The home health nurse is visiting a 3-month-old infant diagnosed with congenital hypothyroidism who has been prescribed a daily dose of thyroxine
Due to digestive issues, the infant consumes soy formula and is at the 50th percentile for height and weight. Based on this data, which statement by the nurse to the mother is appropriate?
A) "You can stop the thyroxine as long as your baby remains in the 50th percentile for height and weight."
B) "The soy formula can interfere with the absorption of thyroxine."
C) "A dairy-based formula is contraindicated because your baby is prescribed thyroxine."
D) "As long as your baby is growing along the same growth curve, no interventions are necessary."
Answer: B
Soybeans may block thyroid hormone synthesis if consumed in sufficient quantities, which could occur in babies who are given soy-based formula. Dairy-based formula does not interfere with thyroxine. Frequent checks must be done to assess the baby for inadequate growth. To ensure adequate growth and development, the hormone must be taken throughout life.
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