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Author Question: The nurse is recommending how to prevent iron deficiency anemia in a healthy, term, breast-fed ... (Read 83 times)

jwb375

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The nurse is recommending how to prevent iron deficiency anemia in a healthy, term, breast-fed infant. Which should be suggested?
 
  a. Iron (ferrous sulfate) drops after age 1 month
  b. Iron-fortified commercial formula by age 4 to 6 months
  c. Iron-fortified infant cereal by age 2 months
  d. Iron-fortified infant cereal by age 4 to 6 months

Question 2

Parents of a child with sickle cell anemia ask the nurse, What happens to the hemoglobin in sickle cell anemia? Which statement by the nurse explains the disease process?
 
  a. Normal adult hemoglobin is replaced by abnormal hemoglobin.
  b. There is a lack of cellular hemoglobin being produced.
  c. There is a deficiency in the production of globulin chains.
  d. The size and depth of the hemoglobin are affected.



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Answer to Question 1

ANS: D
Breast milk supplies inadequate iron for growth and development after age 5 months. Supplementation is necessary at this time. The mother can supplement the breastfeeding with iron-fortified infant cereal. Iron supplementation or the introduction of solid foods in a breast-fed baby is not indicated. Providing iron-fortified commercial formula by age 4 to 6 months should be done only if the mother is choosing to discontinue breastfeeding.

Answer to Question 2

ANS: A
Sickle cell anemia is one of a group of diseases collectively called hemoglobinopathies, in which normal adult hemoglobin is replaced by abnormal hemoglobin. Aplastic anemia is a lack of cellular elements being produced. Thalassemia major refers to a variety of inherited disorders characterized by deficiencies in production of certain globulin chains. Iron deficiency anemia affects the size and depth of the color.





 

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