In providing anticipatory guidance to the mother of a two-month old breast-fed infant, which of the following should the nurse include:
You will need to start supplementing your baby with iron drops immediately because breastmilk does not contain any iron.
Your baby's iron levels will remain normal as long as you continue breast-feeding.
Your baby will need iron supplementation in the next few months because her iron stores from you will be depleted.
You need to start solids now to give your baby some iron rich foods.
The Correct Answer is C
Choice A reason: This is incorrect because breastmilk does contain some iron, although not as much as formula. However, the iron in breastmilk is more bioavailable and easily absorbed by the infant. Therefore, iron drops are not necessary for exclusively breast-fed infants until they are 4 to 6 months old.
Choice B reason: This is incorrect because the iron levels of breast-fed infants will start to decline after 4 to 6 months of age, as their iron stores from the mother are used up. Therefore, they will need iron supplementation from other sources, such as iron-fortified cereals or drops.
Choice C reason: This is correct because the iron stores of breast-fed infants are sufficient for the first 4 to 6 months of life, but then they will need additional iron from other sources. Iron supplementation can prevent or treat iron deficiency anemia, which can affect the infant's growth and development.
Choice D reason: This is incorrect because solids are not recommended for infants younger than 4 months of age, as their digestive system is not mature enough to handle them. Solids can also interfere with the intake of breastmilk, which is the main source of nutrition for infants. Iron-rich foods can be introduced after 6 months of age, along with continued breast-feeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason: This statement is incorrect, as letting the child feed herself finger foods is not a risk factor for aspiration, but a way to promote self-feeding skills, independence, and appetite. The nurse should encourage the parents to offer the child a variety of soft, bite-sized, and nutritious foods, such as cooked vegetables, fruits, cheese, or bread, and to supervise the child during meals.
Choice B reason: This statement is correct, as giving whole milk is recommended for children between 1 and 2 years old, as it provides adequate fat, protein, calcium, and vitamin D for their growth and development. The nurse should advise the parents to give the child about 16 to 24 ounces of whole milk per day, and to avoid low-fat or skim milk until the child is 2 years old.
Choice C reason: This statement is incorrect, as delaying the introduction of foods which may cause allergies is not necessary or beneficial for the prevention of food allergies in children. The nurse should inform the parents that there is no evidence that avoiding certain foods, such as eggs, peanuts, or fish, can reduce the risk of food allergies, and that introducing these foods early, around 6 months of age, may actually prevent or reduce the severity of food allergies.
Choice D reason: This statement is incorrect, as transitioning to 1% milk is not advisable for children under 2 years old, as it does not provide enough fat and calories for their growth and development. The nurse should explain to the parents that low-fat or skim milk is not suitable for young children, as they need more fat for their brain and nervous system development, and that switching to 1% milk should only be done after consulting with the doctor.
Correct Answer is C
Explanation
Choice A reason: This statement is incorrect, as sodium excess is not likely to cause the symptoms of poor skin turgor, weight loss, irritability, and tachycardia in an infant. Sodium excess, or hypernatremia, is a condition where the blood sodium level is too high, which can result from excessive intake or loss of water. The symptoms of sodium excess may include thirst, dry mouth, confusion, seizures, or coma.
Choice B reason: This statement is incorrect, as overhydration is not likely to cause the symptoms of poor skin turgor, weight loss, irritability, and tachycardia in an infant. Overhydration, or hypervolemia, is a condition where the body has too much fluid, which can result from excessive intake or retention of water. The symptoms of overhydration may include edema, weight gain, shortness of breath, or crackles in the lungs.
Choice C reason: This statement is correct, as dehydration is the most likely cause of the symptoms of poor skin turgor, weight loss, irritability, and tachycardia in an infant. Dehydration is a condition where the body loses more fluid than it takes in, which can result from vomiting, diarrhea, fever, or inadequate intake of water. The symptoms of dehydration may include dry skin, sunken eyes, decreased urine output, or lethargy.
Choice D reason: This statement is incorrect, as calcium excess is not likely to cause the symptoms of poor skin turgor, weight loss, irritability, and tachycardia in an infant. Calcium excess, or hypercalcemia, is a condition where the blood calcium level is too high, which can result from hyperparathyroidism, malignancy, or excessive intake of vitamin D or calcium. The symptoms of calcium excess may include nausea, constipation, muscle weakness, or kidney stones.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today