A nurse teaches the parent of an infant about introducing solid foods. The nurse should recommend which of the following foods should be introduced first?

Cooked egg whites

pureed meats

Strained fruits

Iron-fortified cereal

Answer and Explanation

The Correct Answer is D

A. Cooked egg whites: Egg whites are a common allergen and are generally introduced later, after the infant has tolerated other solid foods. Introducing them too early increases the risk of allergic reactions.

B. Pureed meats: While pureed meats are a good source of iron and protein, they are typically introduced after iron-fortified cereals, which are easier to digest and less allergenic as first foods.

C. Strained fruits: Fruits are often introduced early to provide vitamins and introduce new tastes, but they lack the iron content necessary for infant growth and development. Iron-rich foods are prioritized to prevent anemia.

D. Iron-fortified cereal: Iron-fortified cereals are recommended as the first solid food because they provide essential iron, which is critical for brain development and preventing iron deficiency anemia in infants beginning solid foods around 4 to 6 months.

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Correct Answer is D

Explanation

A. Iron facilitates development of vision in infants: While iron is essential for overall neurological development, including brain function, it is not directly linked to the development of vision. Vision development relies more on visual stimuli and neurological maturation.

B. Iron is poorly absorbed in infants: Infants, especially those fed breast milk, generally have efficient iron absorption, often better than adults. Iron absorption can vary but is not inherently poor in infants; thus, this statement is misleading.

C. Iron facilitates growth of bones in infants: Bone growth primarily depends on calcium, vitamin D, and phosphorus rather than iron. Iron’s primary role is in oxygen transport and preventing anemia, not bone growth.

D. Iron stores in infants begin to deplete: Infants are born with iron stores that typically last about 4 to 6 months, after which these stores start to decline. This depletion is why introducing iron-fortified formula or complementary foods rich in iron is important at this age to prevent iron deficiency anemia.

A. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." B. "Why does it bother you that your child has wet the bed?" C. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me." D. "Your child did not seem upset, so I wouldn't worry about it if I were you."

Correct Answer is A

Explanation

A. "It is expected for children who are hospitalized to regress. The toileting skills will return when your child is feeling better." Hospitalization can be stressful and disruptive for children, often causing temporary regression Reassuring parents that this behavior is common and usually resolves as the child recovers helps reduce parental anxiety and supports understanding.

B. "Why does it bother you that your child has wet the bed?" This response may come across as confrontational or judgmental, potentially increasing the parent's distress rather than providing comfort or support during a vulnerable moment.

C. "I know this can really be embarrassing. I have kids myself, so I understand, and it doesn't bother me." While this statement shows empathy, it may unintentionally shift focus to the nurse’s experience rather than validating the parent’s feelings. A more supportive response addresses the child’s needs and parental concerns directly.

D. "Your child did not seem upset, so I wouldn't worry about it if I were you." Dismissing the parent's feelings about the situation may cause them to feel unheard or invalidated. Acknowledging the parent's emotions while providing reassurance is a more supportive approach.

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A nurse teaches the parent of an infant about introducing solid foods. The nurse should recommend which of the following foods should be introduced first?

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Naxlex Comprehensive Predictor Exams

A nurse in a clinic is teaching the mother of a 4-month-old infant who has been breastfed. The mother plans to switch her infant to an iron- fortified formula. Which of the following should be included in the teaching?

Correct Answer is D

Explanation

A nurse cares for a 4-year-old child with croup who wets the bed overnight. When the parents visit the next day, the nurse explains the situation, and one of the parents says, "She never wets the bed at home. I am so embarrassed." Which of the following responses should the nurse make?

Correct Answer is A

Explanation

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