Question 1

During a 4-month-old infant's well-child checkup, the nurse discusses introduction of solid foods into the infant's diet. Although the nurse recommends delaying the introduction of many foods into the diet, which food(s) will the nurse discuss delaying because they increase the risk for food allergy?

Accepted Answer

The American Academy of Pediatrics recommends delaying the introduction of cow's milk until 12 months, eggs until 24 months, and peanuts until 36 months in infants at high risk for food allergies. Delaying introduction of these foods may decrease the risk of developing food allergies. Honey should be avoided until 12 months due to the risk of botulism. Carrots, beets, spinach, and pork can be introduced as early as 4-6 months.

Question 2

The nurse is teaching the parents of a 4-month-old infant about good feeding habits. Which is the rationale for not letting the baby go to sleep with the bottle?

Accepted Answer

Allowing a baby to fall asleep with a bottle in their mouth can increase the risk for dental caries (tooth decay) as the sugars in the formula or breast milk can pool in the baby's mouth and coat their teeth.

Question 3

A 2-month-old infant is admitted to the hospital with a diagnosis of "failure to thrive" (FTT). Which possible causes for FTT will the nurse include in the infant's plan of care? Select all that apply.

Accepted Answer

Overdilution of formula concentrate, parental neglect, rumination, and malabsorption syndromes are all potential causes of failure to thrive in infants. Pica is not typically associated with FTT in infants.

Question 4

The nurse is providing care to a toddler-age client who is diagnosed with celiac disease. Which interventions will the nurse include in the toddler's plan of care? Select all that apply.

Accepted Answer

The answer of The nurse is providing care to a...

Question 5

The parents of a 2.5-year-old boy are concerned about their child's finicky eating habits. While counseling the parents, which statements by the nurse would be accurate? Select all that apply.

Accepted Answer

B) Physiologic anorexia is common in toddlers due to slower growth rates and decreased appetite. D) Assessing nutritional intake over a week provides a better picture of a toddler's diet due to daily variations.E) 16 to 24 ounces of milk daily is recommended for toddlers to ensure adequate calcium intake without displacing other nutrients.

Question 6

The nurse is presenting a program on healthy eating habits to the parents of children attending the clinic. Which parental comment indicates the need for more information about safe food preparation?

Accepted Answer

Thawing meat on the counter can allow bacteria to grow and is not a safe food preparation practice. The parents need more information on safe thawing methods such as thawing in the refrigerator, in the microwave, or under cold running water.

Question 7

The nurse is providing care for an infant who is diagnosed with colic. Which interventions will the nurse include in the infant's plan of care? Select all that apply.

Accepted Answer

The answer of The nurse is providing care for an...

Question 8

Which assessment findings would cause the nurse to believe that a school-age child is not receiving enough vitamin C in the diet? Select all that apply.

Accepted Answer

The answer of Which assessment findings would cause the nurse...

Question 9

A vegetarian adolescent is prescribed iron supplementation secondary to a diagnosis of iron-deficiency anemia. Which food will the nurse encourage the adolescent to increase intake of based on the current diagnosis?

Accepted Answer

Eggs are a good source of iron, containing approximately 1 mg of iron per egg. Fresh fruits and vegetables contain plant-based iron, but it is not as easily absorbed as animal-based iron. Black tea and milk can actually inhibit the absorption of iron, so it is not recommended to increase intake of these for someone with iron-deficiency anemia.

Question 10

An adolescent is admitted to the eating disorders unit with a 2-year history of anorexia nervosa. Assessment data indicate that the adolescent has recently sustained additional weight loss and electrolyte imbalances. Which is the priority when planning care for this client?

Accepted Answer

Nutritional support is the priority when planning care for an adolescent with anorexia nervosa who has sustained additional weight loss and electrolyte imbalances. This is because restoring nutritional balance and addressing electrolyte imbalances can help stabilize the client's physical condition and prevent serious complications such as cardiac arrhythmias and renal failure. Individual counseling, family therapy, and regulation of antidepressant drugs may be important components of the client's overall treatment plan, but ensuring adequate nutrition and electrolyte balance is the immediate priority.

Question 11

The mother of a 6-week-old male infant tells the nurse that her baby has had colic for several days, crying for up to 3 hours and drawing his legs up on his abdomen. The mother says she is at "wits end" and wonders what she can do. The nurse learns that the infant is being formula-fed and gaining weight satisfactorily. Which recommendations will the nurse make based on the current data? Select all that apply.

Accepted Answer

The answer of The mother of a 6-week-old male infant...

Question 12

Which instruction from the nurse is appropriate when conducting teaching to new parents regarding infant care and feeding?

Accepted Answer

The American Academy of Pediatrics recommends delaying the introduction of supplemental foods until an infant is 4 to 6 months old. This allows for the baby's digestive system to mature and reduces the risk of allergic reactions or other adverse reactions.

Option B is incorrect as fruit juice should not be introduced until the baby is at least 6 months old, and even then it should be limited. Additionally, waiting 3 to 5 days between introducing new foods is not necessary as long as the baby is not showing signs of an allergic reaction.

Option C is incorrect as adding cereal to a nighttime feeding is not recommended, and studies have not shown a correlation between adding cereal to a bottle and improved sleep.

Option D is incorrect as an infant's weight alone is not a good indicator of their readiness for solid foods, and waiting until a certain weight may delay the introduction of important nutrients that cannot be obtained through breastmilk or formula alone.

Question 13

Which concepts will the nurse use when conducting client teaching to a family regarding Dietary Reference Intake (DRI) in the United States (U.S.)? Select all that apply.

Accepted Answer

The nurse will use all of these concepts when conducting client teaching about Dietary Reference Intake (DRI) in the U.S. EAR is the amount of a nutrient that is estimated to meet the needs of half of the people in a particular group based on age and gender. RDA is the average daily intake level of a nutrient that meets the needs of nearly all (97-98%) healthy individuals based on age and gender. AI is used when there is not enough evidence to establish an RDA and represents an estimate of intake that is sufficient for most individuals in a population based on age and gender. Upper Intake (UI) is the highest amount of a nutrient that can be consumed daily without causing harm to most individuals in a population. Reference Nutrient Intake (RNI) is a term used in the United Kingdom and Ireland in place of RDA.

Question 14

The nurse is teaching the parents of a 6-month-old infant about the introduction of solid foods. Which foods will the nurse include in the teaching session? Select all that apply.

Accepted Answer

The answer of The nurse is teaching the parents of...

Question 15

A vegetarian adolescent is placed on iron supplementation secondary to a diagnosis of iron-deficiency anemia. Which will the nurse encourage the adolescent to drink when taking the daily iron supplement?

Accepted Answer

Orange juice is high in vitamin C, which enhances iron absorption. Black or green tea contains tannins, which can inhibit iron absorption. Milk and tomato juice do not have significant amounts of vitamin C.

Question 16

The nurse is providing nutritional guidance to the parents of a school-age child. Which comment by a parent would prompt the nurse to provide further education?

Accepted Answer

Eating raw cookie dough increases the risk of foodborne illness due to the raw eggs and flour. The nurse should provide further education on the importance of avoiding raw cookie dough. The other options all demonstrate good food safety practices.

Question 17

A nurse is teaching an African American mother of a 3-month-old infant, born in the late fall, who is being exclusively breastfed. Which is the priority nutrient for the nurse to include in the teaching session?

Accepted Answer

Vitamin D is the priority nutrient to include in the teaching session because breast milk usually has low levels of this nutrient, which is essential for proper bone growth and development. This is especially important for infants born in the late fall or winter months, as they may not receive enough vitamin D from sunlight exposure. African American infants are also at higher risk for vitamin D deficiency due to higher levels of pigmentation in their skin, which can interfere with vitamin D absorption. Iron is also important for infant growth and development, but breast milk usually contains sufficient amounts for the first six months of life. Calcium and fluoride are not essential nutrients for infants at this age.

Question 18

The nurse collects the weight and height measurements of a child, and calculates the child's body mass index (BMI) to be in the 10th percentile. Previous assessments indicate that the child's BMI was also in the 10th percentile. Which should the nurse include in the discussion of this child's BMI with the parents?

Accepted Answer

Since the child's BMI percentile remains consistent over time, it indicates that the child is consistently growing in proportion to their age and height. The other options (undernutrition, inconsistent growth, and overnutrition) are not applicable in this scenario.

Question 19

Which statement should the nurse include when teaching parents of an infant about normal growth and development regarding weight gain?

Accepted Answer

The normal weight gain for an infant is to double their birth weight by 5 months of age. Option A is incorrect as it suggests triple the birth weight by 9 months which is too rapid. Option C is incorrect as it suggests triple the birth weight by 6 months which is also too rapid. Option D is incorrect as it suggests double the birth weight by 1 year of age which is too slow.

Question 20

Which parental statements during the nutrition assessment for a toddler would cause the nurse concern? Select all that apply.

Accepted Answer

The answer of Which parental statements during the nutrition assessment...

Quiz 32: Infant, Child, and Adolescent Nutrition