A breast-feeding mother asks the nurse about when she can begin feeding her 5-month-old infant some solids and vitamins. Which information provided by the nurse would most accurately address this mother’s concerns?
At 6 months, you need to quit breast-feeding because he is not getting enough iron or Vitamin C and D and that should help him transition to solids better.
The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron.
If you give him one or two bottles of juice each day, he should get all the vitamins he needs. You can begin fruits and cereal in 1 month.
You can begin feeding the infant fruits and vegetables now followed by iron-enriched cereal to ensure that he gets enough iron.
The Correct Answer is B
A. At 6 months, you need to quit breast-feeding because he is not getting enough iron or Vitamin C and D and that should help him transition to solids better:
This statement is incorrect. Breastfeeding is recommended for the first six months, and then complementary foods can be introduced while continuing breastfeeding. Breast milk is a primary source of nutrition, and iron and vitamins are typically supplemented as needed.
B. The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron:
This statement is accurate. Iron-enriched rice cereal is often recommended as a first solid food for infants, and vitamin D supplementation is commonly advised, especially for breastfed infants, as breast milk may not provide enough vitamin D.
C. If you give him one or two bottles of juice each day, he should get all the vitamins he needs. You can begin fruits and cereal in 1 month:
This statement is not recommended. Juice is not recommended for infants, especially in large quantities, as it can interfere with proper nutrition and contribute to dental issues. Also, introducing fruits and cereals should be done gradually, following appropriate guidelines.
D. You can begin feeding the infant fruits and vegetables now followed by iron-enriched cereal to ensure that he gets enough iron:
While introducing fruits and vegetables is a part of introducing solids, iron-enriched cereal is often recommended earlier as a source of iron. The recommendation for iron-enriched rice cereal aligns more with the typical guidance for introducing solids to infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A.While cystic fibrosis is characterized by a high concentration of sodium chloride in sweat due to defective chloride channels, this is not the cause of the barrel chest and clubbing of the fingers.
B.The barrel chest and clubbing of the fingers are often seen in children with cystic fibrosis due to chronic hypoxia (lack of oxygen). Chronic lung infections, airway obstruction, and respiratory insufficiency associated with cystic fibrosis lead to prolonged low oxygen levels, which can result in these physical changes.
C.Decreased respiratory capacity, often due to the chronic respiratory issues associated with cystic fibrosis, can result in a barrel chest (increased chest diameter due to air trapping) and clubbing of the fingers (a sign of chronic hypoxia).
D.Decreased respiratory capacity (due to thick mucus and airway obstruction) does contribute to chronic respiratory issues in cystic fibrosis, but the direct cause of the barrel chest and clubbing is the chronic lack of oxygen (hypoxia) rather than decreased capacity alone. The changes in the chest and fingers are a result of prolonged oxygen deprivation.
Correct Answer is D
Explanation
A. Dark red, macular lesions, and very pruritic:
Varicella lesions are typically pink or red and start as macules (flat, red spots) that develop into papules (raised bumps) and then vesicles (fluid-filled blisters). Dark red macular lesions are not commonly associated with varicella.
B. Various stages of lesions present at the same time, appear in successive crops, and very pruritic:
The presence of various stages of lesions (papules, vesicles, crusts) simultaneously, occurring in successive crops, and being intensely itchy are typical features of varicella.
C. Yellowish, scaly patches present on the scalp:
Yellowish, scaly patches on the scalp are not typical of varicella. This description is more indicative of conditions like seborrheic dermatitis rather than the rash associated with chickenpox.
D. A pink maculopapular rash starts at the hairline and spreads down the body.
Varicella rash usually begins as pink or red spots that develop into small, itchy, fluid-filled blisters (vesicles). These vesicles can then progress to form crusts and scabs. The rash often starts on the face, scalp, or trunk and then spreads to other parts of the body, gradually covering the entire body.
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