The mother of a 4-month-old baby girl asks the nurse when should she introduce solid foods to her infant. The mother states, "My mother says I should put rice cereal in the baby's bottle now. The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?

Stops rooting when hungry.

Awakens once for nighttime feedings.

Gives up a bottle for a cup.

Opens mouth when food comes her way.

Answer and Explanation

The Correct Answer is D

A. Stops rooting when hungry. The rooting reflex, which helps newborns find the breast or bottle, typically disappears by 3–4 months of age. However, its absence does not indicate readiness for solid foods. Readiness is more closely linked to developmental milestones such as sitting with support and showing interest in food.
B. Awakens once for nighttime feedings. Nighttime feedings are common in infants up to 6 months and are not a reliable sign of readiness for solid foods. Frequent night waking is often due to normal growth spurts rather than an indication that the baby needs solids.
C. Gives up a bottle for a cup. Transitioning from a bottle to a cup occurs later in infancy, usually around 9–12 months. Introducing solids does not require weaning from the bottle, as infants initially consume solids alongside breast milk or formula.
D. Opens mouth when food comes her way. Readiness for solid foods, typically around 4–6 months, is indicated by signs such as good head control, the ability to sit with support, and showing interest in food by opening the mouth or reaching for it. The American Academy of Pediatrics recommends introducing single-ingredient, iron-fortified foods like rice cereal with a spoon rather than putting it in a bottle, which can increase the risk of choking and overfeeding.

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Correct Answer is A

Explanation

A. Giving pain medication around the clock helps control the pain. Juvenile idiopathic arthritis (JIA) is a chronic inflammatory condition that can cause persistent joint pain and stiffness. Administering pain medication on a scheduled basis, rather than waiting for severe pain, helps maintain consistent pain control, reduces inflammation, and improves mobility. This approach prevents pain from becoming severe, which can be harder to manage and may lead to joint damage or decreased function.
B. The use of hot baths can be used as an alternative for pain medication. Warm baths can help relieve joint stiffness and improve comfort, but they do not replace the need for scheduled pain management. While non-pharmacologic interventions are helpful, they should be used in combination with appropriate medication to ensure adequate pain relief and prevent long-term complications.
C. The child should be encouraged to rest when experiencing pain. While adequate rest is important, excessive inactivity can worsen stiffness and joint contractures in children with JIA. A balance between rest and activity, including gentle exercises and physical therapy, is crucial to maintaining joint mobility and preventing functional impairment.
D. Encourage quiet activities such as watching television as a pain distracter. Distraction techniques can help with coping, but they do not address the underlying inflammatory pain associated with JIA. Effective pain management requires both pharmacologic and non-pharmacologic strategies to ensure the child's comfort and ability to participate in daily activities.

A. Describe genetic testing protocols. B. Sign up for group therapy sessions. C. Start a prenatal care plan as soon as possible. D. Discontinue the methadone right away.

Correct Answer is C

Explanation

A. Describe genetic testing protocols. Genetic testing is useful for identifying hereditary conditions, but it does not address the immediate health concerns of a pregnant client with opioid use disorder. Early prenatal care is more critical for monitoring fetal development and reducing complications associated with substance use.
B. Sign up for group therapy sessions. Group therapy can provide emotional support and coping strategies, but it is not the most immediate or essential step for ensuring a healthy pregnancy. While therapy is beneficial, comprehensive prenatal care should be prioritized to monitor fetal growth and manage opioid withdrawal safely.
C. Start a prenatal care plan as soon as possible. Early prenatal care is essential for monitoring the effects of methadone therapy on both the mother and fetus, ensuring appropriate fetal development, and managing potential complications such as neonatal abstinence syndrome (NAS). Prenatal visits will also provide guidance on nutrition, lifestyle modifications, and necessary medical interventions.
D. Discontinue the methadone right away. Abruptly stopping methadone can cause severe withdrawal symptoms in both the mother and fetus, increasing the risk of miscarriage, preterm labor, or stillbirth. Methadone maintenance therapy is the recommended treatment for opioid addiction during pregnancy, as it stabilizes maternal opioid levels and reduces harm to the fetus.

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The mother of a 4-month-old baby girl asks the nurse when should she introduce solid foods to her infant. The mother states, "My mother says I should put rice cereal in the baby's bottle now. The nurse should instruct the mother to introduce solid foods when her child exhibits which behavior?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Correct Answer is A

Explanation

A nurse is speaking with a client who is addicted to heroin and who just learned that she is pregnant. The client states, "I just started taking methadone. Is there anything else I can do to make sure my baby is healthy?" Which information should the nurse provide?

Correct Answer is C

Explanation

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