A nurse is providing nutritional teaching to the guardian of a 12.month.old toddler. Which of the following information should the nurse include?
The toddler should consume 3 meals and 2 snacks per day.
The toddler should drink no more than 3 Cups Of fat-free milk each day.
The toddler should consume 1500 calories per day by age 2.
The toddler should be provided adult-size portions starting at 3 years of age.
The Correct Answer is A
A. The toddler should consume 3 meals and 2 snacks per day: Toddlers typically require small, frequent meals and snacks throughout the day to meet their nutritional needs and support their growth and energy levels.
B. The toddler should drink no more than 3 cups of fat-free milk each day: Fat-free milk is not recommended for toddlers under 2 years because they need dietary fat for brain development; whole milk is usually advised until age 2.
C. The toddler should consume 1500 calories per day by age 2: While caloric needs increase as the child grows, the average caloric requirement at 12 months is approximately 900 to 1000 calories; 1500 calories is more appropriate for older toddlers closer to 2 years.
D. The toddler should be provided adult-size portions starting at 3 years of age: Toddlers require smaller portion sizes than adults, and portion sizes should be age-appropriate; adult portions are generally too large and unnecessary at this age.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Roll the syringe gently to ensure mixture of the insulins: Insulin should be mixed by rolling only the vial of NPH, not the syringe. After drawing both insulins into one syringe, gentle rolling is not typically done with the syringe itself to mix them.
B. Inject into the vastus lateralis: The vastus lateralis is typically used for IM injections. Subcutaneous tissue of the abdomen or thigh is preferred for insulin injections for better absorption.
C. Use a 15° angle for the injection: A 15° angle is used for intradermal injections. Insulin should be given subcutaneously using a 45° or 90° angle depending on needle size and fat thickness.
D. Draw up regular insulin prior to NPH insulin: Regular insulin should always be drawn up first to prevent contamination of the clear insulin with the cloudy NPH insulin, maintaining efficacy and correct dosing.
Correct Answer is A
Explanation
A. Measure the tubing from the nose to the distal port: Proper measurement of the NG tube ensures correct placement into the stomach. The usual method involves measuring from the tip of the nose to the earlobe and then to the xiphoid process, not to the distal port of the tube, but this choice most closely aligns with verifying safe tube length.
B. Complete the feeding in 5 min: Administering a feeding too quickly can cause abdominal cramping, vomiting, or aspiration. Feedings should be given slowly, typically over 15 to 30 minutes, depending on the child's tolerance and the volume.
C. Warm the formula in the microwave: Microwaving formula can cause uneven heating and result in hot spots that may burn the child’s mouth or GI tract. Formula should be warmed by placing the container in warm water and testing the temperature before administration.
D. Position the child at a 10° to 20° angle after feeding: This angle is too low and increases the risk of aspiration. The child should remain at a 30° to 45° angle for at least 30 minutes after feeding to promote digestion and prevent reflux.
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