How it Works
Try Naxlex NCLEX-RN (Free-Trial)

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.


Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Free Nursing Study Resources

Related Questions

Correct Answer is C

Explanation

A. Brown, rough, greasy, wart-like papules on the face. These describe seborrheic keratosis, a benign skin growth, which is unrelated to overexposure from PUVA therapy.
B. Requires sunglasses because sunlight hurts eyes. PUVA therapy increases sensitivity to light, and clients are advised to wear sunglasses. However, light sensitivity alone does not indicate overexposure. Severe overexposure could cause ocular damage or photokeratitis, but this symptom alone is not diagnostic of excessive treatment.
C. Tenderness upon palpation and generalized erythema. Overexposure to PUVA therapy can cause phototoxic reactions, including skin tenderness, erythema (similar to a sunburn), and blistering. These signs indicate that the client has received too much ultraviolet A (UVA) exposure, requiring treatment adjustments to prevent further skin damage.
D. Thick skin plaques topped by silvery white scales. These are classic symptoms of psoriasis vulgaris and do not indicate overexposure. In fact, PUVA therapy is used to reduce these plaques, not cause them.

Correct Answer is {"dropdown-group-1":"B","dropdown-group-2":"B"}

Explanation

Rationale:

  1. Calculate total fat calories for each day:
    • Day 1: 24×38=91224 \times 38 = 912 kJ
    • Day 2: 22×38=83622 \times 38 = 836 kJ
    • Day 3: 23×38=87423 \times 38 = 874 kJ
  2. Convert total daily calories to kJ:
    • Day 1: 3,200×4.184=13,388.83,200 \times 4.184 = 13,388.8 kJ
    • Day 2: 2,980×4.184=12,471.32,980 \times 4.184 = 12,471.3 kJ
    • Day 3: 3,310×4.184=13,841.03,310 \times 4.184 = 13,841.0 kJ
  3. Calculate fat percentage:
    • Day 1: (912/13388.8)×100=18.2%
    • Day 2: (836/12471.3)×100=17.1%
    • Day 3: (874/13841.0)×100=17.3%

Average fat percentage: (18.2+17.1+17.3)/3=17.5%

  1. Interpretation:
    • The recommended fat intake range is 20-35% of total calories.
    • The client's fat intake is 14-19%, which is below the recommended range.
    • The client should increase his fat intake to meet nutritional needs.

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

Register