A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods.
The nurse should recommend that which of the following foods be introduced first?
Iron-fortified cereal.
Strained fruits.
Pureed meats.
Cooked egg whites.
The Correct Answer is A
Choice A rationale
The American Academy of Pediatrics and the Dietary Guidelines for Americans recommend that children be introduced to foods other than breast milk or infant formula when they are about 6 months old. The first foods to be introduced should be single-ingredient foods that contain no sugar or salt. Among the first foods to be introduced are infant cereals. Iron-fortified cereals are particularly important because iron is a crucial nutrient in the second half of a baby’s first year.
Choice B rationale
While strained fruits are a common food to introduce early on, they are typically not the first food to be introduced. The first food is usually an iron-fortified cereal due to the importance of iron in a baby’s diet.
Choice C rationale
Pureed meats are also a good source of iron and can be introduced early on. However, they are not typically the first food to be introduced.
Choice D rationale
Cooked egg whites are not typically one of the first foods introduced to infants. There is also a risk of allergic reactions with egg whites, so they should be introduced with caution and not as the first food.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
This response is inappropriate and unprofessional. It makes an assumption about the child’s behavior at home without any evidence. It also could make the parents feel blamed or judged, which is not conducive to a supportive healthcare environment.
Choice B rationale
While it’s important for the nurse to communicate with the provider about any changes in the child’s health status, this response does not directly address the parents’ concern. It also does not provide reassurance or information about why the bedwetting might be occurring.
Choice C rationale
This response is empathetic and informative. It normalizes the child’s behavior by explaining that regression is common in hospitalized children. It also reassures the parents that the bedwetting is likely temporary and will improve as the child recovers.
Choice D rationale
While this response is empathetic, it does not directly address the parents’ concern about the bedwetting. It also personalizes the situation by bringing the nurse’s own children into the conversation, which is generally not recommended in professional healthcare communication.
Correct Answer is B
Explanation
Choice A rationale
While some babies may experience rapid growth and double their birth weight within the first 3 months, this is not typically expected. Most infants are expected to double their birth weight by 5 to 6 months of age.
Choice B rationale
Most infants are expected to double their birth weight by 5 to 6 months of age. Therefore, by the age of 6 months, it would be expected for an infant to have doubled their birth weight.
Choice C rationale
By 9 months, most infants would have already doubled their birth weight. The typical expectation is for infants to double their birth weight by 5 to 6 months of age.
Choice D rationale
By 12 months, most infants would have already doubled their birth weight and are on their way to tripling their birth weight. Therefore, expecting an infant to double their birth weight by 12 months would be beyond the typical timeframe.
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