The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?

Substituting cow's milk if breast milk is not available

Advising fluid intake per feeding of 5 or 6 ounces

Advocating iron supplements with bottle-feeding

Discouraging the addition of fruit juice to the diet

Answer and Explanation

The Correct Answer is D

A. Substituting cow's milk if breast milk is not availablE. Cow's milk is not recommended as a substitute for breast milk or infant formula for infants under 12 months old due to its low iron content and potential for causing gastrointestinal irritation.

B. Advising fluid intake per feeding of 5 or 6 ounces: The appropriate fluid intake for a 2-week- old infant is typically guided by feeding cues and may vary from feeding to feeding. Providing a specific volume of fluid per feeding may not be appropriate, as infants should be fed on demand.

C. Advocating iron supplements with bottle-feeding: Iron supplementation is generally recommended for breastfed infants starting at around 4 months of age, but it is not typically necessary for formula-fed infants during the first few weeks of life. Additionally, iron

supplementation should be prescribed and monitored by a healthcare provider rather than advocated as a general guideline.

D. Discouraging the addition of fruit juice to the diet: This is the most effective anticipatory guidance because it aligns with current recommendations from pediatric healthcare

organizations. Fruit juice offers little nutritional value for infants and can contribute to dental caries and excessive calorie intake. It is generally recommended to avoid giving fruit juice to infants under 1 year old.

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Correct Answer is B

Explanation

A. Significant increase in brain sizE. While brain development continues during adolescence, the most significant increase in brain size occurs during early childhood rather than adolescence.

B. Ossification completed later in girls: Ossification, the process of bone formation, typically continues into late adolescence or early adulthood, and completion may occur later in girls compared to boys. This process contributes to changes in height and bone density during adolescence.

C. Decrease in heart ratE. During adolescence, there may be some changes in heart rate due to

the influence of hormones and physical growth, but a decrease in heart rate is not a consistent or universal characteristic of this developmental stage.

D. Decrease in activity of sebaceous glands: Adolescence is typically associated with an increase rather than a decrease in the activity of sebaceous glands, leading to increased oil production and the potential for acne development. Hormonal changes during puberty stimulate the sebaceous

glands, contributing to changes in skin texture and appearance.

A. A child who is brought to the emergency room with labored breathing B. A child who is a new client in a pediatric office C. A child who is a routine client and presents with signs of a sinus infection D. A child whose condition is improving

Correct Answer is A

Explanation

A. A child who is brought to the emergency room with labored breathing: Labored breathing can indicate a serious respiratory problem that requires immediate assessment and intervention.

Conducting a comprehensive health history is crucial to gather information about the child's medical history, current symptoms, and any potential underlying conditions that could be contributing to the breathing difficulty.

B. A child who is a new client in a pediatric officE. While it is important to obtain a comprehensive health history for new clients in a pediatric office, it may not require immediate attention unless the child presents with acute symptoms or concerns.

C. A child who is a routine client and presents with signs of a sinus infection: While a child presenting with signs of a sinus infection may require a comprehensive health history to guide treatment, it may not necessitate immediate attention unless the symptoms are severe or accompanied by complications.

D. A child whose condition is improving: If a child's condition is improving, conducting a comprehensive health history may not be immediately necessary unless there are lingering concerns or new symptoms that arise during follow-up visits.

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The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?

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Correct Answer is A

Explanation

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The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?