The nurse observes an infant interacting with his parents. What ...

[shofmannx20]

The nurse observes an infant interacting with his parents. What are normal social behavioral developments for this age group? Select all that apply.
 
  A) Around 5 months the infant may develop stranger anxiety.
  B) Around 2 months the infant exhibits a first real smile.
  C) Around 3 months the infant smiles widely and gurgles when interacting with the caregiver.
  D) Around 3 months the infant will mimic the parent's facial movements, such as sticking out the tongue.
  E) Around 3 to 6 months of age the infant may enjoy socially interactive games such as patty-cake and peek-a-boo.
  F) Separation anxiety may also start in the last few months of infancy.

Question 2

The nurse is promoting a healthy diet to guide a mother when feeding her 2-week-old girl. Which is the most effective anticipatory guidance?
 
  A) Substituting cow's milk if breast milk is not available
  B) Advocating iron supplements with bottle-feeding
  C) Advising fluid intake per feeding of 5 or 6 ounces
  D) Discouraging the addition of fruit juice to the diet

[Mochi]

Answer to Question 1

Ans: B, C, D, F
The infant exhibits a first real smile at age 2 months. By about 3 months of age the infant will start an interaction with a caregiver by smiling widely and possibly gurgling. The 3- to 4-month-old will also mimic the parent's facial movements, such as widening the eyes and sticking out the tongue. Separation anxiety may also start in the last few months of infancy. Around the age of 8 months the infant may develop stranger anxiety. At 6 to 8 months of age the infant may enjoy socially interactive games such as patty-cake and peek-a-boo.

Answer to Question 2

Ans: D
Discouraging the addition of fruit juice to the child's diet is the most effective anticipatory guidance. Fruit juice can displace important nutrients from breast milk or formula. Cow's milk is likely to result in an allergic reaction. If breast milk is not available, infant formula may be substituted. Advising fluid intake per feeding of 5 or 6 ounces 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.