A nurse is talking to the mother of an exclusively breastfed, African American infant who is three months old and was born in late fall. The nurse would want to make sure that this child is receiving:
1. Iron
2. Vitamin D
3. Calcium
4. Fluoride
2
Rationale 1: An infant's iron stores are usually adequate until about four to six months of age.
Rationale 2: This infant will have limited exposure to sunlight due to decreased sun exposure in the fall and winter months. The limited sun exposure combined with the infant's dark skin means the infant may need additional vitamin D.
Rationale 3: The infant should be receiving sufficient amounts of calcium from breast milk.
Rationale 4: Fluoride supplementation, if needed, does not begin until the child is approximately six months old.
Global Rationale:
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