A mother tells the nurse that she is discontinuing breastfeeding her 5-month-old infant. What should the nurse recommend the infant be given?

Correct Answer: C

Rationale: When a mother decides to discontinue breastfeeding, it is important for the infant to receive an appropriate alternative that provides essential nutrients, including iron. Commercial iron-fortified formula ensures that the infant is receiving adequate iron, which is crucial for healthy growth and development. Skim milk is not recommended for infants under age 1 due to its high protein and mineral content, which can strain the baby's immature kidneys. Whole cow's milk is also not suitable before age 1 because it lacks essential nutrients such as iron and vitamin E, and can lead to iron deficiency anemia. Commercial formula without iron would not provide enough iron for the infant's needs, making commercial iron-fortified formula the most appropriate choice for the 5-month-old infant.

Correct Answer: A

Rationale: The safety topic that is the priority for the nurse's accident prevention class for parents of toddlers is the appropriate use of car seat restraints. Car accidents are one of the leading causes of injuries and deaths among children, and proper car seat usage is crucial in protecting toddlers during car rides. Following the guidelines for car seat installation and usage can significantly reduce the risk of injury or death in the event of a car accident. Therefore, ensuring that parents understand and implement proper car seat restraint practices is essential in promoting the safety of toddlers. While the other safety topics are also important, the risk of injury or death in car accidents is higher compared to other accidents for toddlers, making car seat safety a priority.

Correct Answer: C

Rationale: The best nursing action in this scenario is to explain why a Band-Aid is not needed. At 5 years old, Samantha is at an age where she can begin to understand explanations. By providing her with a simple and clear explanation, the nurse can help Samantha understand that a Band-Aid is not necessary in this situation. This also promotes education and helps Samantha learn about wound healing and appropriate care. It is important to involve the child in the decision-making process and provide education to foster their understanding of their own health.

Correct Answer: C

Rationale: The nurse should be most concerned about the child's self-esteem and sense of competence. A 12-year-old male with short stature due to a constitutional growth delay may experience feelings of inadequacy or embarrassment because of his height. It is important for the nurse to address these emotional aspects of the condition and support the child in developing a positive self-image. By promoting the child's self-esteem and sense of competence, the nurse can help the child navigate any challenges associated with his height and build confidence in his abilities and worth as an individual.

Correct Answer: C

Rationale: An important consideration when the nurse is discussing enuresis with the parents of a young child is that organic causes related to enuresis should be considered first. Enuresis, or bedwetting, can have various causes including physical issues like urinary tract infections, constipation, or structural abnormalities. It is essential to rule out any underlying medical conditions before addressing behavioral or psychological factors. By focusing on organic causes first, healthcare providers can ensure that the child receives appropriate evaluation and treatment, leading to better outcomes.