The community nurse is working with poor women who are formula-feeding their infants. Which statement indicates that the nurse's education session was effective?
1. "I should only use soy-based formula for the first year."
2. "I follow the instructions for mixing the powdered formula exactly."
3. "I can reuse one bottle for several feedings."
4. "The mixed formula can be left on the counter for a day."
Correct Answer: 2
Rationale 1: Soy-based formulas are more expensive than whey-based formulas, and they are only needed by infants with milk allergies. No information is provided about milk allergy symptoms. Powdered formula is the cheapest, followed by concentrated formula; ready-to-feed formula is the most expensive.
Rationale 2: Powdered and concentrated formula must be mixed according to manufacturer's guidelines. Formula that is too concentrated can lead to excess sodium intake, which creates increased thirst and overfeeding.
Rationale 3: Each bottle should contain only enough formula for one feeding, and any formula left after the feeding should be discarded to prevent bacterial growth.
Rationale 4: Once formula is mixed, it must be used within two hours or refrigerated.
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