A nurse is reinforcing teaching to the parent of an infant about the introduction of solid foods.
The nurse should recommend that which of the following foods be introduced first?
Iron-fortified cereal.
Strained fruits.
Pureed meats.
Cooked egg whites.
The Correct Answer is A
Choice A rationale
The American Academy of Pediatrics and the Dietary Guidelines for Americans recommend that children be introduced to foods other than breast milk or infant formula when they are about 6 months old. The first foods to be introduced should be single-ingredient foods that contain no sugar or salt. Among the first foods to be introduced are infant cereals. Iron-fortified cereals are particularly important because iron is a crucial nutrient in the second half of a baby’s first year.
Choice B rationale
While strained fruits are a common food to introduce early on, they are typically not the first food to be introduced. The first food is usually an iron-fortified cereal due to the importance of iron in a baby’s diet.
Choice C rationale
Pureed meats are also a good source of iron and can be introduced early on. However, they are not typically the first food to be introduced.
Choice D rationale
Cooked egg whites are not typically one of the first foods introduced to infants. There is also a risk of allergic reactions with egg whites, so they should be introduced with caution and not as the first food.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Applying lotion to the newborn’s skin twice per day is not necessary during phototherapy. The main goal of phototherapy is to reduce the level of bilirubin in the newborn’s blood. Applying lotion can interfere with the effectiveness of the light therapy and can cause the newborn’s skin to overheat.
Choice B rationale
Monitoring the newborn’s blood glucose level hourly is not necessary during phototherapy unless the newborn has a specific condition that requires close monitoring of blood glucose levels. Phototherapy does not directly affect blood glucose levels.
Choice C rationale
Encouraging the newborn to breastfeed every 2 hours is an important part of the care plan for a newborn undergoing phototherapy. Frequent feeding can help to promote the excretion of bilirubin through the newborn’s stool.
Choice D rationale
Maintaining the newborn in a prone position is not necessary during phototherapy. The newborn should be placed in a variety of positions to ensure that all areas of the skin are exposed to the light.
Correct Answer is D
Explanation
Choice A rationale
At 10 months, it is normal for an infant to not be able to recognize objects by name. Language development varies greatly among children, and many do not start to understand and respond to simple requests and recognize common objects until around 12 months.
Choice B rationale
The ability to turn pages in a book is a fine motor skill that typically develops around 12 to 18 months. Therefore, it is normal for a 10-month-old infant to not have this ability.
Choice C rationale
Peek-a-boo is a common game that many infants enjoy. However, not all infants may show interest in this game. Lack of interest in peek-a-boo is not necessarily a cause for concern.
Choice D rationale
By 10 months, most infants can sit without support. If a 10-month-old infant does not sit steadily without support, it could indicate a delay in motor development and should be reported to the provider.
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