A nurse is talking to the mother of an exclusively breast-fed ...

[craiczarry]

A nurse is talking to the mother of an exclusively breast-fed African American 3-month-old infant who was born in late fall. The nurse would want to make sure that this child is receiving this supplement
 
  1. Iron
  2. Vitamin D
  3. Fluoride
  4. Calcium

Question 2

The mother of a 2-year-old is concerned because her child does not seem interested in eating.
 
  The child is drinking five to six cups of whole milk per day and one cup of fruit juice. When the weight-to-height percentile is calculated,the child is in the ninetieth to ninety-fifth percentile. What would be the best advice for the nurse to give this mother?
  1. Eliminate the fruit juice from thechild's diet.
  2. Offer healthy snacks,presented ina creative manner,and let the child choose what he or she wants to eat without pressure from the parents.
  3. Change from whole milk to2 percent milk and decrease milk consumption to three to four cups per day and the fruit juice to a half cup per day,offering water if the child is still thirsty in between.
  4. Make sure that the child is gettingadequate opportunities for exercise,as this will increase his or her appetite and help lower the child's weight-to-height percentile.

[FergA]

Answer to Question 1

Answer:2
Rationale: An infant's iron stores are usually adequate until about 4 to 6 months of age. The infant should be receiving sufficient amounts of calcium from breast milk,and fluoride supplementation,if needed,does not begin until the child is approximately 6 months old. This infant will have limited exposure to sunlight and thus vitamin D because of the infant's dark skin and decreased sun exposure in the fall and winter months.

Answer to Question 2

Answer:3
Rationale: Toddlers require a maximum of about one liter of milk per day. This toddler is consuming most of his or her calories from the milk and thus is not hungry. The high fat content of the milk and the high sugar content of the fruit juice are also contributing to the child's higher weight-to-height percentile. Decreasing the amount and fat content of the milk and decreasing the intake of fruit juice will decrease calories and thus make the child hungry for other foods. The other advice is also appropriate but did not address the problem of excessive milk consumption.

[craiczarry]

Thank you

[FergA]

No problemo