Test Bank For Wong’s Essentials of Pediatric Nursing 11th Edition By Hockenberry Rodgers Wilson VERIFIED ANSWERS

Test Bank for Wong's Essentials of Pediatric Nursing, 11th Edition by Marilyn J. Hockenberry, David Wilson and Cheryl C Rodgers

At age 5 months, theinfant should be able to voluntarily grasp an object. thegrasp reflex is present in thefirst 2 to 3 months of life. Gradually, thereflex becomes voluntary. theneat pincer grasp is not achieved until age 11 months. At age 12 months, an infant will attempt to build a tower of two cubes but will most likely be unsuccessful. DIF: Cognitive Level: Understanding REF: dl. 430 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 4. The nurse is checking reflexes on a 7-month-old infant. When theinfant is suspended in a horizontal prone position, thehead is raised and thelegs and spine are extended. Which reflex is this? a. Landau b. Parachute c. Body righting d. Labyrinth righting ANS: A When theinfant is suspended in a horizontal prone position, thehead is raised and thelegs and spine are extended; this describes theLandau reflex. It appears at 6 to 8 months and persists until 12 to 24 months. theparachute reflex occurs when theinfant is suspended in a horizontal prone position and suddenly thrust downward; theinfant extends thehands and fingers forward as if to protect against falling. This appears at age 7 to 9 months and lasts indefinitely. Body righting occurs when turning thehips and shoulders to one side causes all other body parts to follow. It appears at 6 months of age and persists until 24 to 36 months. thelabyrinth-righting reflex appears at 2 months and is strongest at 10 months. This reflex involves holding infants in theprone or supine position. They are able to raise their heads. DIF: Cognitive Level: Applying REF: dl. 433 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 5. In terms of gross motor development, what should thenurse expect an infant age 5 months to do? a. Sit erect without support. b. Roll from theback to theabdomen. c. Turn from theabdomen to theback. d. Move from a prone to a sitting position. ANS: C Rolling from theabdomen to theback is developmentally appropriate for a 5-month-old infant. The ability to roll from theback to theabdomen is developmentally appropriate for an infant at age 6 months. Sitting erect without support is a developmental milestone usually achieved by 8 months. A 10-month-old infant can usually move from a prone to a sitting position. DIF: Cognitive Level: Understanding REF: dl. 431 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 6. At which age can most infants sit steadily unsupported? a. 4 months b. 6 months c. 8 months d. 12 months ANS: C Sitting erect without support is a developmental milestone usually achieved by 8 months. At age 4 months, an infant can sit with support. At age 6 months, theinfant will maintain a sitting position if propped. By 10 months, theinfant can maneuver from a prone to a sitting position. DIF: Cognitive Level: Understanding REF: dl. 419 TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance 7. By which age should thenurse expect that an infant will be able to pull to a standing position? a. 5 to 6 months b. 7 to 8 months c. 11 to 12 months d. 14 to 15 months ANS: C Most infants can pull themselves to a standing position at age 9 months. Infants who are not able to pull themselves to standing by age 11 to 12 months should be further evaluated for