A nurse is assessing a 6-month-old infant at a well-child visit. Which of the following findings should the nurse expect?

Lateral incisors

Closed posterior fontanel

Sitting steadily without support

Uses thumb and index fingers in a pincer grasp

Answer and Explanation

The Correct Answer is B

The posterior fontanel, located on the back of the head, usually closes by the age of 2-3 months. By 6 months of age, it is expected to be closed.

By 6 months of age, infants typically do not have their lateral incisors. The primary incisors, which are the central incisors in the lower and upper jaw, usually erupt first around 6-10 months of age.

At around 8 months of age, most infants are able to sit steadily without support. They can maintain an upright sitting position and may even start to reach for objects or play in a sitting position.

At 6 months of age, infants are still in the developmental stage of exploring objects and refining their motor skills. They typically use a palmar grasp, where they grasp objects with their entire hand. The pincer grasp, which involves using the thumb and index finger to pick up small objects, usually develops around 9-10 months of age.

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Correct Answer is A

Explanation

At this age, parallel play is common, where children engage in independent play near each other but do not actively interact or engage in cooperative play. They may observe each other, imitate each other's actions, or occasionally share toys, but they are still developing social skills and may not engage in sustained cooperative play or easily share and trade toys. Each child is likely to focus on their own activities and play with one or two preferred items, ignoring most of the other toys.

A. Fruits, whole grains, and rice B. Meats, eggs, and green vegetables C. 32 oz of whole cow's milk per day D. 8 oz of juice, three times a day

Correct Answer is B

Explanation

These foods are rich sources of iron, which is important for treating and preventing iron deficiency anemia. Meats, such as beef, poultry, and fish, provide heme iron, which is more easily absorbed by the body. Eggs and green vegetables, such as spinach and broccoli, contain non-heme iron, which is also beneficial.

While fruits, whole grains, and rice are nutritious foods, they are not as rich in iron as meats and green vegetables. Therefore, they may not provide sufficient iron to address the child's iron deficiency anemia.

Drinking 32 oz of whole cow's milk per day is not recommended for a 2-year-old with iron deficiency anemia. Excessive cow's milk intake can lead to iron deficiency anemia because it can interfere with iron absorption and displace iron-rich foods from the diet. Similarly, consuming 8 oz of juice, three times a day is not recommended for a child with iron deficiency anemia. Juice does not provide significant amounts of iron and can contribute to decreased appetite for iron-rich foods. It is generally recommended to limit juice intake and prioritize whole foods for iron intake.

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