A 2-Month-Old Infant Cries Up to 4 Hours Each Day

question 1

Multiple Choice

A 2-month-old infant cries up to 4 hours each day and, according to the parents, is inconsolable during crying episodes with fists and legs noted to be tense and stiff. The infant is breastfeeding frequently but is often fussy during feedings. The physical exam is normal and the infant is gaining weight normally. What will the primary care pediatric nurse practitioner recommend?

• A) A complete work-up, including laboratory and radiologic tests
• B) Eliminating certain foods from the mother's diet
• C) Empiric treatment with a proton pump inhibitor medication
• D) Stopping breastfeeding and beginning a hydrolyzed formula