Chapter 25 Ricci

The father of a 2-month-old girl is expressing concern that his infant may be getting spoiled. The nurse's best response is: *A.* She just needs love and attention. Don't worry; she's too young to spoil. *B.* Consistently meeting the infant's needs helps promote a sense of trust. *C.* Infants need to be fed and cleaned; if you're sure those needs are met, just let her cry. *D.* Consistency in meeting needs is important, but you're right, holding her too much will spoil her.

*B.* Consistently meeting the infant's needs helps promote a sense of trust.

A 9-month-old infant's mother is questioning why cow's milk is not recommended in the first year of life as it is much cheaper than formula. What rationale does the nurse include in her response? *A.* It is permissible to substitute cow's milk for formula at this age as he is so close to 1 year old. *B.* Cow's milk is iron poor and does not provide the proper balance of nutrients for the infant. *C.* As long as the mother provides whole milk, rather than skim, she can start cow's milk in infancy. *D.* If the mother cannot afford the infant formula, she should dilute it to make it last longer.

*B.* Cow's milk is iron poor and does not provide the proper balance of nutrients for the infant.

The nurse is providing anticipatory guidance to the mother of a 6-month-old infant. What is the best instruction by the nurse in relation to the infant's oral health? *A.* Start brushing her teeth after all the baby teeth come in. *B.* Use a washcloth with toothpaste to clean her mouth. *C.* Clean your baby's gums, then new teeth, with a washcloth. *D.* Rinse your baby's mouth with water after every feeding.

*C.* Clean your baby's gums, then new teeth, with a washcloth.

Parents of an 8-month-old girl express concern that she cries when left with the babysitter. How does the nurse best explain this behavior? *A.* Crying when left with the sitter may indicate difficulty with building trust. *B.* Stranger anxiety should not occur until toddler-hood; this concern should be investigated. *C.* Separation anxiety is normal at this age; the infant recognizes parents as separate beings. *D.* Perhaps the sitter doesn't meet the infant's needs; choose a different sitter.

*C.* Separation anxiety is normal at this age; the infant recognizes parents as separate beings.

The mother of a 3-month-old boy asks the nurse about starting solid foods. What is the most appropriate response by the nurse? *A.* It's okay to start puréed solids at this age if fed via the bottle. *B.* Infants don't require solid food until 12 months of age. *C.* Solid foods should be delayed until age 6 months, when the infant can handle a spoon on his own. *D.* The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods.

*D.* The tongue extrusion reflex disappears at age 4 to 6 months, making it a good time to start solid foods.