A nurse is reinforcing teaching with the mother of a 9-month-old infant regarding appropriate dietary choices.
Which of the following observations by the nurse indicates a need for further teaching?
The infant eats the same foods prepared for the rest of the family.
The infant drinks 2 quarts of whole milk a day.
The infant drinks from a cup with a cover.
The mother gives the infant finger foods, such as apple slices for a snack.
The Correct Answer is B
Choice A rationale
It’s not uncommon for infants to eat the same foods prepared for the rest of the family, especially if these foods are healthy and properly prepared. However, it’s important to note that certain foods may pose a choking hazard or may not be suitable for an infant’s digestive system. For example, honey should not be given to children under 1 year of age due to the risk of botulism.
Choice B rationale
The American Academy of Pediatrics recommends that infants under 12 months of age should not drink cow’s milk. Cow’s milk lacks the necessary nutrients that infants need for growth and development. It also contains high concentrations of protein and minerals, which can stress an infant’s kidneys and cause other health problems.
Choice C rationale
Drinking from a cup with a cover, also known as a sippy cup, is a normal part of an infant’s development. It helps the child transition from a bottle to a regular cup. However, it’s important to monitor the child’s use of a sippy cup as prolonged use can lead to tooth decay.
Choice D rationale
Giving an infant finger foods like apple slices is a good way to encourage self-feeding and develop fine motor skills. However, the food should be cut into small, manageable pieces to prevent choking.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
The ventrogluteal site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.
Choice B rationale
The deltoid site is not typically used for immunizations in infants. This site is often used in older children and adults, but it is not the preferred site for infants due to their small muscle mass.
Choice C rationale
The vastus lateralis is the preferred site for administering immunizations in infants. This muscle is located in the thigh and is large enough to accommodate the injection. It is also away from major nerves and blood vessels, making it a safe site for injections.
Choice D rationale
The dorsogluteal site is not recommended for immunizations in any age group. This site has a number of large blood vessels and nerves, as well as a layer of fat, which can make injections less effective and potentially harmful.
Correct Answer is B
Explanation
Choice A rationale
While assistance may be needed to comfort the toddler during the procedure, holding the toddler in a prone position is not the recommended position for a lumbar puncture.
Choice B rationale
Placing the toddler in a side-lying, knee-chest position is the correct position for a lumbar puncture. This position helps to open up the spaces between the vertebrae, making it easier to access the spinal canal.
Choice C rationale
Restraining the toddler for 1 hour after the procedure is not necessary and could cause distress to the toddler.
Choice D rationale
While swaddling the toddler in a warm blanket may provide comfort, it is not a necessary step in the administration of a lumbar puncture.
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