A breast-feeding mother asks the nurse about when she can begin feeding her 5-month-old infant some solids and vitamins. Which information provided by the nurse would most accurately address this mother’s concerns?
At 6 months, you need to quit breast-feeding because he is not getting enough iron or Vitamin C and D and that should help him transition to solids better.
The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron.
If you give him one or two bottles of juice each day, he should get all the vitamins he needs. You can begin fruits and cereal in 1 month.
You can begin feeding the infant fruits and vegetables now followed by iron-enriched cereal to ensure that he gets enough iron.
The Correct Answer is B
A. At 6 months, you need to quit breast-feeding because he is not getting enough iron or Vitamin C and D and that should help him transition to solids better:
This statement is incorrect. Breastfeeding is recommended for the first six months, and then complementary foods can be introduced while continuing breastfeeding. Breast milk is a primary source of nutrition, and iron and vitamins are typically supplemented as needed.
B. The first food offered to an infant is iron-enriched rice cereal and can be started now. Additionally, the infant needs to receive Vitamin D and iron:
This statement is accurate. Iron-enriched rice cereal is often recommended as a first solid food for infants, and vitamin D supplementation is commonly advised, especially for breastfed infants, as breast milk may not provide enough vitamin D.
C. If you give him one or two bottles of juice each day, he should get all the vitamins he needs. You can begin fruits and cereal in 1 month:
This statement is not recommended. Juice is not recommended for infants, especially in large quantities, as it can interfere with proper nutrition and contribute to dental issues. Also, introducing fruits and cereals should be done gradually, following appropriate guidelines.
D. You can begin feeding the infant fruits and vegetables now followed by iron-enriched cereal to ensure that he gets enough iron:
While introducing fruits and vegetables is a part of introducing solids, iron-enriched cereal is often recommended earlier as a source of iron. The recommendation for iron-enriched rice cereal aligns more with the typical guidance for introducing solids to infants.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["612.375"]
Explanation
To calculate the ordered dose of Ceftriaxone in mg/kg/day, we can follow these steps:
Convert the weight to kg:
Weight in kg= Weight in lbs /2.2046
Weight in kg= 18lbs/2.2046≈8.165 kg
Calculate the daily dosage range:
Using the recommended dosage range of 50-75 mg/kg/day:
Minimum daily dosage= 50mg/kg/day × Weight in kg
Maximum daily dosage =75mg/kg/day×Weight in kg
Calculate the ordered dose:
Ordered dose=Dosage per administration × Frequency per day
Ordered dose= 300mg×2times per day= 600mg/day
Now, let's calculate the daily dosage range:
Minimum daily dosage=50mg/kg/day×8.165kg=408.25mg/day
Maximum daily dosage=75mg/kg/day×8.165kg=612.375mg/day
The ordered dose of 600 mg/day falls within the calculated range of 408.25-612.375 mg/day, so the ordered dose is within the recommended dosage range for a serious infection.
Therefore, the ordered dose of Ceftriaxone 300 mg IV Q12H for a 6-month-old infant weighing 18 lbs is considered safe based on the calculated dosage range.
Correct Answer is D
Explanation
A. “My child has a vocabulary of approximately 20 words.”
This statement indicates language development, and an 18-month-old with a vocabulary of approximately 20 words is within the expected range. It's a positive indicator of language acquisition.
B. “My child is still thumb sucking.”
Thumb sucking is a common self-soothing behavior in infants and toddlers. While it's a normal behavior, it typically decreases with age. Thumb sucking alone may not necessarily be a cause for concern unless it persists significantly and interferes with other aspects of development.
C. “My child seems to be quite wary of strangers.”
Stranger anxiety is a normal developmental stage, and many children exhibit wariness or fear of unfamiliar people around the age of 18 months. It is considered a typical response and not necessarily indicative of developmental delay.
D. “My child is able to stand but is not yet taking steps independently.”
At 18 months, most children are expected to be walking independently. The inability to take independent steps might be a concern for gross motor skill development. While some variation is normal, a delay in achieving this milestone might prompt further evaluation to rule out any underlying developmental issues.
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