The mother of a 3-month-old breastfed infant asks about giving ...

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The mother of a 3-month-old breastfed infant asks about giving her baby water because it is summer and very warm. What should the nurse tell her?
 
  a. Fluids in addition to breast milk are not needed.
  b. Water should be given if the infant seems to nurse longer than usual.
  c. Clear juices are better than water to promote adequate fluid intake.
  d. Water once or twice a day will make up for losses resulting from environmental temperature.

Question 2

At a well-child visit, parents ask the nurse how to know if a daycare facility is a good choice for their infant. Which observation should the nurse stress as especially important to consider when making the selection?
 
  a. Developmentally appropriate toys
  b. Nutritious snacks served to the children
  c. Handwashing by providers after diaper changes
  d. Certified caregivers for each of the age groups at the facility

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Answer to Question 1

ANS: A
Infants who are breastfed or bottle fed do not need additional water during the first 4 months of life. Excessive intake of water can create problems such as water intoxication, hyponatremia, or failure to thrive. Juices provide empty calories for infants.

Answer to Question 2

ANS: C
Health practices should be most important. With the need for diaper changes and assistance with feeding, young children are at increased risk when handwashing and other hygienic measures are not consistently used. Developmentally appropriate toys are important, but hygiene and the prevention of disease transmission take precedence. An infant should not have snacks. This is a concern for an older child. Certified caregivers for each age group may be an indicator of a high-quality facility, but parental observation of good hygiene is a better predictor of care.

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Excellent

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TYSM