Parents tell the nurse that their 1-year-old son often sleeps ...

[geodog55]

Parents tell the nurse that their 1-year-old son often sleeps with them. They seem unconcerned about this. The nurse's response should be based on the knowledge that:
 
  a. Children should not sleep with their parents.
  b. Separation from parents should be completed by this age.
  c. Daytime attention should be increased.
  d. This is a common and accepted practice, especially in some cultural groups.

Question 2

A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. The nurse should recommend that the infant be given:
 
  a. Skim milk. c. Commercial iron-fortified formula.
  b. Whole cow's milk. d. Commercial formula without iron.

[Ksh22]

Answer to Question 1

ANS: D
Co-sleeping or sharing the family bed, in which the parents allow the children to sleep with them, is a common and accepted practice in many cultures. Parents should evaluate the options available and avoid conditions that place the infant at risk. Population-based studies are currently underway; no evidence at this time supports or abandons the practice for safety reasons. This is the age at which children are just beginning to individuate. Increased daytime activity may help decrease sleep problems in general, but co-sleeping is a culturally determined phenomenon.

Answer to Question 2

ANS: C
For children younger than 1 year, the American Academy of Pediatrics recommends the use of breast milk. If breastfeeding has been discontinued, iron-fortified commercial formula should be used. Cow's milk should not be used in children younger than 12 months. Maternal iron stores are almost depleted by this age; the iron-fortified formula will help prevent the development of iron deficiency anemia.

[geodog55]

Thank you

[Ksh22]

No problemo