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 D
Explanation
Choice A reason: This statement is incorrect, as 5% is too high for the risk of mother-to-child transmission of HIV with ART. According to the World Health Organization (WHO), the risk of transmission can be reduced to less than 5% with effective interventions, such as ART, safe delivery practices, and appropriate infant feeding¹.
Choice B reason: This statement is incorrect, as 20% is too high for the risk of mother-to-child transmission of HIV with ART. According to the WHO, the risk of transmission can be reduced to less than 5% with effective interventions, such as ART, safe delivery practices, and appropriate infant feeding¹.
Choice C reason: This statement is incorrect, as 15% is too high for the risk of mother-to-child transmission of HIV with ART. According to the WHO, the risk of transmission can be reduced to less than 5% with effective interventions, such as ART, safe delivery practices, and appropriate infant feeding¹.
Choice D reason: This statement is correct, as 1% is the approximate risk of mother-to-child transmission of HIV with ART. According to HIV.gov, if a woman with HIV takes HIV medicine as prescribed throughout her pregnancy and childbirth and gives HIV medicine to her baby for 2-6 weeks after giving birth, the risk of transmitting HIV to the baby can be less than 1%.
Correct Answer is D
Explanation
Choice A reason: This statement is incorrect, as rechecking blood pressure and providing oxygen are not the immediate nursing priorities for a neonate with fever and signs of sepsis. Blood pressure is not a reliable indicator of perfusion in neonates, and oxygen saturation is already within normal range. The nurse should focus on identifying and treating the source of infection, preventing hypovolemia and shock, and monitoring the vital signs and blood glucose levels.
Choice B reason: This statement is incorrect, as administering aspirin and normal saline bolus are not the immediate nursing priorities for a neonate with fever and signs of sepsis. Aspirin is contraindicated in children under 18 years of age due to the risk of Reye syndrome, a rare but serious condition that affects the liver and brain. Normal saline bolus may be indicated for hypotension or shock, but only after obtaining blood cultures and starting antibiotics.
Choice C reason: This statement is incorrect, as administering antibiotics and oxygen are not the immediate nursing priorities for a neonate with fever and signs of sepsis. Antibiotics are essential for treating the infection, but they should be given after obtaining blood cultures to avoid false-negative results. Oxygen may be needed if the neonate develops hypoxia or respiratory distress, but it is not the first intervention for a neonate with normal oxygen saturation.
Choice D reason: This statement is correct, as obtaining blood cultures, providing IV fluids and antibiotics are the immediate nursing priorities for a neonate with fever and signs of sepsis. Blood cultures are necessary to identify the causative organism and guide the antibiotic therapy. IV fluids are needed to maintain hydration, perfusion, and electrolyte balance. Antibiotics are needed to eradicate the infection and prevent septic shock and organ failure.
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