Which nutritional information should the nurse plan to provide the mother of a 6-month-old regarding introduction of solid foods?

Begin introducing solid foods into the child's diet after the child reaches one year of age.

Introduce fruits and vegetables simultaneously into the diet.

Foods are best introduced by mixing them with formula and feeding them to the infant with a feeder bottle.

Foods should be introduced into a child's diet one at a time, at 4 to 7 day intervals.

Answer and Explanation

The Correct Answer is D

Choice A rationale

Introducing solid foods at one year of age is too late and may hinder the infant's nutritional development. The American Academy of Pediatrics recommends starting between 4 to 6 months of age when the infant displays readiness cues like head control and interest in food. Waiting too long can lead to nutrient deficiencies, particularly iron, as maternal stores begin to deplete.

Choice B rationale

Introducing new foods one at a time is crucial for identifying potential food allergies or sensitivities. Simultaneous introduction of fruits and vegetables would make it difficult to pinpoint the specific food causing an allergic reaction. This staggered approach, over several days, allows the immune system to acclimate to each new food.

Choice C rationale

Feeding solids from a bottle can lead to overfeeding, as the infant may not be able to regulate intake appropriately. It also bypasses the critical developmental stage of learning to swallow thicker textures and use a spoon. The infant needs to develop oral motor skills and coordination for successful and safe solid food consumption.

Choice D rationale

Introducing new foods one at a time, with a waiting period of 4 to 7 days, is the recommended practice. This method allows the caregiver to easily identify any adverse reactions, such as a rash, diarrhea, or vomiting, associated with a specific food. It's a key strategy for the early detection and management of food allergies.

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Correct Answer is C

Explanation

Choice A rationale

Playing "peek-a-boo" is a normal developmental milestone for a 6-month-old infant. This activity demonstrates object permanence, which is the understanding that objects continue to exist even when they cannot be seen, heard, or touched. This is an expected cognitive skill for this age.

Choice B rationale

Turning its head to locate sound is an appropriate developmental milestone for a 6-month-old infant. This response indicates intact hearing and developing auditory localization skills, which is the ability to determine the source of a sound. This is a normal and expected reflex.

Choice C rationale

The startle (Moro) reflex is a primitive reflex that should disappear by around 3 to 4 months of age. Its persistence beyond this time may indicate a neurological problem, such as a cerebral palsy or a central nervous system lesion. Therefore, a 6-month-old infant demonstrating this reflex requires further evaluation.

Choice D rationale

Doubling its birth weight by 5 to 6 months of age is a normal and expected physical growth milestone for an infant. This indicates adequate nutrition and healthy development. The average birth weight is approximately 7 to 8 pounds, and at 6 months, an infant should weigh about 14 to 16 pounds.

A. Try eating crackers when you first feel nauseated. B. Call the clinic if you have any vaginal bleeding or cramping. C. You should enroll in this month's childbirth preparation classes. D. Eat a well-balanced diet using this printed diet instruction sheet.

Correct Answer is B

Explanation

Choice A rationale

While nausea is a common symptom in early pregnancy, it is generally not a life-threatening condition. Providing dietary advice, such as eating crackers, is important for comfort and nutrition but does not address a potential medical emergency. This instruction is a lower priority compared to monitoring for serious complications.

Choice B rationale

Vaginal bleeding and cramping are potential signs of a spontaneous abortion or ectopic pregnancy, which are medical emergencies that require immediate attention. These symptoms indicate a disruption in the pregnancy that could be harmful to both the mother and the fetus, making it the highest priority for the client to report.

Choice C rationale

Childbirth preparation classes are beneficial for preparing for labor and delivery, but they are not an urgent matter at 8 weeks gestation. These classes are typically attended later in pregnancy, and enrolling at this stage is not a critical safety or health issue for the mother or the developing fetus.

Choice D rationale

A balanced diet is essential for a healthy pregnancy, providing necessary nutrients for fetal development. However, dietary instructions, while important, are not a matter of immediate urgency. A client can receive this information later and still have a healthy outcome, unlike the potential for a medical emergency.

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Which nutritional information should the nurse plan to provide the mother of a 6-month-old regarding introduction of solid foods?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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