A nurse is teaching an African American mother of a 3-month-old infant, born in the late fall, who is being exclusively breastfed. Which is the priority nutrient for the nurse to include in the teaching session?

1. Iron
2. Vitamin D
3. Calcium
4. Fluoride


2
Explanation:
1. An infant's iron stores are usually adequate until about 4 to 6 months of age.
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.
3. The infant should be receiving sufficient amounts of calcium from breast milk.
4. Fluoride supplementation, if needed, does not begin until the child is approximately 6 months old.

Nursing

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