A nurse is providing anticipatory guidance to the parents of a newborn about feeding skills. Place the following feeding skills in the order the newborn should develop them. (Move the steps into the box on the right, placing them in the selected order of performance. Use all of the steps.)
Pushes solid objects from mouth
Eats pieces of soft, cooked food
Drinks from a cup held by another person
Begins experimenting with a spoon
Correct Answer : A,B,C,D
Choice A rationale: Around 10 to 12 months of age, babies develop more advanced oral motor skills and can start to use their tongue to push solid objects out of their mouth. This is a natural reflex that helps prevent choking as they continue to learn how to eat solid foods.
Choice B rationale: Between 8 to 10 months of age, babies start to develop the ability to chew and swallow soft, cooked food. At this stage, they are typically introduced to mashed or finely chopped solid foods to complement their breast milk or formula diet.
Choice C rationale: Newborns typically start with bottle-feeding or breastfeeding. As they grow and develop, they eventually transition to drinking from a cup, which is usually introduced around 6 to 9 months of age. At this stage, the baby is held by another person while they drink from a cup with assistance.
Choice D rationale: Around 6 to 8 months of age, infants start showing an interest in self-feeding and may begin experimenting with a spoon. They may try to scoop food with a spoon but often need assistance and are still primarily dependent on being fed by a caregiver.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale: Misoprostol is a prostaglandin analog and is contraindicated for use during labor at 32 weeks of gestation as it can lead to uterine hyperstimulation, which may pose a risk to the preterm fetus.
Choice B rationale: Folic acid is a vitamin supplement and is not contraindicated during labor. However, it is typically taken earlier in pregnancy to prevent neural tube defects.
Choice C rationale: Nifedipine is a calcium channel blocker that may be used to suppress preterm labor, and it is not contraindicated at 32 weeks of gestation.
Choice D rationale: Terbutaline is a beta-adrenergic agonist that may be used to relax the uterine smooth muscles and inhibit preterm labor. It is not contraindicated at 32 weeks of gestation.
Correct Answer is B
Explanation
Choice A rationale: The Mongolian spot is a bluish-gray birthmark that is often seen on the lower back or buttocks of newborns with darker skin tones. It is not related to the swelling described in the scenario.
Choice B rationale: Caput succedaneum is a common condition in newborns delivered by vacuum extraction. It is characterized by swelling of the soft tissues of the scalp that crosses the suture lines. The swelling occurs due to pressure from the vacuum extractor during delivery and is caused by fluid accumulation between the scalp and the skull. Caput succedaneum is typically a benign and self-resolving condition that does not require treatment.
Choice C rationale: Cephalhematoma is a collection of blood between the periosteum and the skull bone. Unlike caput succedaneum, it does not cross the suture lines and can take weeks to months to resolve.
Choice D rationale: Erythema toxicum is a common skin rash in newborns characterized by red or pink spots with a yellow or white bump in the center. It is not related to the swelling described in the scenario.
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