NCLEX · Prenatal and Newborn Care

What is the recommended infant feeding for the first 6 months of life?

Correct answer

Exclusive breastfeeding (or iron-fortified infant formula if breastfeeding is not chosen or possible) — no water, juice, or solid foods needed

  1. A Cow's milk only
  2. B Exclusive breastfeeding (or iron-fortified infant formula if breastfeeding is not chosen or possible) — no water, juice, or solid foods needed
  3. C Solid foods at 2 months
  4. D Whole milk and cereal

Why this is the answer

AAP recommendation: exclusive breastfeeding for the first 6 months, then continued breastfeeding with appropriate complementary foods through at least 12 months and longer as mutually desired. WHO recommends continued breastfeeding through 2 years. If breastfeeding is not chosen or possible, iron-fortified infant formula is the alternative. Why exclusive breastfeeding for 6 months: (1) Breast milk provides complete nutrition for that period; (2) Antibodies and immune factors reduce infections; (3) GI tract is developmentally ready for milk but not solids; (4) Reduces allergy and asthma risk; (5) Reduces SIDS risk. NOT recommended before 12 months: cow's milk (insufficient iron, may cause GI bleeding in infants); honey (botulism risk); foods that are choking hazards (whole grapes, nuts, popcorn, hot dogs, raw vegetables). Solid foods are introduced around 6 months when infant shows readiness signs: sits with support, head control, doubled birth weight, shows interest in food, loses tongue-thrust reflex. Iron-rich foods first (iron-fortified cereal, pureed meat) because iron stores deplete around 6 months. Introduce one food at a time, waiting 3-5 days between new foods to identify allergies. By 12 months: solid food primary nutrition, transition to whole milk (after 12 months only).
Source: NCLEX-RN, Infant — Feeding Guidelines

Practice more questions

This question is from our NCLEX Practice Tests practice test. Take the full practice test to test your knowledge across all Prenatal and Newborn Care and other topics.

Take the RN: Health Promotion and Maintenance practice test →

New to this exam? Our NCLEX exam guide explains the format, scoring, and how to prepare.

Related questions

State-specific guides

Need information for your state? Our state guides cover local requirements, fees, and what to expect on exam day.