The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? Select all that apply.

At 12 months, the infant walks independently.

At 7 months, the infant sits alone with some use of hands for support.

At 9 months, the infant crawls with the abdomen off the floor.

At 1 month, the infant lifts and turns the head to the side in the prone position.

At 2 months, the infant rolls from supine to prone to back again.

Answer and Explanation

Correct Answer : B,D

A.   At 12 months, the infant walks independently: Most infants begin walking independently between 12 and 15 months of age, but it's not typically achieved by 12 months.
B.   At 7 months, the infant sits alone with some use of hands for support: This is an accurate statement. By around 6 to 8 months, infants develop the ability to sit unsupported, although they may still use their hands for balance.
C.   At 9 months, the infant crawls with the abdomen off the floor: Crawling typically begins between 7 and 10 months, but the abdomen may still be close to the floor initially.
D.   At 1 month, the infant lifts and turns the head to the side in the prone position: This is an accurate statement. Newborns typically exhibit head control and turning movements when placed on their stomachs (prone position) by around 1 month of age.

E. At 2 months, the infant rolls from supine to prone to back again: Rolling from supine to prone and back may begin around 4 to 6 months, but it's less likely to occur at 2 months.

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Correct Answer is D

Explanation

A. Substituting cow's milk if breast milk is not availablE. Cow's milk is not recommended as a substitute for breast milk or infant formula for infants under 12 months old due to its low iron content and potential for causing gastrointestinal irritation.

B. Advising fluid intake per feeding of 5 or 6 ounces: The appropriate fluid intake for a 2-week- old infant is typically guided by feeding cues and may vary from feeding to feeding. Providing a specific volume of fluid per feeding may not be appropriate, as infants should be fed on demand.

C. Advocating iron supplements with bottle-feeding: Iron supplementation is generally recommended for breastfed infants starting at around 4 months of age, but it is not typically necessary for formula-fed infants during the first few weeks of life. Additionally, iron

supplementation should be prescribed and monitored by a healthcare provider rather than advocated as a general guideline.

D. Discouraging the addition of fruit juice to the diet: This is the most effective anticipatory guidance because it aligns with current recommendations from pediatric healthcare

organizations. Fruit juice offers little nutritional value for infants and can contribute to dental caries and excessive calorie intake. It is generally recommended to avoid giving fruit juice to infants under 1 year old.

A. "Keep a night light on in your child's room." B. "Let your child sleep in your bed with you." C. "Tell your child that monsters are not real." D. "Stay with your child until the child is asleep."

Correct Answer is A

Explanation

A. "Keep a night light on in your child's room." - This option addresses the child's fear of

monsters by providing a solution that offers comfort and reassurance without dismissing the child's concerns outright.

B. "Let your child sleep in your bed with you." - While this may temporarily alleviate the child's fear, it doesn't address the underlying issue or help the child learn coping mechanisms for dealing with fear.

C. "Tell your child that monsters are not real." - This response invalidates the child's feelings and may increase anxiety by dismissing their fears as irrational.

D. "Stay with your child until the child is asleep." - While staying with the child may provide comfort initially, it doesn't offer a long-term solution and may reinforce the fear by implying that there is something to be afraid of.

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The nurse caring for newborns knows that infants exhibit phenomenal increases in their gross motor skills over the first 12 months of life. Which statements accurately describe the typical infant's achievement of these milestones? Select all that apply.

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

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