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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Applying suction continuously while inserting the suction catheter is not recommended. This could potentially cause trauma to the trachea and lead to complications.
Choice B rationale
Using a large diameter suction catheter for better suctioning is not recommended. The size of the suction catheter should be appropriate for the size of the tracheostomy tube. Using a catheter that is too large could cause trauma to the trachea.
Choice C rationale
Suctioning for no more than 10 seconds at a time is recommended to prevent hypoxia (lack of oxygen). Prolonged suctioning can lead to complications such as hypoxia, trauma to the trachea, and cardiac arrhythmias.
Choice D rationale
Applying suction while the child is exhaling is not recommended. Suction should be applied while withdrawing the suction catheter, not during exhalation.
Correct Answer is D
Explanation
Choice A rationale
Understanding the cause of illness is a complex cognitive task that typically develops later in childhood. Preschool-aged children are still developing their understanding of cause and effect, and their thinking is often more concrete than abstract.
Choice B rationale
Describing manifestations of illness is also a complex task that requires a certain level of cognitive and language development. While preschool-aged children are developing their language skills rapidly, their ability to describe complex phenomena such as the manifestations of illness is still developing.
Choice C rationale
Awareness of body functioning is a concept that typically develops later in childhood. Preschool-aged children are still learning about their bodies and how they work. Their understanding of body functioning is often concrete and based on what they can see and feel.
Choice D rationale
Relating fears to magical thinking is a characteristic of preschool-aged children’s cognitive development. At this age, children’s thinking is often dominated by fantasy and magic. They may attribute events or experiences to magical causes, and their fears may be related to these magical beliefs.
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