During a well baby clinic visit, the mother of a 6-month-old infant asks the nurse if she can have a prescription for liquid multivitamin with fluoride. Though the infant is still breast feeding, the mother provides the child with supplemental formula feedings. Which assessment is most important for the nurse to obtain?
Weight gain and type of formula taken daily.
The newborn's gestational age assessment.
Water source used with supplement feedings.
The infant's current hemoglobin and hematocrit.
The Correct Answer is C
A. While it's essential to monitor the infant's weight gain and the type of formula taken daily, this information is important for tracking growth and nutrition but is not directly related to the use of liquid multivitamin with fluoride.
B. The newborn's gestational age assessment is typically relevant during the immediate postnatal period and may not be as crucial at 6 months of age.
C. The water source used with supplemental feedings is critical when considering the use of liquid multivitamin with fluoride. Fluoride is often recommended to prevent tooth decay, and it's essential to know the fluoride content in the water source to determine whether additional supplementation is needed. If the water source has adequate fluoride, the infant may not require a fluoride supplement.
D. While the infant's current hemoglobin and hematocrit levels are important for assessing anemia, this assessment is not directly related to the request for a prescription for liquid multivitamin with fluoride. In summary, assessing the water source used for supplemental feedings is crucial to determine the necessity of a fluoride supplement, which is the primary concern in this scenario.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Advising the mother that overuse of albuterol may cause chronic bronchitis is not accurate. Chronic bronchitis is a long-term condition primarily related to smoking or other irritants and is not typically associated with the appropriate use of albuterol as a bronchodilator.
B. Assuring the mother that she is using the medication correctly is not the best response, as it does not address the need for asthma management and education on the proper use of medications and when to seek medical attention.
C. Recommending that the mother bring the child in for immediate evaluation is not necessary if the child's asthma symptoms are being effectively managed with albuterol. However, the child should have an asthma action plan and regular follow-up with a healthcare provider for asthma management.
D Confirm that the medication helps to reduce airway inflammation.
Albuterol is a beta-adrenergic agonist bronchodilator commonly used in the treatment of asthma. It helps to open the airways by relaxing the smooth muscles in the bronchi, making it easier for the child to breathe during an asthma attack. Albuterol does not treat airway inflammation, but it is used to provide quick relief from bronchoconstriction.
The primary role of albuterol is to provide quick relief from acute bronchoconstriction during an asthma attack. It is not a medication for reducing airway inflammation, but it can be used in conjunction with other asthma medications that address inflammation, as prescribed by a healthcare provider. The nurse should educate the mother on the appropriate use of albuterol and the importance of asthma management under the guidance of a healthcare provider.
Correct Answer is B
Explanation
A. Using 1-word sentences is more characteristic of a child's speech development at around 12-18 months, and by age 3, children are expected to use more words in their sentences.
B. Speaks in simple sentences with four or more words.
At the age of 3, children typically progress in their speech and language development. Speaking in simple sentences with four or more words is considered a normal developmental milestone at this age. It reflects the child's growing ability to form more complex and coherent sentences.
C. Recognizing most letters and numbers is not typically a developmental milestone for a 3-year-old. This skill often develops later, closer to the preschool and kindergarten years.
D. Using gestures with 1 to 2-word sentences may be seen in younger children, but by age 3, children should be progressing to longer and more complex sentences as part of their language development.
It's important to remember that there can be some individual variation in language development, but by the age of 3, children are generally expected to speak in simple sentences with more words and demonstrate growing language skills.
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