Growth & Development Milestones

Milestones: Growth & Development


Sophomore Fall 2023

Multiple Choice

You're assessing a 10-month-old infant. You note on examination the anterior fontanelle is open. The nurse will:

• Document this as an abnormal finding because this fontanelle should closed at 2 months

• Document this as a normal finding because this fontanelle closes at about 18 months

• Document this as a normal finding because this fontanelle closes at about 12 months

• Document this as an abnormal finding becuase this fontanelle should close at 6 months

​Triples their weight by 12 months

​Doubles their weight by 6 months

Fact:
In regards to weight, a baby

Multiple Choice

An infant weighed 7 pounds at birth How much should the infant weight at 6 months?

• 21 pounds

• 10 pounds

• 14 pounds

• 28 pounds

Drag and Drop

This fontanelle closes at 6-8 weeks months. Which one is it? ​ ​

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Posterior Fontanelle

Anterior Fontanelle

At 6 months the infant should grow about 1/2 to 1 inch every month.

Multiple Choice

An infant was 21 inches at birth. How many inches should the infant be at 6 months?

• 30-36 inches

• 24-27 inches

• 23-25 inches

• 22-24 inches

Multiple Choice

At what age would you educate the parents of an infant to stop swaddling the infant because the infant will be able to roll over onto its tummy?

• 2 months

• 4 months

• 6 months

• 10 months

" The first two teeth to come in are the lower incisors"

Multiple Choice

At 8-9 months of age, what milestone should an infant be able to succesfully perform?

• Begin walking

• Say several words like mama or dada

• Sit without support

• Follow basic commands

Multiple Choice

Reflecting upon Erikson's Trust versus Mistrust stage of development, What nursing intervention will you include in the plan of care for a six-month-old child who is hospitalized?

• Separate the infant and parent during procedures

• Maintain the infant's daily rituals and routines

• Allow the infant to examine equipment before usage

• Maintain the same nursing staff during each shift

Multiple Choice

During an assessment of a 10-month-old infant, you note on the infant's gum line two teeth that have erupted. These are the only teeth present in the infant's mouth. These teeth are known as the?

• Lower central incisors

• Upper central incisors

• Lateral incisors

• Canine

Multiple Choice

You're assessing a 2-month-old infant. Which finding below is a normal milestone that should be reached by this infant at this age?

• The infant can sit up with support

• The infant holds a rattle

• The infant smiles at its parent

• The infant is afraid of strangers

Multiple Choice

You note a 10-month-old is using the pincer grasp. Which option below best describes this milestone?​

• Can grasp small objects with the index finger & thumb

• Can grasp large objects with the palm & forefingers

• Can grasp small & large objects with middle finger & thumb

• Can grasp large objects with palm & thumb

Multiple Choice

You're developing a plan of care for an infant and you include activities for play. The play activities include hiding a toy & letting the infant look for it as well as playing peek-a-boo. Which infant would best benefit from this type of play?

• 6 month old

• 2 month old

• 9 month old

• 4 month old

Multiple Select

A 12-month-old arrives to the clinic for a well visit. You're assessing the infant's developmental milestones. Select all of the milestones the child should be able to perform. SATA

• Hits 2 small wooden blocks together

• Says 2-3 word sentences

• Pulls to a standing position & can take a few steps

• Follows simple commands like "wave bye-bye"

• Puts object in a container

Dropdown

Your patient is a 5-month-old. Which developmental milestone, if not performed by the infant, ​ should be further investigated?​

Select answer

Multiple Choice

You're teaching a new mom of a 1-week old infant how to prevent SIDS (Sudden Infant Death Syndrome). Which statement by the parent requires you to re-educate the parent on this topic?

• "The best sleeping position for the baby is on their side or tummy"

• "It's okay to share the same room with the baby"

• "I will stop swaddling the baby once he can roll over onto his tummy"

• "I will be sure to remove extra blankets and toys from the baby's bed"

Drag and Drop

You're developing a meal plan for a 10-month-old. Which foods will you select to be part of the meal plan? SATA

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Mashed potatoes

Soup

toast with honey

grapes

Labelling

Why can't infants have honey until 1 year? SATA

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Honey can lead to botulism(clostridium)

Honey is too sweet for a 1 year old

Multiple Choice

At what age should whole milk be introduced?

• 8 months

• 10 months

• 12 months

• 16 months

Drag and Drop

What are the ABCs of crib safety? Select all that apply.​

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Alone on their backs

Toys in a crib

Light blanket at nighttime

Sleep in a crib

Dropdown

You're educating a group of parents about car seat safety. A participant asks what's the best position of a car seat for a 6-month-old. Your response is? ​

Select answer

Multiple Select

You're providing care to a 1-month-old infant who is hospitalized. The parents are unable to be at the bedside. The infant is crying. Select appropriate nursing interventions for this infant. SATA

• Let infant play with crib mobile

• Swaddle the infant

• Attempt to play peek-a-boo

• Rock the infant

• Distract the infant with a toy

Drag and Drop

Your patient is a 6-month-old. According to Erikson's Stage of Development, this patient is in what stage?​

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Trust vs Mistrust

Autonomy vs Shame and Doubt

Initiative vs. Guilt

identity vs. Role confusion

Multiple Select

Which percentile ranges on the growth chart would require further investigation? SATA

• < 5th percentile

• >90th percentile

• < 10th percentile

• >than 95th percentile