The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?
Advising about increased caloric needs
Explaining how to prepare table foods
Discussing the type of sippy cup to use
Describing the tongue extrusion reflex
The Correct Answer is C
A. Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B. At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C. Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D. Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.
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Related Questions
Correct Answer is D
Explanation
A. Placing the baby on a soft mattress with a firm, flat pillow can increase the risk of Sudden Infant Death Syndrome (SIDS). Infants should sleep on a firm mattress without pillows or soft bedding to reduce the risk of suffocation.
B. Placing the head of the bed near the window for fresh air is not recommended due to potential drafts, temperature changes, or exposure to outdoor elements that might disturb the baby's sleep.
C. Waking a sleeping baby for feedings is generally not advised. Babies will wake on their own when hungry, and consistent nighttime feedings are essential, especially for a 3-week-old infant.
However, advice on this may vary based on the infant's individual health and weight gain, and it's best to follow the pediatrician's guidance.
D. Placing the baby on his or her back when sleeping is the recommended sleep position to reduce the risk of Sudden Infant Death Syndrome (SIDS). This practice is endorsed by pediatric healthcare professionals and is considered a critical guideline for safe infant sleep.
Correct Answer is C
Explanation
A. Notifying the doctor if fever persists despite acetaminophen is appropriate and shows understanding of when to seek medical guidance.
B. Encouraging frequent intake of water or sugar-free fluids helps prevent dehydration and supports metabolic stability during illness.
C. Checking blood sugar only twice daily is insufficient for a child with type 1 diabetes who is ill. Illness increases the risk of hyperglycemia and diabetic ketoacidosis, so blood glucose should be monitored every 3–4 hours during illness to ensure timely insulin adjustments.
D. Reporting changes in breathing or signs of confusion is appropriate because these can indicate worsening infection or metabolic complications, which require prompt intervention.
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