Author Question: The nurse is assessing a 4-month-old boy. Which of following findings might suggest a developmental ... (Read 55 times)

dmcintosh · **on:** Jun 27, 2018

The nurse is assessing a 4-month-old boy. Which of following findings might suggest a developmental problem?

A) The child does not coo or gurgle.
B) The child does not babble or laugh.
C) The child never squeals or yells.
D) The child does not say dada or mama.

Question 2

The nurse is teaching about a healthy diet to the mother of a 2-week-old girl. Which of the following is the most effective anticipatory guidance?

A) Encouraging breast-feeding until the sixth month
B) Advocating iron supplements with bottle feeding
C) Advising fluid intake per feeding of 5 or 6 oz.
D) Discouraging the addition of fruit juice to the diet

ttt030911 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

B
Response:
The fact that the child does not babble or laugh might suggest a developmental problem. At 4 to 5 months of age most children are making simple vowel sounds, laughing aloud, doing raspberries, and vocalizing in response to voices. The child should have passed the stage of cooing or gurgling but is too young to squeal, yell, or say dada or mama.

Answer to Question 2

D
Response:
Discouraging the mother from adding fruit juice to the child's diet is the most effective anticipatory guidance. Fruit juice can displace important nutrients from breast milk or formula. Encouraging breast-feeding until the sixth month is only halfway to the Healthy People goal of breast-feeding for the first year. Advising fluid intake per feeding of 5 or 6 oz is too much for this neonate but is typical for an infant 4 to 6 months of age. Advocating iron supplements with bottle feeding is unnecessary so long as the formula is fortified with iron.