A mother asks the nurse when she should start feeding her infant solid foods. Which of the following is the most appropriate response by the nurse?

Correct Answer: B

Rationale: The correct answer is B) “It is recommended that solid foods are introduced no earlier than 6 months of age.” This recommendation is based on current guidelines from health organizations like the World Health Organization (WHO) and the American Academy of Pediatrics (AAP). Introducing solid foods before 6 months of age can increase the risk of developing food allergies, digestive issues, and may lead to overfeeding, as infants may not be developmentally ready to handle solids. Option A is incorrect because introducing solids at 3 months is too early and not in line with current recommendations. Option C suggesting waiting until 9 months is also incorrect as it delays the introduction of important nutrients for the infant's growth and development. Option D is too late as waiting until 1 year may lead to nutritional deficiencies as breast milk or formula alone may not be sufficient to meet the growing infant's needs. Educationally, it is crucial for nurses and healthcare providers to stay updated on the latest evidence-based guidelines to provide accurate information to parents and caregivers. Understanding the rationale behind the recommended age for introducing solid foods helps ensure the best outcomes for infant health and development.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Eat cheerios off a hard surface. The pincer grasp, a fine motor skill typically developed around 9 months of age, enables the infant to pick up small objects using the thumb and index finger. Eating cheerios off a hard surface requires this refined ability to grasp and manipulate small items independently. Option A) Play with a rattle involves grasping a larger object, which does not necessarily require the pincer grasp specifically. Option C) Hold a spoon to feed himself involves a more complex skill of using utensils for self-feeding that typically develops later in infancy. Option D) Drink from a cup also involves a different set of motor skills compared to using the pincer grasp to pick up small items. Educationally, understanding developmental milestones like the pincer grasp can help healthcare providers assess a child's growth and development. It also aids in promoting appropriate activities and expectations for infants to support their emerging skills. By recognizing the significance of milestones like the pincer grasp, caregivers can provide appropriate opportunities for infants to practice and refine their abilities.

Correct Answer: D

Rationale: In pediatric growth assessment, healthcare providers often use the double the height at 2 years old method to estimate final adult height. This method assumes that a child will grow to be approximately double their height at 2 years. In this case, the toddler is 2 feet 8 inches tall at 2 years old, which means an estimated final adult height of 5 feet 4 inches (64 inches) based on this calculation. Option A) 4 feet 8 inches is too short based on the double the height at 2 years rule. Option B) 5 feet is also too short based on the double the height at 2 years rule. Option C) 5 feet 2 inches is closer but still underestimates the final adult height based on the estimation method used. Understanding pediatric growth estimation methods is crucial for healthcare providers to monitor children's development and identify any potential growth issues early on. By applying these methods correctly, healthcare providers can provide appropriate interventions and support for optimal growth and development.

Correct Answer: B

Rationale: In the case of a toddler diagnosed with amblyopia, the most likely treatment measure prescribed would be option B) Patching of the eye. Amblyopia, commonly known as "lazy eye," is a condition where one eye has weaker vision than the other. Patching the stronger eye helps to strengthen the weaker eye by forcing it to work harder, promoting visual development and improving vision in the affected eye. Using corrective lenses (option A) is more commonly prescribed for refractive errors such as nearsightedness or farsightedness, not specifically for amblyopia. Applying artificial tears (option C) is used to relieve dry eyes and does not address the underlying issue of amblyopia. Allowing the passage of time (option D) without intervention can lead to a permanent vision impairment in the affected eye, making it an incorrect choice for treating amblyopia in a toddler. In an educational context, understanding the appropriate treatment for amblyopia is crucial for healthcare professionals working with pediatric patients. By knowing the most effective interventions like patching the eye, they can help facilitate optimal visual outcomes for children with amblyopia, emphasizing the importance of early detection and management of eye conditions in young patients.

Correct Answer: B

Rationale: In this scenario, the correct answer is option B: An entertainment center with the remote control on the top shelf poses the greatest and most immediate risk to the child. This is because the remote control being on the top shelf can lead the child to climb and reach for it, potentially causing a fall or injury. Option A, a fenced-in pool in the backyard, while a potential hazard, can be mitigated by proper supervision or safety measures. Option C, a closed window in the child’s bedroom, does not pose an immediate risk unless the window is unsecured or the child has a history of trying to open it. Option D, a toy box overflowing with toys, may cause clutter but does not present an immediate danger to the child's safety. From an educational perspective, this question highlights the importance of assessing immediate risks in a child's environment. It emphasizes the need for nurses to identify potential hazards that could result in immediate harm to a child and take preventive measures to ensure their safety. This type of critical thinking is crucial in pediatric nursing to provide a safe environment for children to grow and develop.