The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?

Advising about increased caloric needs

Explaining how to prepare table foods

Discussing the type of sippy cup to use

Describing the tongue extrusion reflex

Answer and Explanation

The Correct Answer is C

A.   Advising about increased caloric needs might not be the primary focus unless specific growth concerns are present.
B.   At 7 months, while introducing table foods might be on the horizon, it's not the most immediate concern during this well-child visit.
C.   Discussing the type of sippy cup to use is pertinent as the infant is approaching an age where the introduction of a sippy cup becomes relevant for transitioning from a bottle.
D.   Describing the tongue extrusion reflex might be more relevant for younger infants just starting on solids, typically around 4 to 6 months, rather than at 7 months.

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Correct Answer is A

Explanation

A. Discussing the influence of peers on the child's diet can help identify potential social factors contributing to unhealthy eating habits and enable strategies to counteract them.
B. While involving the parents in the care plan is important, asking who they want to work with might not directly address the child's risk of being overweight.
C. Determining the need for additional caloric intake might not be the primary concern for a child at risk for being overweight; rather, it's about healthy eating habits and portion control.
D. Interviewing the parents about their eating habits could be beneficial for understanding the family's overall approach to nutrition but may not directly address the child's weight risk and potential interventions.

A. "This puts you in an at-risk category." B. "We need to talk about safe sex." C. "You're not gay, you're confused." D. "Tell me what makes you think you are gay."

Correct Answer is D

Explanation

A. Stating that being gay puts someone in an "at-risk" category can be stigmatizing and might not address the teenager's concerns or questions.
B. While discussing safe sex might be important, it assumes that being gay automatically implies a need for this conversation, which might not be the case.
C. Dismissing the teenager's statement by denying his sexual orientation can be harmful, dismissive, and invalidate the individual's feelings and identity.
D. Encouraging open communication and asking the teenager to share his thoughts fosters a supportive environment, allowing the nurse to understand the teenager's perspective and concerns.

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The nurse is caring for a 7-month-old girl during a well-child visit. Which intervention is most appropriate for this child?

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Naxlex Comprehensive Predictor Exams

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