A nurse is reinforcing teaching with the mother of a 9-month-old infant regarding appropriate dietary choices.
Which of the following observations by the nurse indicates a need for further teaching?
The infant eats the same foods prepared for the rest of the family.
The infant drinks 2 quarts of whole milk a day.
The infant drinks from a cup with a cover.
The mother gives the infant finger foods, such as apple slices for a snack.
The Correct Answer is B
Choice A rationale
It’s not uncommon for infants to eat the same foods prepared for the rest of the family, especially if these foods are healthy and properly prepared. However, it’s important to note that certain foods may pose a choking hazard or may not be suitable for an infant’s digestive system. For example, honey should not be given to children under 1 year of age due to the risk of botulism.
Choice B rationale
The American Academy of Pediatrics recommends that infants under 12 months of age should not drink cow’s milk. Cow’s milk lacks the necessary nutrients that infants need for growth and development. It also contains high concentrations of protein and minerals, which can stress an infant’s kidneys and cause other health problems.
Choice C rationale
Drinking from a cup with a cover, also known as a sippy cup, is a normal part of an infant’s development. It helps the child transition from a bottle to a regular cup. However, it’s important to monitor the child’s use of a sippy cup as prolonged use can lead to tooth decay.
Choice D rationale
Giving an infant finger foods like apple slices is a good way to encourage self-feeding and develop fine motor skills. However, the food should be cut into small, manageable pieces to prevent choking.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
While some babies may experience rapid growth and double their birth weight within the first 3 months, this is not typically expected. Most infants are expected to double their birth weight by 5 to 6 months of age.
Choice B rationale
Most infants are expected to double their birth weight by 5 to 6 months of age. Therefore, by the age of 6 months, it would be expected for an infant to have doubled their birth weight.
Choice C rationale
By 9 months, most infants would have already doubled their birth weight. The typical expectation is for infants to double their birth weight by 5 to 6 months of age.
Choice D rationale
By 12 months, most infants would have already doubled their birth weight and are on their way to tripling their birth weight. Therefore, expecting an infant to double their birth weight by 12 months would be beyond the typical timeframe.
Correct Answer is A
Explanation
Choice A rationale:
Developmental dysplasia of the hip (DDH) is a condition in which the hip joint is not properly formed or is unstable. Asymmetric thigh folds are a common finding in infants with DDH, as the affected hip may be dislocated or subluxated, leading to a difference in thigh fold appearance.
Choice B rationale:
An inwardly turned foot is not a specific indication of DDH. Instead, it may suggest other conditions, such as clubfoot or metatarsus adductus (no reference).
Choice C rationale:
Absent plantar reflexes are not associated with DDH. This finding might indicate a neurological issue or spinal cord injury (no reference).
Choice D rationale:
A lengthened thigh is not a typical finding in DDH. Instead, a shortened thigh on the affected side might be present due to the displacement of the femoral head (no reference).
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