Nutrition and Diet Therapy 6th Edition by Carroll Lutz, Erin Mazur , Nancy Litch

Exercise 16

Baby I, a 4-month-old boy, is being seen at a neighborhood clinic because he has developed diarrheal stools within the past 2 days. At birth, he weighed 7 pounds, 8 ounces. Since then he has gained steadily. Three days ago, he weighed 12 pounds, 8 ounces. Baby I's present weight is 12 pounds, 2 ounces. 1.Mrs. I has been feeding the baby his usual formula. He drinks eagerly but then has an explosive bowel movement with loud crying. Baby I has had six bowel movements per day instead of his usual two. With this history, what physical assessment measures would the nurse include initially?
A) Condition of hair, strength of grasp, presence of sucking reflex
B) Heart sounds, lung sounds, blood pressure
C) Skin turgor, fontanel fullness, moisture of mucous membranes
D) Urine specific gravity, observation of diaper rash