The nurse is preparing for a health maintenance visit for a 9-month-old infant. Which teaching topics are appropriate for the nurse to include during the scheduled visit? Select all that apply
1. Using iron-fortified formula
2. Encouraging self-feeding of finger foods
3. Increasing the number of daily milk feedings
4. Encouraging cups for all feedings
5. Introducing burping techniques
1, 2
Explanation:
1. The nurse should teach the parents the importance of continuing to use an iron-fortified formula until the infant reaches 12 months of age.
2. The nurse should encourage the parents to allow for self-feeding opportunities with finger foods.
3. The number of daily milk feedings should be decreased, not increased, at this stage of development.
4. While the cup should be introduced by 9 months of age, it is not appropriate for the nurse to encourage the use of a cup for all feedings until 12 months of age.
5. While it may be appropriate for the nurse to reinforce burping techniques through the first year of life, the nurse would not introduce this teaching at 9 months of age.
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The nurse has assessed a 7-year-old female. The child has a moderate amount of pubic and axillary hair. The mother states, "I just think she is going through puberty early. I was 11 when I went through these changes."
The nurse's best response would be: 1. "Your daughter is very young to be experiencing these types of changes.". 2. "You are probably right, since you went through these types of changes early.". 3. "This type of hair growth is normally associated with cardiovascular disorders.". 4. "Are her friends experiencing the same changes?"
The health information exchange requires exchange of health-related information according to nationally recognized standards to link into which of the following as it can provide a standardized, secure, and confidential way to link information
systems together for authorized users to share reliable health-related information? 1. Office of National Coordinator (ONC) 2. Health information exchange (HIE) 3. National health information network (NHIN) 4. Health Information Security and Privacy Collaborative (HISPC)
The Engel (1980) model advocates the following:
a. Focuses on mind–body dualism for accuracy in diagnosis. b. Shows a commitment to treating the person as a whole and integrating psychosocial data. c. Mandates that the family be involved in the encounter for greater psychosocial accuracy in diagnosis. d. Integrates a nutritional approach to illness.
A woman at 32 weeks' gestation is admitted to the high-risk OB unit with a diagnosis of preterm labor. On assessment the nurse finds the following:
blood pressure, 182/96 mm Hg; pulse, 106 beats/minute; respirations, 16 breaths/minute; regular uterine contractions of 5 in 10 minutes; and fetal heart rate of 145 beats/minute. She is dilated to 8 cm. Which action by the nurse is best? A. Administer the ordered dose of betamethasone (Celestone). B. Call for an immediate electrocardiogram (EKG). C. Document the findings and prepare for emergent delivery. D. Prepare to administer magnesium sulfate (Sulfamag).