The parents of a 9-month-old infant tell the nurse that they have ...

[xroflmao]

The parents of a 9-month-old infant tell the nurse that they have noticed foods such as peas and corn are not completely digested and can be seen in their infant's stool. The nurse bases her explanation on knowing that:
 
  a. Children should not be given fibrous foods until the digestive tract matures at age 4 years.
  b. The infant should not be given any solid foods until this digestive problem is resolved.
  c. This is abnormal and requires further investigation.
  d. This is normal because of the immaturity of digestive processes at this age.

Question 2

A 3-month-old infant, born at 38 weeks of gestation, will hold a rattle if it is put in her hands; however, she will not voluntarily grasp it. The nurse should interpret this as:
 
  a. Normal development.
  b. Significant developmental lag.
  c. Slightly delayed development caused by prematurity.
  d. Suggestive of a neurologic disorder such as cerebral palsy.

[firehawk60]

Answer to Question 1

ANS: D
The immaturity of the digestive tract is evident in the appearance of the stools. Solid foods are passed incompletely broken down in the feces. An excess quantity of fiber predisposes the child to large, bulky stools. This is a normal part of the maturational process, and no further investigation is necessary.

Answer to Question 2

ANS: A
This indicates normal development. Reflexive grasping occurs during the first 2 to 3 months and then gradually becomes voluntary. No evidence of developmental lag, delayed development, or neurologic dysfunction is present.