2,3,4
During a health supervision visit, the nurse is attempting to develop a partnering
relationship with the child and family. Which is the initial action by the nurse?
1. Telling the family what the child should be doing physically for the age level
2. Telling the family that the healthcare provider will answer any questions they might
have related to their child’s growth and development
3. Setting goals for the family related to the child’s health
4. Discussing a plan with the family to address the child’s health needs
Answer: 4
During a scheduled health maintenance visit for a 6-month-old infant the nurse asks, “Does
the baby sit without assistance, and is the baby crawling?” Which process is the nurse using
in this interaction?
1. Health promotion
2. Developmental surveillance
3. Health maintenance
4. Disease surveillance
Answer: 2
A parent says to a nurse, “How do you know when my baby needs these screening tests the
doctor just mentioned?” Which response by the nurse is most appropriate?
1. “Screening tests are done in the newborn nursery, and from these results, additional
screening tests are ordered throughout the first 2 years of life.”
2. “Screening tests are done at each office visit.”
3. “Screening tests are most often done when the doctor suspects something is wrong with
the child.”
4. “Screening tests are administered at the ages when a child is most likely to develop a
condition.”
Answer: 4
The nurse is working with first-time parents. Which activity will the nurse suggest to
encourage the development of good muscle tone in their infant?
1. Placing the infant in an infant seat rather than lying down in a crib
2. Surrounding the infant with toys and other stimulating items to encourage motor
movement
3. Swaddling the infant
4. Putting the infant to bed each night at 8 p.m., even if the infant protests with crying
Answer: 2
A mother who is bottlefeeding her newborn is discharged 48 hours postdelivery. When
should the nurse schedule the first office visit for the newborn with the pediatrician?
1. Within 5 days of discharge
2. Within 7 days of discharge
3. Within 2 weeks of discharge
4. Within 3 weeks of discharge
Answer: 1
While interviewing the parents of a toddler-age client, the nurse notes that the mother is
pregnant. At the end of the visit, the nurse decides to give a new pamphlet to the parents
about car seat usage for newborns. Which is the purpose of this action by the nurse?
1. Secondary preventative health maintenance
2. Developmental health screening
3. Tertiary preventative health maintenance
4. Primary preventative health maintenance
Answer: 4
A nurse assesses the height and weight measurements on an infant and documents these
measurements at the 75th percentile. The nurse notes that the measurements 2 months ago
were at the 25th percentile. Which interpretation of these data by the nurse is accurate?
1. The infant is not gaining enough weight.
2. The infant has gained a significant amount of weight.
3. These measurements most likely are inaccurate.
4. The previous measurements were most likely inaccurate.
Answer: 2
The mother of a 2-year-old child becomes very anxious when the child has a temper
tantrum in the medical office. Which response by the nurse to the mother is appropriate?
1. “Let’s ignore this behavior. It will stop sooner.”
2. “What do you usually do or say during a temper tantrum?”
3. “This is definitely a temper tantrum. I know exactly what you are feeling right now.”
4. “Pick up and cuddle your child now, please.”
Answer: 2
Parents are in the pediatric clinic with their infant for a 1-month checkup. Which
assessment question regarding immunizations should the nurse ask the infant’s parents?
1. “Did your baby receive the influenza vaccine prior to hospital discharge?”
2. “Did your baby receive the hepatitis B vaccine prior to hospital discharge?”
3. “Did your baby receive the rubella vaccine prior to hospital discharge?”
4. “Did your baby receive the rotavirus vaccine prior to hospital discharge?”
Answer: 2
A nurse is assessing an 11-month-old infant, and notes that the infant’s height and weight
are at the 5th percentile on the growth chart; the infant was previously plotted at the 25th
percentile. Psychosocial history reveals that the parents are separated and are planning to
divorce. Which is the priority when planning this infant’s care?
1. Parental anxiety
2. Risk for failure to thrive
3. Excessive nutritional intake
4. Risk for injury
Answer: 2
Which observation in a health supervision visit leads the nurse to have concerns about the
infant’s mental health?
1. A 1-month-old is swaddled by the parent because of crying after an immunization.
2. A 7-month-old infant grabs her mother and cries when the nurse attempts touch.
3. A 9-month-old avoids eye contact with parents and the nurse.
4. A 10-month-old reportedly sleeps about 12 hours total per night.
Answer: 3
The nurse is assessing a small-for-gestational-age newborn who had an older sibling who
died of sudden infant death syndrome (SIDS). Which should the nurse include in the
newborns plan of care based on these data?
1. Encourage the parents to sleep with the newborn for close observation.
2. Encourage the parents to place the newborn on the abdomen to sleep.
3. Encourage the parents to place the newborn in a crib with a tight-fitting, firm mattress.
4. Encourage the parents to place the newborn in a crib with a soft mattress with extra
blankets.
Answer: 3
Which nursing actions are appropriate for the 2-month-old infant during a scheduled health
maintenance visit? Select all that apply.
1. Reviewing infant fluid needs with the parents
2. Reinforcing the importance of heating bottles with water versus the microwave
3. Demonstrating proper gum care to the parents
4. Educating the parents to begin introducing solid foods, such
Answer: 1,2,3
