A nurse is providing nutritional guidance to a parent of a newborn.
Which statement by the parent indicates an understanding of the teaching?

I should start giving solid foods to my baby when they are 3 months old.

I should wait until my baby is 4 months old to begin fluoride supplements.

I should wait to give fruit juice until my baby is 6 months old.

I should introduce cow’s milk when my baby is 9 months old.

Answer and Explanation

The Correct Answer is C

Choice A rationale
Introducing solid foods to a baby at 3 months old is not recommended. The American Academy of Pediatrics suggests exclusive breastfeeding for the first 6 months of life.
Choice B rationale
The American Dental Association recommends that a child is at least 6 months old before they start using fluoride supplements, and only if the child is at high risk for tooth decay and the primary drinking water source is deficient in fluoride.
Choice C rationale
Waiting to give fruit juice until a baby is 6 months old is a correct practice. The American Academy of Pediatrics recommends that fruit juice should not be introduced into the diet of infants before 6 months of age.
Choice D rationale
Introducing cow’s milk when a baby is 9 months old is not recommended. The American Academy of Pediatrics advises against introducing cow’s milk until a child is 12 months old.

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Correct Answer is B

Explanation

To calculate the estimated date of birth (EDB) using the first day of the last menstrual period (LMP), you can use Naegele’s Rule. This rule adds 280 days (or 40 weeks) to the first day of the LMP.

Given the LMP of July 27 (0727):

Add 1 year: July 27, 2023 becomes July 27, 2024.
Add 7 days: July 27, 2024 becomes August 3, 2024.
Subtract 3 months: August 3, 2024 becomes May 3, 2024.

So, the estimated date of birth (EDB) is May 3, 2024 (0503).

A. The infant needing more sleep can indicate a food allergy. B. Rice cereals can be a problem during lactation. C. Foods you eat do not affect breast milk. D. You might want to avoid eating peanuts.

Correct Answer is D

Explanation

Choice A rationale
While changes in an infant’s sleep patterns can be a sign of many issues, they are not a specific indicator of a food allergy.
Choice B rationale
Rice cereals are typically one of the first foods introduced to infants and are usually well- tolerated. They are not known to cause problems during lactation.
Choice C rationale

The foods a mother eats can affect breast milk, but they do not typically cause food allergies. Most babies can tolerate a variety of foods in a mother’s diet without any problems.
Choice D rationale
If there is a strong family history of peanut allergies, the mother might want to avoid eating peanuts while breastfeeding. However, current research suggests that early exposure to potential allergens may actually decrease the risk of developing allergies.

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A nurse is providing nutritional guidance to a parent of a newborn. Which statement by the parent indicates an understanding of the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is the estimated date of birth (EDB) for a client who is pregnant and whose last menstrual period began on July 27? (State the date in MMDD. For example, July 27 is 0727)

Correct Answer is B

Explanation

A nurse is caring for a client who is postpartum and is breastfeeding. The client states that she is concerned about dietary precautions since she has a family history of food allergies. The nurse offers which of the following responses?

Correct Answer is D

Explanation

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A nurse is providing nutritional guidance to a parent of a newborn.
Which statement by the parent indicates an understanding of the teaching?