A nurse is providing teaching to the parent of a newborn who has gastroesophageal reflux. Which of the following instructions should the nurse include?

A) The client's statement indicates an understanding of the teaching about improving bone health. Fortified milk, fatty fish, and cheese are all good dietary sources of calcium and vitamin D, which are essential nutrients for bone health. Incorporating these foods into the daily diet can help promote bone strength and reduce the risk of osteoporosis.

B) While orange juice contains vitamin C, which is important for collagen synthesis in bones, lean meats and egg whites do not provide significant amounts of calcium or vitamin D, which are essential for bone health. This statement does not reflect a comprehensive understanding of the dietary recommendations for improving bone health.

C) Vitamin A supplementation is not typically recommended for improving bone health, as excessive intake of vitamin A can actually be detrimental to bone health and increase the risk of fractures. This statement does not demonstrate an understanding of the appropriate dietary strategies for promoting bone health.

D) While calcium supplementation is important for bone health, taking a calcium supplement alone may not be sufficient for optimal bone health. Adequate intake of vitamin D, as well as other nutrients like magnesium and vitamin K, is also important for bone health. Additionally, the statement does not address dietary sources of calcium and vitamin D, which are preferable to supplementation when possible. Therefore, this statement does not fully demonstrate an understanding of the teaching about improving bone health.

A. Place an identification bracelet:

While important for identification purposes, placing an identification bracelet is not the priority immediately following birth. Ensuring the newborn's physiological stability takes precedence.

B. Administer eye prophylaxis:

Administering eye prophylaxis is an essential newborn care procedure to prevent neonatal conjunctivitis caused by exposure to maternal gonorrhea or chlamydia. However, it is not the priority immediately after ensuring a patent airway.

C. Administer vitamin K:

Administering vitamin K is important for preventing vitamin K deficiency bleeding (VKDB) in newborns. However, it is typically done after drying the skin and other immediate newborn care tasks.

D. Dry the skin:

This is the correct answer. Drying the newborn's skin is the priority after ensuring a patent airway. Drying helps prevent heat loss and stimulates the newborn's breathing and circulation. It is an essential step in newborn care immediately after birth to promote thermal stability and adaptation to extrauterine life.