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The nurse is caring for a school age child whose parent reports concern for the child's weight gain and obesity status. Which historical finding should the nurse recognize as potentially contributing to early obesity?

A.

Dedicated breastfeeding for 6 months.

B.

Consumption of whole milk as a toddler.

C.

Introduction of fortified cereal before 4 months of age.

D.

Exclusive soy based formula for the first year of life.

Answer and Explanation

The Correct Answer is C

A. Dedicated breastfeeding for 6 months. Exclusive breastfeeding for at least 6 months is recommended by the American Academy of Pediatrics (AAP) and is associated with a lower risk of childhood obesity. Breastfeeding helps regulate appetite and metabolism.
B. Consumption of whole milk as a toddler. Whole milk is recommended from ages 1 to 2 years for brain development and growth. While excessive milk intake may contribute to weight gain, it is not a primary risk factor for early childhood obesity.
C. Introduction of fortified cereal before 4 months of age. Introducing solid foods before 4 months is linked to an increased risk of childhood obesity. Early introduction may disrupt natural hunger and satiety cues, leading to overeating later in life. The AAP recommends introducing solid foods around 6 months of age.
D. Exclusive soy-based formula for the first year of life. Soy-based formula is nutritionally comparable to cow's milk-based formula. While formula feeding in general has been associated with a slightly higher risk of obesity than breastfeeding, soy formula itself is not a direct risk factor for obesity.


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Related Questions

Correct Answer is C

Explanation

A. Remove the ink marks of the portal after each radiation treatment. Ink marks should not be removed, as they help ensure precise radiation targeting during each session. The marks should remain visible until the treatment plan is complete.
B. Apply moisture lotions daily to the radiation portal site. Many lotions and creams contain ingredients that can irritate the skin or interfere with radiation therapy. Only approved, non-irritating, fragrance-free moisturizers should be used, and typically only after consulting the oncology provider.
C. Protect the skin of the radiation portal site from sunlight exposure. Radiation therapy increases skin sensitivity, making it more vulnerable to sunburn and damage. Clients should cover the treated area with loose clothing or use sunscreen (SPF 30 or higher) if sun exposure is unavoidable.
D. Avoid washing the skin inside the radiation portal site. Gentle washing with mild soap and lukewarm water is recommended to keep the area clean and reduce irritation. Harsh scrubbing, hot water, and scented soaps should be avoided.

Correct Answer is C

Explanation

A. Dry mucosal membranes. While dry mucous membranes can indicate dehydration, they are not a definitive indicator of malnutrition. Malnutrition is assessed through body weight, BMI, and lab values such as albumin and prealbumin.
B. Weight of 227 pounds (103 kg). A high body weight does not indicate malnutrition. Some individuals with obesity can still be malnourished due to poor nutrient intake, but weight alone is not the best diagnostic indicator.
C. Body mass index (BMI) of 17 kg/m². A BMI below 18.5 kg/m² is classified as underweight, and a BMI of 17 kg/m² indicates malnutrition. BMI is a standard measure used to assess nutritional status and underweight conditions.
D. Decrease in the appetite. A decreased appetite (anorexia) can contribute to malnutrition, but it is a symptom, not a definitive diagnostic indicator. Some individuals with poor appetite may still maintain an adequate nutritional status.

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