The nurse is educating a group of preschool parents about the importance of safety.
Which statement by a parent indicates the need for further education?

Choice A rationale:

Introducing solid foods to infants is an essential step in their development. The nurse should advise a parent to introduce each new food 4 to 7 days apart. This recommendation is based on the principles of food introduction and infant nutrition. By introducing new foods with this time gap, parents can monitor for any adverse reactions or allergies that may occur. It allows for the identification of potential food sensitivities, making it easier to determine the cause if the child develops any adverse reactions. This cautious approach ensures the safety and well-being of the child while also helping to establish healthy eating habits from a young age.

Choice B rationale:

Mixing foods together is not recommended when introducing solid foods to infants. This approach can make it challenging to identify the cause of any adverse reactions or allergies. If a parent mixes multiple foods and the child has a negative reaction, it becomes difficult to pinpoint which specific food caused the problem. Therefore, it's best to introduce one food at a time, as advised in choice A, to monitor the child's response effectively.

Choice C rationale:

Eliminating a refused food from the diet is not a suitable approach for introducing solid foods to infants. Refusing a new food is a common response in infants who are still getting used to the taste and texture of solid foods. It's important not to eliminate the food altogether, as it may take several attempts before the child accepts it. Parents should be encouraged to reintroduce the refused food at a later time. The focus should be on gradual exposure and persistence.

Choice D rationale:

Beginning with one tablespoon of food is not a recommended approach. Infants should start with small amounts of solid foods and gradually increase the quantity as they become more accustomed to the new textures and flavors. Starting with a larger portion can overwhelm the child and may lead to refusal or choking. A gradual introduction, as suggested in choice A, is a safer and more appropriate method.

Choice A rationale:

Fussy behavior in a 1-year-old infant can be a normal response to discomfort, hunger, or unfamiliar surroundings. It is not typically an immediate concern and does not warrant reporting to the physician immediately.

Choice B rationale:

Minimal verbalization is also common in a 1-year-old infant as they are still in the early stages of language development. It is not typically a finding that requires immediate reporting to the physician.

Choice C rationale:

A pulse rate of 100 beats/minute in a 1-year-old infant can be within the normal range. The normal pulse rate for infants can vary, but it generally falls between 100-160 beats/minute. While it may warrant further observation, it is not an immediate concern that requires reporting to the physician.

Choice D rationale:

A respiratory rate of 60 breaths/minute in a 1-year-old infant is significantly lower than the normal range. The normal respiratory rate for infants is typically between 20-40 breaths per minute. A respiratory rate of 60 may indicate respiratory distress or other underlying issues, which should be reported to the physician immediately for further evaluation and intervention.