A 3-month-old infant who has been exclusively breastfed is now transitioning to formula feeding due to maternal choice. The infant's growth parameters remain within normal limits, and the mother is unfamiliar with formula preparation. Which nursing statement best supports safe and effective formula feeding while respecting the mother's decision?
"Formula feeding is easier and will let you get more rest, so it's definitely the better option now."
"I can help you learn how to properly prepare and safely store formula to ensure your infant receives safe nutrition."
"Since formula feeding is not as beneficial as breastfeeding, you should only use it as a last resort."
"Breastfeeding provides better immunity, so I strongly recommend you reconsider and continue breastfeeding."
The Correct Answer is B
A. "Formula feeding is easier and will let you get more rest, so it's definitely the better option now.": This statement introduces personal judgment and implies superiority of one feeding method over another. It may invalidate the mother’s autonomy and oversimplifies infant feeding decisions. Nursing communication should remain neutral and supportive rather than directive or comparative.
B. "I can help you learn how to properly prepare and safely store formula to ensure your infant receives safe nutrition.": This response respects the mother’s informed choice while prioritizing infant safety and adequate nutrition. Teaching correct formula preparation, dilution, and storage reduces the risk of infection, electrolyte imbalance, and inadequate caloric intake. It reflects patient-centered, nonjudgmental nursing care.
C. "Since formula feeding is not as beneficial as breastfeeding, you should only use it as a last resort.": This statement is judgmental and may increase parental guilt or distress. While breastfeeding has immunologic benefits, formula feeding can fully support normal growth when used correctly. Nursing support should focus on safe feeding practices rather than persuasion.
D. "Breastfeeding provides better immunity, so I strongly recommend you reconsider and continue breastfeeding.": This response disregards the mother’s decision and undermines autonomy. Pressuring the parent may damage trust and does not address the immediate need for education on formula use. Supportive counseling should align with the family’s chosen feeding method.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Children who use tobacco are more likely to use illicit drugs.": Early use of tobacco is a well-documented risk factor for later experimentation with alcohol, marijuana, and other illicit substances. Understanding this correlation helps guide early prevention and education efforts.
B. "Individual treatment is needed for children with substance abuse.": While individualized treatment can be beneficial, substance abuse interventions for school-age children often involve family- or community-based approaches rather than exclusively individual therapy.
C. "Reports show that children as young as 6 have reported substance use.": Although substance exposure may occur, actual use in children as young as 6 is extremely rare; the focus is typically on risk factors and prevention rather than confirmed use at this age.
D. "Approximately 5 million children under the age of 17 live in households impacted by substance abuse.": While statistics indicate children are affected by household substance abuse, this statement reflects prevalence data rather than demonstrating understanding of school-age substance use patterns and risk factors.
Correct Answer is A
Explanation
A. "Your child should have their blood pressure checked every time they are seen for a health care visit.": Children with a strong family history of hypertension are considered at increased risk, so regular monitoring at each health care visit allows for early detection and intervention if elevated blood pressure develops.
B. "Your child should have blood pressure screening annually, starting at 3 years of age.": Standard guidelines recommend routine annual screening starting at 3 years for children without risk factors, but those with a family history of hypertension require more frequent monitoring.
C. "Your child should have blood pressure screenings every 6 months, starting at 2 years of age.": While increased frequency may be considered in some high-risk children, standard recommendations prioritize checking at each visit rather than a fixed 6-month schedule.
D. "Your child will not have blood pressure screening until they are in high school.": Delaying screening until adolescence would miss opportunities for early identification and management of elevated blood pressure, particularly in children at risk due to family history.
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