The mother of a 6-month-old tells the nurse that the baby has started biting during breastfeeding, and asks what to do in order to continue nursing
Which of the following comments reflects accurate understanding by the nurse of growth and development? 1. "Biting can be an attempt by the baby to gain attention. When you are nursing, are you attentive to the baby?"
2. "Have you started giving the baby any solid food?"
3. "You probably will want to prepare to discontinue breastfeeding."
4. "This is a reflex action of a baby of this age, and usually disappears if you provide a toy that the baby can chew on."
2
Rationale: The nurse is aware that the development of the infants is from the head downward, and that this child is beginning to gain control over the muscles of the mouth, and is biting when something is placed in her mouth. If she has started solid foods, it might indicate that the child is learning to bite the spoon used for feeding. Biting is not a reflex action. Some children might begin teething at this age, but the ability to bite is developmental.
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