Question 1 1 / 1 pts
A nurse is providing information to a group of pregnant clients
and their partners about the psychosocial development of
... [Show More] an
infant. Using Erikson’s theory of psychosocial development, the
nurse tells the group that infants have which developmental
need?
Correct! Need to rely on the fact that their needs will be met
Must have needs ignored for short periods to develop a healthy
personality
Need to tolerate a great deal of frustration and discomfort to
develop a healthy personality
Need to experience frustration, so it is best to allow an infant to
cry for a while before meeting his or her needs
7/19/2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
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Rationale: According to Erikson’s theory of psychosocial
development, infants struggle to establish a sense of basic
trust rather than a sense of basic mistrust in their world,
their caregivers, and themselves. If provided with
consistent satisfying experiences that are delivered in a
timely manner, infants come to rely on the fact that their
needs are met and that, in turn, they will be able to
tolerate some degree of frustration and discomfort until
those needs are met. This sense of confidence is an early
form of trust and provides the foundation for a healthy
personality. Therefore the other options are incorrect.
Test-Taking Strategy: Use the process of elimination.
Eliminate the option that contains the closed-ended word
“must.” Eliminate the comparable or alike options and
indicate that experiencing frustration is necessary. Review
Erikson’s theory of psychosocial development as it relates
to the infant if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Teaching and Learning
Content Area: Developmental Stages
Question 2 1 / 1 pts
A nurse is weighing a breastfed 6-month-old infant who has been
brought to the pediatrician’s office for a scheduled visit. The
infant’s weight at birth was 6 lb 8 oz. The nurse notes that the
infant now weighs 13 lb. The nurse should take which action?
Tell the mother that the infant’s weight is increasing as expected.
Correct!
Tell the mother to decrease the daily number of feedings because
the weight gain is excessive.
Tell the mother that semisolid foods should not be introduced
until the infant’s weight stabilizes.
7/19/2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
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Tell the mother that the infant should be switched from breast
milk to formula because the weight gain is inadequate.
Rationale: Infants usually double their birth weight by 6
months and triple it by 1 year of age. If the infant is 6 lb 8
oz, at birth, a weight of 13 lb at 6 months of age is to be
expected. Semisolid foods are usually introduced between
4 and 6 months of age.
Test-Taking Strategy: Use the process of elimination and
focus on the data in the question. Recalling that infants
double their weight by 6 months of age will direct you to
the correct option. Review the growth rate of an infant if
you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Physiological Integrity
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Question 3 1 / 1 pts
The nurse is assisting with data collection on a well-baby
examination. The nurse measures the head circumference, and it
is the same as the chest circumference. On the basis of this
measurement, the nurse should take which action?
Report the presence of hydrocephalus to the health care
provider.
Suggest to the health care provider that a skull x-ray be
performed.
Tell the mother that the infant is growing faster than expected.
7/19/2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
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Document these measurements in the infant’s health care record.
Correct!
Rationale: The head circumference growth rate during the
first year is approximately 0.4 inch (1 cm) per month. By
10 to 12 months of age, the infant’s head and chest
circumferences are equal. Therefore, suspecting the
presence of hydrocephalus, telling the mother that the
infant is growing faster than expected, and suggesting that
a skull x-ray be performed are incorrect.
Test-Taking Strategy: Use the process of elimination.
Eliminate the comparable or alike options that indicate that
the infant has a physiological problem. Review the
expected growth rate of an infant if you had difficulty with
this question.
Level of Cognitive Ability: Applying
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Developmental Stages
Ques 1 / 1 pts tion 4
A new mother asks the nurse, “I was told that my infant received
my antibodies during pregnancy. Does that mean that my infant is
protected against infections?” Which statement should the nurse
make in response to the mother?
“Yes, your infant is protected from all infections.” "If you breastfeed, your infant is protected from infection."
"The transfer of your antibodies protects your infant until the
infant is 12 months old."
7/19/2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
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"The immune system of an infant is immature, and the infant is at
risk for infection."
Correct!
Rationale: Transplacental transfer of maternal antibodies
supplements the infant’s weak response to infection until
approximately 3 to 4 months of age. Although the infant
begins to produce immunoglobulin (Ig) soon after birth, by
1 year of age, the infant has only approximately 60% of
the adult IgG level, 75% of the adult IgM level, and 20% of
the adult IgA level. Breast milk transmits additional IgA
protection. The activity of T lymphocytes also increases
after birth. Even though the immune system matures
during infancy, maximal protection against infection is not
achieved until early childhood. This immaturity places the
infant at risk for infection.
Test-Taking Strategy: Use the process of elimination.
Eliminate the option containing the closed-ended word
"all." Recalling that breastfeeding alone does not protect
the infant from infection will assist you in eliminating the
option that suggests breastfeeding protects the infant.
From the remaining options, use the strategy of selecting
the umbrella option to answer correctly. Review the
physiological concepts related to the maturity of body
systems in an infant if you had difficulty with this question.
Level of Cognitive Ability: Applying
Client Needs: Safe and Effective Care Environment
Integrated Process: Nursing Process/Implementation
Content Area: Developmental Stages
Ques 1 / 1 pts tion 5
A nurse is assisting with data collection on the language
development of a 9-month-old infant. Which developmental
milestone does the nurse expect to note in an infant of this age?
The infant babbles.
7/19/2021 Module 1 Exam: HESI VN TXGRP 1912COHORT(VNE 39)
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Correct! The infant says "Mama."
The infant smiles and coos. The infant babbles single consonants.
Rationale: An 8- to 9-month-old infant can string vowels
and consonants together. The first words, such as
"Mama," "Daddy," "bye-bye," and "baby," begin to have
meaning. A 1- to 3-month-old infant produces cooing
sounds. Babbling is common in a 3- to 4-month-old.
Single-consonant babbling occurs between 6 and 8
months of age.
Test-Taking Strategy: Use the process of elimination and
focus on the subject, the developmental milestone of a 9-
month-old. Recalling the language development that
occurs during infancy will direct you to the correct option.
Remember that an 8- to 9-month-old infant can string
vowels and consonants together. Review the
developmental milestones related to language
development in an infant if you had difficulty with this
question.
Level of Cognitive Ability: Understanding
Client Needs: Health Promotion and Maintenance
Integrated Process: Nursing Process/Data Collection
Content Area: Developmental Stages [Show Less]