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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Areola and papilla separate from the contour of the breast: This is a normal finding in breast development and indicates Tanner stage 4 or higher, which is typical for adolescent girls. It does not necessarily indicate a developmental delay.
B. Absence of first menstrual perioD. Menarche, the first menstrual period, typically occurs between the ages of 9 and 15 in girls. Absence of menarche by the age of 15 or within 3 years after the onset of breast development (thelarche) may indicate a developmental delay or underlying medical condition that should be evaluated by a healthcare provider.
C. Developed breast tissuE. Breast development, indicated by palpable breast tissue, is a normal part of female puberty and typically occurs before menarche. Developed breast tissue alone does not necessarily indicate a developmental delay.
D. Mature distribution and coarseness of pubic hair: Pubic hair development is also a part of female puberty and occurs before or around the time of menarche. While the distribution and coarseness of pubic hair can provide information about pubertal development, the absence of menarche is a more reliable indicator of a potential developmental delay.
Correct Answer is ["A","B","C"]
Explanation
A. Acts out roles of other peoplE. Preschoolers often engage in imaginative play and enjoy pretending to be other people or characters. This type of play allows them to explore different roles and scenarios, fostering creativity and social development.
B. Plans activities and makes up games: Preschoolers are becoming more independent and enjoy planning and organizing their activities. They may invent their own games, stories, or
imaginative scenarios, demonstrating their growing cognitive abilities and creativity.
C. Initiates activities with others: Preschoolers are becoming more social and enjoy interacting with peers and adults. They may take the initiative to start games, activities, or conversations with others, demonstrating their growing confidence and social skills.
D. Engages in parallel play with peers: Parallel play, where children play alongside but not directly with each other, is more typical of toddlers than preschoolers. Preschoolers are more
likely to engage in cooperative play, where they interact and play together with peers toward a common goal.
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