A nurse is teaching about nutrition guidelines to a parent of a newborn. Which of the following statements by the parent indicates an understanding of the teaching?
"I should wait to begin fluoride supplements until my baby is 4 months of age."
"I should introduce cow's milk when my baby is 9 months old."
"I should wait to give fruit juice until my baby is 6 months of age."
"I should start solid foods when my baby is 3 months old."
The Correct Answer is C
Choice A reason:
Introducing fluoride supplements to a newborn is not typically recommended until the age of 6 months, unless advised by a healthcare provider due to specific water supply conditions. The American Academy of Pediatrics (AAP) suggests that fluoride supplementation should begin at 6 months if the water supply is deficient in fluoride.
Choice B reason:
Cow's milk is not recommended for infants under the age of 1 year. Introducing cow's milk before this age can lead to iron deficiency and potentially cause harm to the infant's developing kidneys. It also lacks the proper nutrients that infants require, which are found in breast milk or formula.
Choice C reason:
The AAP recommends that fruit juice should not be introduced to infants before 6 months of age. Before this age, babies should only be fed breast milk or formula. Introducing fruit juice too early can contribute to excessive weight gain and tooth decay.
Choice D reason:
The introduction of solid foods is recommended to start at around 6 months of age. Starting solid foods at 3 months is too early and can increase the risk of choking and may lead to the development of food allergies.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason:
Elevating the client's legs can help increase venous return to the heart and may be beneficial in some cases of hypotension. However, it is not the first-line action for hypotension in a client with an epidural block during labor.
Choice B reason:
Notifying the provider is important, but it is not the immediate priority action. The provider should be informed after initial measures to stabilize the client's blood pressure have been taken.
Choice C reason:
Placing the client in a lateral position is the priority nursing action for hypotension during labor with an epidural block. This position helps improve uterine blood flow and can help increase blood pressure. It is a part of the initial management of hypotension in this situation.
Choice D reason:
Monitoring vital signs every 5 minutes is an important part of ongoing assessment but is not the immediate priority action. The nurse should first address the hypotension and then continue to monitor the client closely.
Correct Answer is B
Explanation
Choice A reason:
Applying petroleum jelly to the umbilical cord stump is not recommended. The goal is to keep the stump dry to encourage the healing process. Petroleum jelly is a moisture barrier and could potentially keep the area too moist, which may delay the drying and falling off of the stump.
Choice B reason:
Giving sponge baths until the cord stump falls off is the correct practice. It is important to keep the stump dry, so sponge baths are preferred over tub baths during this time. This helps prevent the stump from staying wet, which can lead to infection or delayed healing.
Choice C reason:
It is not advised to cover the cord with the diaper. Instead, the diaper should be folded down away from the stump or use diapers with a special cut-out to keep the stump exposed to air. This helps the stump to dry and fall off more quickly.
Choice D reason:
Washing the cord daily with mild soap and water is not necessary and could be counterproductive. The stump should be kept dry, and if it gets dirty, it can be cleaned gently with a soft, damp cloth and then dried thoroughly. Regular bathing can introduce moisture, which may increase the risk of infection.
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