The mother of a toddler is concerned because her child does not ...

[anshika]

The mother of a toddler is concerned because her child does not seem interested in eating. The child is drinking five to six cups of whole milk per day and one cup of fruit juice.
 
  When the weight-to-height percentile is calculated, the child is in the 90th to 95th percentile. What is the best advice the nurse can provide to the mother?
  1. Eliminate the fruit juice from the child's diet.
  2. Offer healthy snacks, presented in a creative manner, and let the child choose what he wants to eat without pressure from the parents.
  3. Change from whole milk to 2 percent milk and decrease milk consumption to three to four cups per day and the fruit juice to a half cup per day, offering water if the child is still thirsty in between.
  4. Make sure that the child is getting adequate opportunities for exercise, as this will increase his appetite and help lower the child's weight-to-height percentile.

Question 2

While teaching the parents of a newborn about infant care and feeding, which instruction by the nurse is the most appropriate?
 
  1. Delay supplemental foods until the infant is 4 to 6 months old.
  2. Delay supplemental foods until the infant reaches 15 pounds or greater.
  3. Begin diluted fruit juice at 2 months of age, but wait three to five days before trying a new food.
  4. Add rice cereal to the nighttime feeding if the infant is having difficulty sleeping after 2 months of age.

[lorealeza77]

Answer to Question 1

Correct Answer: 3
Rationale: Toddlers require a maximum of about one liter of milk per day. This toddler is consuming most of his or her calories from the milk and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice are also contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and thus make the child hungry for other foods. The other advice is also appropriate but did not address the problem of excessive milk consumption.

Answer to Question 2

Correct Answer: 1
Rationale: Four to six months is the optimal age to begin supplemental feedings because earlier feeding of nonformula foods is not needed by the infant and does not promote sleep. Earlier feeding of nonformula foods, regardless of the infant's weight, is more likely to cause the development of food allergies. Also, early feeding is not well tolerated by infants because the necessary tongue control is not well developed and they lack the digestive enzymes to take in and metabolize many food products.