Author Question: A mother of a premature infant asks the nurse about the baby's need for supplemental iron. What is ... (Read 28 times)

vicotolentino

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A mother of a premature infant asks the nurse about the baby's need for supplemental iron. What is the nurse's best response?
 
  1. Since iron stores are developed during the third trimester of pregnancy, premature infants require supplemental iron.
  2. All infants require iron supplements.
  3. The small body size of the preterm infant calls for supplemental iron to promote growth.
  4. Preterm infants have decreased ability to synthesize iron.

Question 2

During a 4-month-old's well child checkup, the nurse discusses introduction of solid foods into the infant's diet and concerns for foods commonly associated with food allergies.
 
  Therefore, the parents are instructed to delay until after 1 year of age introduction of: 1. Strawberries, eggs, and wheat.
  2. Honey, tomatoes, and spinach.
  3. Carrots, beets, and spinach.
  4. Squash, pork, and tomatoes.



jomama

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Answer to Question 1

1
Rationale:
1. Neonatal iron stores are decreased in the premature infant.
2. Not all infants require iron.
3. An infant's body size is not a factor that indicates the need for supplemental iron.
4. An infant's ability to synthesize iron is not a factor that indicates the need for supplemental iron.

Answer to Question 2

1
Rationale:
1. Strawberries, eggs, and wheat, along with corn, fish, and nut products, are all foods that have commonly been associated with food allergies.
2. Honey can contain botulism spores, which cannot be detoxified by the infant less than 1 year old, but it does not cause an allergic reaction.
3. Carrots, beets, and spinach contain nitrates, and should not be given before 4 months of age.
4. Squash and tomatoes are okay to try after an infant is 46 months old, but should be given one at a time and 35 days after starting a new food. Pork can be tried after the infant is 810 months old, as meats are harder to digest, and have a high protein load.



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