A 6-month-old girl weighs 14.7 lb during a scheduled check-up. Her birth weight was 8 lb. What is the priority nursing intervention?

Discouraging daily fruit juice intake

Increasing the number of breastfeedings

Discussing the child's feeding patterns

Talking about solid food consumption

Answer and Explanation

The Correct Answer is C

A. Discouraging daily fruit juice intakE. While excessive fruit juice intake can contribute to weight gain and dental caries, it's not the priority nursing intervention in this scenario.

B. Increasing the number of breastfeedings: Breastfeeding frequency may be appropriate, but without more information about the child's current feeding patterns and growth trajectory, it's not the priority intervention.

C. Discussing the child's feeding patterns: This is the priority intervention because it allows the nurse to assess the child's current feeding habits, including frequency, duration, and type of feedings, to determine if they are appropriate for the child's growth and development.

D. Talking about solid food consumption: Solid food introduction is typically recommended around 6 months of age, but the priority in this scenario is to assess the current feeding

patterns before discussing solid food introduction.

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Correct Answer is C

Explanation

A. Carotid artery: The carotid artery is not typically used to assess heart rate in infants due to its location and difficulty in palpation.

B. Radial artery: The radial artery is not typically used to assess heart rate in infants, especially in non-cooperative or newborn infants.

C. Apex of the heart: Assessing the heart rate by auscultating the apex of the heart with a stethoscope is the most accurate method for infants.

D. Brachial artery: The brachial artery is not typically used to assess heart rate in infants. It is commonly used to measure blood pressure.

A. Inability to pick up an object with her fingers B. Inability to raise head when in prone position C. Inability to sit without support D. Inability to bring an object to her mouth

Correct Answer is B

Explanation

A. At 3 months, infants are not expected to have the fine motor skills necessary to pick up objects with their fingers.

B. By 3 months, infants should be able to lift their head and chest during tummy time, and the inability to do so could indicate developmental delays or other health issues.

C. Infants typically cannot sit without support until they are around 6 months old.

D. The ability to bring objects to the mouth develops around 4 months of age, so it is not expected for a 3-month-old infant to do this consistently.

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A 6-month-old girl weighs 14.7 lb during a scheduled check-up. Her birth weight was 8 lb. What is the priority nursing intervention?

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