The nurse is providing discharge teaching regarding formula preparation for a new mother. Which guideline would the nurse include in the teaching plan?
Do not add cereal to the formula in the bottle or sweeten the formula with honey.
Always wash bottles and nipples in hot soapy water and rinse well; do not wash them in the dishwasher.
Store tightly covered ready-to-feed formula can after opening in the refrigerator for up to 24 hours.
Warm a bottle of formula by placing the bottle in a container of hot water or microwaving the formula.
The Correct Answer is A
A. Adding cereal to formula in a bottle or sweetening with honey can pose choking hazards and introduce unnecessary risks or adverse reactions.
B. Washing bottles and nipples properly is essential, but this guideline doesn't specifically address formula preparation.
C. Storing ready-to-feed formula in the refrigerator is a valid guideline, but it's not related to formula preparation.
D. Microwaving formula can create uneven heating and hot spots, potentially burning the baby's mouth; this is not a recommended method for warming formula.
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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 B
Explanation
A. At 3 months, infants might not consistently bring objects to their mouths, and this skill might still be developing, so it might not be a cause for immediate concern.
B. By 3 months, most infants should be able to raise their head when placed in a prone position; failure to do so might indicate a developmental delay.
C. Picking up objects with fingers is a skill that typically develops closer to 6 to 9 months; thus, it's not expected at 3 months.
D. Sitting without support usually begins around 6 to 7 months, so it's not an expected skill at 3 months and wouldn't necessarily be concerning yet.
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