The nurse is providing discharge teaching regarding formula preparation for a new mother. Which guideline would the nurse include in the teaching plan?
Do not add cereal to the formula in the bottle or sweeten the formula with honey.
Always wash bottles and nipples in hot soapy water and rinse well; do not wash them in the dishwasher.
Store tightly covered ready-to-feed formula can after opening in the refrigerator for up to 24 hours.
Warm a bottle of formula by placing the bottle in a container of hot water or microwaving the formula.
The Correct Answer is A
A. Adding cereal to formula in a bottle or sweetening with honey can pose choking hazards and introduce unnecessary risks or adverse reactions.
B. Washing bottles and nipples properly is essential, but this guideline doesn't specifically address formula preparation.
C. Storing ready-to-feed formula in the refrigerator is a valid guideline, but it's not related to formula preparation.
D. Microwaving formula can create uneven heating and hot spots, potentially burning the baby's mouth; this is not a recommended method for warming formula.
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Correct Answer is D
Explanation
A) 45 inches - This would be an unusually high growth of 5 inches in one year, which is above the average growth rate for a child of this age.
B) 47 inches - This represents a growth of 7 inches in one year, which is significantly higher than the expected average and is highly unlikely.
C) 41 inches - This indicates a growth of only 1 inch in a year, which is below the average growth rate for a 5-year-old child.
D) 43 inches - This is a growth of 3 inches from the last examination and falls within the normal range of growth for a preschooler, which is approximately 2 to 3 inches per year.
Correct Answer is B
Explanation
A. Echolalia refers to the repetition of words or phrases without understanding their meanings and is not what the child is demonstrating.
B. Telegraphic speech is a common speech pattern in toddlers where they use short, concise sentences omitting articles and other nonessential words, as seen in the child's statement "Want go potty."
C. Stuttering involves disruptions in the flow of speech, such as repetitions or prolongations of sounds, which is different from the broken speech patterns observed in telegraphic speech.
D. There's no indication of a developmental delay based on the child's speech pattern, so consulting a speech therapist might not be warranted at this stage.
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