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 C

Explanation

A. Describing the tongue extrusion reflex: The tongue extrusion reflex is typically present in

infants up to around 4 to 6 months of age and diminishes as they begin to eat solid foods. At 7 months, this reflex is likely no longer prominent.

B. Explaining how to prepare table meats: While introducing solid foods is important around 6 months of age, meats are often introduced later in infancy due to their texture and potential

allergenicity. At 7 months, infants may still be primarily consuming pureed or mashed foods.

C. Advising about increased caloric needs: At 7 months, infants are transitioning to a more varied diet that includes solid foods alongside breast milk or formula. Guidance on meeting their

increasing nutritional needs is crucial at this stage.

D. Discussing the type of sippy cup to usE. Sippy cups are typically introduced closer to the end of the first year or during the transition to weaning from the bottle. While it's important to

discuss appropriate feeding utensils, addressing increased caloric needs is a more immediate concern for a 7-month-old infant.

A. They follow rules out of a sense of being a "good person." B. They follow rules out of fear of being punished. C. They follow rules in order to receive praise from caretakers. D. They follow rules because it is in their nature to do so.

Correct Answer is A

Explanation

A. They follow rules out of a sense of being a "good person.": According to Kohlberg, at the conventional stage of moral development, individuals are motivated to follow rules and laws to maintain social order and to be perceived as good members of society.

B. They follow rules out of fear of being punisheD. Fear of punishment is more characteristic of the preconventional stage of moral development, where individuals make moral decisions based on avoiding punishment or seeking reward.

C. They follow rules in order to receive praise from caretakers: Seeking praise from caretakers may influence behavior, but it does not reflect the underlying motivation for following rules according to Kohlberg's theory.

D. They follow rules because it is in their nature to do so: While some individuals may have a predisposition to follow rules, Kohlberg's theory focuses on the moral reasoning behind rule- following rather than inherent tendencies

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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?

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Naxlex Comprehensive Predictor Exams

The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?

Correct Answer is C

Explanation

The nurse explains to parents of school-age children that according to Kohlberg's theory of moral development, their child is at the conventional stage of moral development. Which is the nurse's best explanation for the motivation for school-age children to follow rules?

Correct Answer is A

Explanation

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