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?
Dedicated breastfeeding for 6 months.
Consumption of whole milk as a toddler.
Introduction of fortified cereal before 4 months of age.
Exclusive soy based formula for the first year of life.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Offer to also administer a meningococcal vaccine to the client. The meningococcal vaccine is not routinely recommended for older adults unless they are at increased risk (e.g., immunocompromised, asplenic, or in certain outbreak situations). The priority is ensuring the influenza vaccine is appropriate based on the client’s history.
B. Record height, weight, and vital signs before giving the vaccine. Routine height, weight, and vital signs are not necessary before administering an influenza vaccine unless the client has symptoms of illness. The focus should be on vaccination history and contraindications.
C. Ask if the client's influenza exposure was within the last week. Recent exposure to influenza does not contraindicate vaccination. The vaccine is preventive and does not provide immediate protection, so the client should still receive it to help prevent future infection.
D. Review the client's vaccination history in the electronic record. Checking vaccination history ensures the client is receiving the correct vaccine and has not already been vaccinated for the season. This helps prevent unnecessary repeat doses and ensures adherence to recommended immunization schedules.
Correct Answer is ["42"]
Explanation
Flowrate(gtt/min) = (Total volume×Drop factor)/Total time
= (500×20)/240
= 1000/240
= 41.67, round off to the nearest whole number
= 42
Thus, the nurse should regulate the infusion at 42 gtt/min.
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