A nurse is discussing the introduction of solid foods with the parents of a 6-month-old infant. The parents are eager to start feeding table foods immediately. Which statement by the nurse best reflects evidence-based recommendations for infant feeding?
"Avoid giving any new foods until after the infant is one year old to prevent allergic reactions."
"It's best to begin solid foods at 4 months to help reduce the amount of breast milk or formula intake."
"Solid foods should complement breast milk or formula starting around 6 months, but table foods should only be introduced when the infant shows readiness signs like grasping."
"You can replace breast milk entirely with solid table foods once the Infant reaches 6 months of age."
The Correct Answer is C
A. "Avoid giving any new foods until after the infant is one year old to prevent allergic reactions.": Delaying the introduction of solid foods beyond 6 months is not recommended and may increase the risk of nutrient deficiencies and feeding difficulties. Early, age-appropriate introduction is safe and supports growth.
B. "It's best to begin solid foods at 4 months to help reduce the amount of breast milk or formula intake.": Introducing solids before 6 months is generally not advised as the infant’s digestive system and oral-motor skills may not be fully developed, increasing the risk of choking and nutrient imbalance.
C. "Solid foods should complement breast milk or formula starting around 6 months, but table foods should only be introduced when the infant shows readiness signs like grasping.": Evidence-based guidelines recommend starting solids around 6 months, continuing breast milk or formula, and assessing readiness cues such as head control, sitting with support, and interest in food. This approach promotes safe feeding and nutritional adequacy.
D. "You can replace breast milk entirely with solid table foods once the infant reaches 6 months of age.": Solid foods at 6 months are meant to complement, not replace, breast milk or formula, which remain the primary source of nutrition until around 12 months.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Immediately arrange for the removal of the child's body to the morgue to allow the family privacy: Removing the body too quickly can prevent the family from spending meaningful time with their child and interfere with the grieving process. Privacy should be maintained while allowing time for farewell.
B. Use language such as "passed away" when discussing the child's death to soften the impact: Gentle language is supportive but does not actively address the family’s needs to see, touch, and say goodbye to their child, which is critical in the immediate aftermath of death.
C. Delay any contact with the family until the attending physician pronounces the death to avoid interfering with medical protocols: While confirmation of death is necessary, supportive presence can begin immediately once death is imminent or pronounced, ensuring the family is not left alone during intense grief.
D. Encourage the family to participate in bathing and collecting mementos, explaining the changes they may observe in the child's body: Allowing the family to engage in care activities and creating mementos supports emotional closure, helps with the grieving process, and provides compassionate care while preparing them for the natural changes that occur after death.
Correct Answer is A
Explanation
A. Prepare the child for venipuncture to obtain a blood sample for lead level testing: Confirming suspected lead poisoning requires measurement of a venous blood lead level. This diagnostic step is the priority because it establishes exposure severity and guides further management, including environmental interventions and possible chelation therapy.
B. Discuss the need for developmental assessments to evaluate the impact of lead exposure: Developmental evaluation is important because lead exposure can cause cognitive and behavioral effects, but it is addressed after confirming the diagnosis and determining the extent of exposure.
C. Document a detailed history of the child's growth and development, as well as manifestations of lead exposure: A thorough history supports overall assessment, but it does not take priority over obtaining objective laboratory confirmation needed to direct immediate care decisions.
D. Instruct the parents to remove peeling paint and clean dust in the home to reduce the risk of lead exposure: Environmental control measures are essential, but education and remediation should follow confirmation of lead exposure and collaboration with public health resources.
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