An infant is growing slowly, and the weight on the growth chart has remained at–2 standard deviations (–2 SD). Which of these interventions takes priority?
1. Ask for a recall of the infant's intake in the previous day.
2. Question the mother about developmental milestones.
3. Report the case to Child Protective Services.
4. Firmly instruct the family about appropriate dietary intake for the infant.
1
Rationale:
1. The nurse needs to obtain a nutritional history on this infant. Obtaining a 24-hour dietary recall on the infant is most appropriate.
2. Questioning developmental milestones would not lead to any conclusions about the problem presented.
3. There is no indication for reporting this parent to Child Protective Services.
4. Providing instruction on dietary intake without a nutritional history would not be appropriate.
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