The nurse is assessing a 1-year-old infant in the pediatric office.
What finding should the nurse report to the physician immediately?

Choice A rationale:

Using a tray attachment on a high chair as a restraint is not a recommended fall precaution for infants. Restraining an infant in this manner can be dangerous and may lead to injuries. Infants should be securely strapped into their high chair but not confined using tray attachments.

Choice B rationale:

Keeping crib rails up and in a locked position is essential for infant fall precautions. This prevents the infant from climbing or falling out of the crib, reducing the risk of injury. It's a crucial safety measure.

Choice C rationale:

Removing all unsteady furniture is an important fall precaution. Unsteady furniture can easily tip over if an infant tries to pull themselves up or grasp onto it. This can result in injuries, making it necessary to secure or remove such furniture.

Choice D rationale:

Stabilizing the infant with a hand when on a changing table is a necessary fall precaution. Infants can be quite wiggly, and having a hand on them helps prevent them from rolling off the changing table, which can lead to serious injuries.

Choice E rationale:

Keeping the infant seat on the floor while indoors is another important fall precaution. Placing the infant seat on an elevated surface can lead to falls, so it should always be kept on the floor to ensure the baby's safety.

Choice A rationale:

The statement, "The baby really likes little pieces of chocolate," is not an indication of correct understanding of infant feeding. Introducing chocolate to an infant's diet is not recommended, as it can pose a choking hazard and is not a suitable first food.

Choice B rationale:

The statement, "Give the baby new foods before he takes his bottle," does not indicate a correct understanding of infant feeding. It's generally recommended to introduce solid foods to infants after they have started with breast milk or formula, not before.

Choice C rationale:

The statement, "I've been mixing rice cereal and formula in the baby's bottle," indicates a correct understanding of infant feeding. This practice is often recommended as a way to transition infants to solid foods gradually, and it can help with feeding and digestion.

Choice D rationale:

The statement, "I switched the baby to low-fat milk at 9 months," is not a correct understanding of infant feeding. Infants should not be given low-fat milk until after the age of 1, as they need the higher fat content in whole milk for proper growth and development.