A nurse is preparing to administer an enteral feeding to an adolescent who has an NG tube.
Which of the following actions should the nurse take first?

People with lactose intolerance can replace milk and dairy products with nondairy sources of calcium such as calcium-fortified products, fish with soft bones, broccoli and leafy green vegetables, oranges, almonds, Brazil nuts, and dried beans.

Choice A is wrong because “You can drink milk on an empty stomach” is not an answer because it may worsen symptoms of lactose intolerance.

Choice B is wrong because “You might tolerate plain milk better than chocolate milk” is not an answer because both plain and chocolate milk contain lactose.

Choice D is wrong because “You should consume flavored yogurt instead of plain yogurt” is not an answer because both flavored and plain yogurt contain lactose.

The correct answer is d. Exhibits head lag when pulled to a sitting position.

Choice A: Unable to hold a bottle At around 6 months of age, some babies can hold their own bottle. This is not a concerning finding for a 5-month-old infant. Therefore, this is not the correct answer.

Choice B: Unable to roll from back to abdomen Rolling over often starts around 4-6 months, so it’s not unusual for a 5-month-old to still be developing this skill. Therefore, this is not the correct answer.

Choice C: Absent grasp reflex The grasp reflex is an involuntary movement that your baby starts making in utero and continues doing until around 6 months of age. The grasp reflex lasts until the baby is about 5 to 6 months old. Therefore, this is not the correct answer.

Choice D: Exhibits head lag when pulled to a sitting position By the age of 5 months, most infants have developed enough strength in their neck and upper body to control their head movement. This means they should not exhibit a significant head lag when pulled to a sitting position1. If this is not the case, it could indicate a delay in motor development or a potential neurological issue, which should be reported to the healthcare provider for further evaluation. Therefore, this is the correct answer.