Angie, age 11 months, is brought into the clinic by her mother for a routine che
ID: 241186 • Letter: A
Question
Angie, age 11 months, is brought into the clinic by her mother for a routine checkup. On physical examination, the nurse observes that Angie appears chubby; that her skin looks pale, almost porcelain-like; and that Angie has poor muscle development. Based on these observations, which of the following questions is most important for the nurse to include when completing Angie's history? a. "Did you have any complications during pregnancy or delivery of Angie?" b. "Tell me about what you are currently feeding Angie." c. "Has Angie had any recent infections or high fevers?" d. "Have you noticed whether Angie is having difficulty with her movements or advancing in her growth and development abilities?"Explanation / Answer
Answer is (B) "Tell me about what you are currently feeding Angie."
Angie's physical appearance relates to symptoms of a "MILK BABY" (infants with iron defficiency anemia).
Milk babies are overweight, have pale skin and poor muscle development, and are highly susceptible to infection. An infant with iron deficiency anemia caused by ingestion of excessive amounts of milk and delayed or inadequate addition of iron-rich foods to the diet. Iron deficiencies can happen for several reasons, including not enough iron in the diet, ongoing blood loss (in the intestinal tract, for example), and poor absorption of iron.