The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?

Substituting cow's milk if breast milk is not available

Advising fluid intake per feeding of 5 or 6 ounces

Advocating iron supplements with bottle-feeding

Discouraging the addition of fruit juice to the diet

Answer and Explanation

The Correct Answer is D

A. Substituting cow's milk if breast milk is not availablE. Cow's milk is not recommended as a substitute for breast milk or infant formula for infants under 12 months old due to its low iron content and potential for causing gastrointestinal irritation.

B. Advising fluid intake per feeding of 5 or 6 ounces: The appropriate fluid intake for a 2-week- old infant is typically guided by feeding cues and may vary from feeding to feeding. Providing a specific volume of fluid per feeding may not be appropriate, as infants should be fed on demand.

C. Advocating iron supplements with bottle-feeding: Iron supplementation is generally recommended for breastfed infants starting at around 4 months of age, but it is not typically necessary for formula-fed infants during the first few weeks of life. Additionally, iron

supplementation should be prescribed and monitored by a healthcare provider rather than advocated as a general guideline.

D. Discouraging the addition of fruit juice to the diet: This is the most effective anticipatory guidance because it aligns with current recommendations from pediatric healthcare

organizations. Fruit juice offers little nutritional value for infants and can contribute to dental caries and excessive calorie intake. It is generally recommended to avoid giving fruit juice to infants under 1 year old.

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Correct Answer is D

Explanation

A. Ignore the temper tantrums. - Ignoring tantrums may work for some children, but it's not a universal solution and can sometimes escalate the behavior. It also doesn't teach the child appropriate ways to cope with their emotions.

B. Tell the child that temper tantrums are not acceptable. - While setting boundaries is important, simply telling the child that tantrums are unacceptable without providing alternative coping

mechanisms may not be effective, especially for a toddler who may not fully understand verbal reasoning.

C. Restrain the child physically. - Physically restraining the child can be harmful and is not recommended as a method for handling temper tantrums. It can lead to increased frustration and potentially cause injury to the child.

D. Distract the child by offering to play a game. - Distracting the child with a game or other engaging activity can help redirect their attention away from the tantrum and towards a more positive outlet for their emotions. This approach can be effective in diffusing the situation and teaching the child healthy coping strategies.

A. Transduction B. Centration C. Magical thinking D. Animism

Correct Answer is C

Explanation

A. Transduction - Transduction refers to the process of reasoning from one specific instance to another without necessarily understanding the broader concept. The girl's statement about the sky and her throat does not demonstrate this mental process.

B. Centration - Centration involves focusing on only one aspect of a situation while ignoring others. The girl's statement may involve a degree of focus, but it's more indicative of a broader imaginative process.

C. Magical thinking - Magical thinking involves attributing human emotions or characteristics to inanimate objects or natural phenomena. The girl's belief that the sky is crying because it's sad about her throat hurting reflects this type of thinking.

D. Animism - Animism is a belief system that attributes life or consciousness to natural objects or phenomena. While the girl's statement involves anthropomorphizing the sky, it specifically

involves emotions rather than attributing life itself to the sky. Therefore, magical thinking is a more accurate description.

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The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A parent of a toddler asks a nurse at a well-child visit how the child's frequent tempertantrums can best be handled. Which of the following actions should the nurse suggest to the parent?

Correct Answer is D

Explanation

The nurse is caring for a 5-year-old girl post-tonsillectomy. The girl looks out the window and tells the nurse that it is raining and says. The sky is crying because it is sad that my throat hurts." The nurse understands that the girl is demonstrating which mental process?

Correct Answer is C

Explanation

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