During a 4-month-old's well-child check,the nurse discusses ...

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During a 4-month-old's well-child check,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
  ntroduction until after one year of age of
  1. strawberries,eggs,and wheat.
  2. honey,tomatoes,and spinach.
  3. carrots,beets,and spinach.
  4. squash,pork,and tomatoes.

Question 2

The mother of an infant born 32 weeks premature expresses the desire to breast-feed her child. An appropriate suggestion by the nurse would be
 
  1. Mothers who cannot directlybreast-feed should talk with and stroke their infants during gavage feedings as this may help facilitate milk letdown
  2. The letdown reflex is best initiatedby having the baby suck at the breast
  3. Pumping should be done nomore than three times daily, making sure to empty each breast completely
  4. The mother should beginpumping by six hours postpartum to ensure adequate milk production

[millet]

Answer to Question 1

Answer:1
Rationale:Strawberries,eggs,and wheat,along with corn,fish,and nut products, are all foods that have commonly been associated with food allergies.Honey may contain botulism spores,which cannot be detoxified by the infant who is less than 1 year old,but it is not an allergic reaction.Carrots,beets,and spinach contain nitrates and should not be given before the age of 4 months.Squash andmatoes are acceptable to try after an infant is 4 to 6 months old but should be given one at a time and three to five days after starting a new food.Pork can be tried after the infant is 8 to 10 months old,as meats are harder to digest and have a high protein load.

Answer to Question 2

Answer:4
Rationale:It is best for the mother to initiate the letdown reflex by stimulating the breast prior to feeding so that the infant will not have to suck as hard,which can burn unnecessary calories.Breast pumping should be done at least five or more times per day to insure an adequate supply of milk. The sooner the mother can begin breast pumping postpartum,the more likely she is to produce an adequate milk supply.

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