The nurse is teaching a group of parents at a community education ...

[Metfan725]

The nurse is teaching a group of parents at a community education program about introducing solid foods to their infants. Which recommendations should the nurse include? (Select all that apply.)
 
  a. Spoon feeding should be introduced after an entire milk feeding.
  b. It is best to introduce a wide variety of foods during the first year.
  c. As solid food consumption increases, the quantity of milk should decrease.
  d. Introduction of low-calorie milk and food should be done by the end of the first year.
  e. Introduction of citrus fruits, meats, and eggs should be delayed until after 6 months of age.
  f. Each new food item should be introduced at 5- to 7-day intervals.

Question 2

The nurse is providing anticipatory guidance to parents of a 4-month-old infant on preventing an aspiration injury. What should the nurse include in the teaching? (Select all that apply.)
 
  a. Keep baby powder out of reach.
  b. Inspect toys for removable parts.
  c. Allow the infant to take a bottle to bed.
  d. Teething biscuits can be used for teething discomfort.
  e. The infant should not be fed hard candy, nuts, or foods with pits.

[pikon]

Answer to Question 1

ANS: B, C, E, F
Teaching related to feeding an infant solid foods should include introducing a wide variety of foods because an infant has not developed a strong food preference as seen with a toddler. As solid food consumption increases, the amount of milk consumed should decrease to less than 1 L/day to prevent overfeeding. Introduction to citrus fruits, meats, and eggs should be delayed until after 6 months of age because of the potential to cause food allergies. New foods should be introduced at 5- to 7-day intervals to evaluate for food allergies. Spoon feedings should be introduced after a small ingestion of milk, not at the end of a milk feeding, to associate the activity with pleasure. In general, low-calorie milk and food should be avoided.

Answer to Question 2

ANS: A, B, E
Anticipatory guidance to prevent aspiration for a 4-month-old infant takes into account that the infant will begin to be more active and place objects in the mouth. Toys should be checked for removable parts; baby powder should be kept out of reach; and hard candy, nuts, and foods with pits should be avoided. The infant should not go to bed with a bottle. Teething biscuits should be used with caution because large chunks may be broken off and aspirated.